MR imaging of hip arthroplasty can be technically challenging due to artifacts associated with metallic implant components; however, utilization of specific parameter modifications and advanced metal reduction sequences allows acquisition of high-quality diagnostic images in patients with metallic implants. Given the increasing prevalence of hip arthroplasties within the population, familiarity with appropriate imaging techniques and expected pathology within this patient population is important knowledge for radiologists who encounter patients with hip arthroplasty in clinical practice.
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http://dx.doi.org/10.1016/j.mric.2024.07.002 | DOI Listing |
Multimodal analgesia and anesthesia have become the gold standard in total joint arthroplasty to reduce postoperative pain and opioid consumption and minimize complications associated with opioid use. There are several elements in an effective multimodal protocol, including oral medications, periarticular injection, regional nerve blocks, and spinal and general anesthesia. Many nonopioid medications are often used, such as acetaminophen and NSAIDs.
View Article and Find Full Text PDFPeriprosthetic fractures and their associated complications present significant challenges for orthopaedic surgeons. It is important to provide an overview of the current management of periprosthetic fractures, including techniques for osteosynthesis and revision total hip and knee arthroplasty, as well as special considerations for periprosthetic acetabular fractures, periprosthetic tibial fractures, and interprosthetic femur fractures. In addition, the guiding principles for the management of potential subsequent complications including infection, nonunion, and instability are discussed.
View Article and Find Full Text PDFPeriprosthetic femur fractures around the hip are one of the most common aseptic complications following total hip arthroplasty. Understanding the risk factors of periprosthetic femur fracture can aid surgeons in the prevention of these injuries. The Vancouver classification provides a reproducible description of the factors that should be considered in the treatment of patients with periprosthetic femur fractures: fracture site, implant stability, and bone stock.
View Article and Find Full Text PDFInstr Course Lect
January 2025
Ankle arthritis is a severely disabling condition. Treatment poses many unique challenges to orthopaedic surgeons because ankle kinematics differs from that seen in the hip or knee joint and the loads transmitted through the ankle are greater during activity. Historically, motion-sacrificing procedures dominated management of ankle arthritis.
View Article and Find Full Text PDFWorld J Orthop
December 2024
Department for Science, Dubai College, Dubai 00000, Dubayy, United Arab Emirates.
Hip arthroplasty in patients with a history of paediatric hip disorders presents a significant challenge for orthopaedic surgeons. These patients are typically younger and have greater functional demands. Therefore, achieving optimal biomechanical conditions is crucial, involving placement of the acetabulum at the ideal centre of rotation and securing a stable femoral component with good offset to preserve abductor muscle function and restore leg length.
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