Value of Multidetector Computed Tomography in the Evaluation of Common Causes of Painful Hip Arthroplasty, AYA M.B.F. HASHEM, NAGUI M. ABD EL-WAHAB, NEVIEN E. EL-LIETHY, ASHRAF A. EL-NAHAL and WALID A. EL-NAHAL
Abstract
Purpose: The aim of this study to assess the diagnostic role of multidetector computed tomography for assessment of common causes of painful hip after arthroplasty.
Patients and Methods: The study included forty-five patients from both sexes (five of them have bilateral hip prosthesis) with hip pain following hip arthroplasty; 31 had total hip arthroplasty and 29 had hemiarthroplasty. They were evaluated in the current prospective study by plain X-ray examination and Multidetector Computed Tomography (MDCT).
Results: Our study showed that plain films are the first line of investigation. MDCT new imaging algorithms have led to a reduction in artifact and an increased role of CT in imaging the prosthetic joint.
Conclusion: MDCT in addition to standard sequential plain radiography are complementary tools of investigation for detection of post-operative complications prior to revision surgery.