Call us toll-free

TKA Aseptic Loosening - Recon - Orthobullets

THA Aseptic Loosening - Recon - Orthobullets

Approximate price


275 Words


aseptic loosening of hip prosthesis

The most common situations that lead to the need for a revision hip replacement are instability / dislocation, mechanical loosening and infection. According to one national review study, instability issues account for 22% of all revision hip replacements, aseptic loosening for 20% and infection the cause of 15% of yearly revision hip replacement surgeries [3]. Periprosthetic fracture, component failure and osteolysis-related wear are the causes for the remaining revision hip replacements done each year. Of great concern looking forward is that infection by the year 2030 will account for 48% of all revision hip replacements that will be done [4]. This has grave economic implications as infection is one of the most expensive complicating events related to joint replacement surgery.


Despite a variety of high technology, proving a joint to be infected remains one of the most challenging and elusive diagnoses and is an area of constant research to improve this discovery process. Some low virulent organisms can defy preoperative discovery only to present in florid fashion once a revision joint has been re-implanted for what was thought to be aseptic mechanical loosening; a very disappointing situation for a patient to face and harder yet to prove that the infection was present all along.

Aseptic Loosening in Uncemented Total Hip …

Aseptic loosening is a major cause of failure of total hip arthroplasty

Tsukayama et al. proposed a 4-stage system consisting of early postoperative-, late chronic-, and acute hematogenous infections, and positive intraoperative cultures of specimens obtained during revision of a presumed aseptically loose total hip prosthesis [].

The outcome of hip arthroplasty in the acromegalic population is poorly documented. We report a case of aseptic loosening of an uncemented cup in an acromegalic patient. The alteration of GH-levels can alter osseointegration process through various biological mechanisms.

Distinguishing infection from aseptic loosening is ..

Aseptic Loosening in Uncemented Total Hip Arthroplasty in a Canine Model

Revision hip replacement refers to the procedure to repair or replace a failed first hip replacement. Over the past three decades total hip replacement has become one of the most important surgical procedures to return patients to active, contributing members of society. The surgical procedure to replace a worn out, painful hip with prosthetic components () has been performed on millions of patients with great results and overall few complications. Once reserved for the senior citizen with a sedentary lifestyle, total hip replacement is rapidly becoming an operation in demand by a mid-life, still working patient population who demand high function and long lasting mechanical properties to coincide with a highly active lifestyle.

METHODS: In 7 Dutch hospitals, 176 consecutive patients with the preoperative diagnosis of aseptic loosening of their total hip arthroplasty were enrolled.

aseptic loosening from infection can be ..
Order now
  • Aseptic Loosening of Total Hip Replacement

    Some Aseptic Loosening Of Hip Prosthesis Lower Back …

  • Aseptic Loosening Of Hip Prosthesis Exercises For …

    Aseptic Loosening Of Hip Prosthesis Hip Flexor Pain …

  • Aseptic loosening of prosthetic joint; ..

    Loosening of left hip joint prosthesis;

Order now

of aseptic loosening of an uncemented total hip ..

A specific radiological evaluation of hip joint infections does not exist to our knowledge. However, several authors have used different radiological systems that have been primarily developed for determining acetabular and femoral defects at the site of an aseptic loosening of hip arthroplasties also in the assessment of infected total hip replacements. The Paprosky- [, ], and the AAOS (American Academy of Orthopedic Surgeons) [-] classifications belong to the most widely used ones.

and aseptic loosening around the prosthesis

1. Daniel J, Holland J, Quigley L, Sprague S, Bhandari M. Pseudotumors associated with total hip arthroplasty. J Bone Joint Surg Am 2012;94(1):86-93.
2. Griffiths HJ, Burke J, Bonfiglio TA. Granulomatous pseudotumors in total joint replacement. Skeletal Radiol 1987;16(12):146-152.
3. Pandit H, Glyn-Jones S, McLardy-Smith P, Gundle R, Whitwell D, Gibbons CL, et al. Pseudotumours associated with metal-on-metal hip resurfacings. J Bone Joint Surg Br 2008;90(7):847-851.
4. Madan S, Jowett RL, Goodwin MI. Recurrent intrapelvic cyst complicating metal-on-metal cemented total hip arthroplasty. Arch Orthop Trauma Surg 2000;120(9):508-510.
5. Campbell P, Shimmin A, Walter L, Solomon M. Metal sensitivity as a cause of groin pain in metal-on-metal hip resurfacing. J Arthroplasty 2008;23(7):1080-1085.
6. Kwon YM, Ostlere SJ, McLardy-Smith P, Athanasou NA, Gill HS, Murray DW. “Asymptomatic” pseudotumors after metal-on-metal hip resurfacing arthroplasty: prevalence and metal ion study. J Arthroplasty 2011;26(4):511-518.
7. Williams S, Schepers A, Isaac G, Hardaker C, Ingham E, van der Jagt D, et al. The 2007 otto aufranc award. Ceramic-on-metal hip arthroplasties: a comparative in vitro and in vivo study. Clin Orthop Relat Res 2007;465:23-32.
8. Isaac GH, Brockett C, Breckon A, van der Jagt D, Williams S, Hardaker C, et al. Ceramic-on-metal bearings in total hip replacement: whole blood metal ion levels and analysis of retrieved components. J Bone Joint Surg Br 2009;91(9):1134-1141.
9. Reinders J, Sonntag R, Heisel C, Reiner T, Vot L, Kretzer JP. Wear performance of ceramic-on-metal hip bearings. PLoS One 2013;8(8):e73252.
10. Korovessis P, Petsinis G, Repanti M, Repantis T. Metallosis after contemporary metal-on-metal total hip arthroplasty. Five to nine-year follow-up. J Bone Joint Surg Am 2006;88(6):1183-1191.
11. Tower SS. Arthroprosthetic cobaltism: neurological and cardiac manifestations in two patients with metal-on-metal arthroplasty: a case report. J Bone Joint Surg Am 2010;92(17):2847-2851.
12. Williams S, Isaac G, Porter N, Fisher J, Older J. Long-term radiographic assessment of cemented polyethylene acetabular cups. Clin Orthop Relat Res 2008;466(2):366-372.
13. Firkins PJ, Tipper JL, Ingham E, Stone MH, Farrar R, Fisher J. A novel low wearing differential hardness, ceramic-on-metal hip joint prosthesis. J Biomech 2001;34(10):1291-1298.
14. Valentí JR, Del Río J, Amillo S. Catastrophic wear in a metal-on-ceramic total hip arthroplasty. J Arthroplasty 2007;22(6):920-922.
15. Hsu AR, Gross CE, Levine BR. Pseudotumor from modular neck corrosion after ceramic-on-polyethylene total hip arthroplasty. Am J Orthop (Belle Mead NJ) 2012;41(9):422-426.
16. Huot Carlson JC, Van Citters DW, Currier JH, Bryant AM, Mayor MB, Collier JP. Femoral stem fracture and in vivo corrosion of retrieved modular femoral hips. J Arthroplasty 2012;27(7):1389-1396.e1.
17. Mont MA, Schmalzried TP. Modern metal-on-metal hip resurfacing: important observations from the first ten years. J Bone Joint Surg Am 2008;90 Suppl 3:3-11.
18. Harper GD, Bull T, Cobb AG, Bentley G. Failure of the ring polyethylene uncemented acetabular cup. J Bone Joint Surg Br 1995;77(4):557-561.
19. Deshmukh AJ, Rathod PA, Rodgers WH, Rodriguez JA. Early failure of a ceramicon metal total hip arthroplasty: A case report. JBJS Case Connect 2012;2(2):e25.
20. Koper MC, Mathijssen NM, van Ravenswaay HH, Witt F, Morlock MM, Vehmeijer SB. Pseudotumor after bilateral ceramic-on-metal total hip arthroplasty-A case report JBJS Case Connect 2014;4:e25.
21. Carli A, Reuven A, Zukor DJ, Antoniou J. Adverse soft-tissue reactions around non-metal-on-metal total hip arthroplasty – A systematic review of the literature. Bull NYU Hosp Jt Dis 2011;69 Suppl 1:S47-S51.
22. Potter HG, Ho ST, Altchek DW. Magnetic resonance imaging of the elbow. Semin Musculoskelet Radiol 2004;8(1):5-16.

and in most cases aseptic loosening ..

Since each failed hip replacement has a different reason for its failure, preparing for the revision hip replacement is also going to be unique. Specialized CAT scans or MRI tests may be needed to evaluate bone loss around the current implant or position of the prosthesis relative to the normal anatomy. Various laboratory or nuclear scans to check for infection may be indicated such as CBC, CRP, Sed. Rate or Bone Scan. An aspiration of the hip joint may yield fluid that can be analyzed by cell count and culture. Finally, consultations with other medical or surgical specialists may be required to evaluate the medical condition or special circumstances of the patient prior to surgery to optimize the outcome.

Order now
  • Kim

    "I have always been impressed by the quick turnaround and your thoroughness. Easily the most professional essay writing service on the web."

  • Paul

    "Your assistance and the first class service is much appreciated. My essay reads so well and without your help I'm sure I would have been marked down again on grammar and syntax."

  • Ellen

    "Thanks again for your excellent work with my assignments. No doubts you're true experts at what you do and very approachable."

  • Joyce

    "Very professional, cheap and friendly service. Thanks for writing two important essays for me, I wouldn't have written it myself because of the tight deadline."

  • Albert

    "Thanks for your cautious eye, attention to detail and overall superb service. Thanks to you, now I am confident that I can submit my term paper on time."

  • Mary

    "Thank you for the GREAT work you have done. Just wanted to tell that I'm very happy with my essay and will get back with more assignments soon."

Ready to tackle your homework?

Place an order