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At least 19 recordsLinked to original sources

Arthrography in total hip prosthesis complications.

Previous reports have stressed the value of hip arthrography primarily in determining the presence of loosening of the total hip prosthesis. Although loosening is a common complication and frequently associated with infection, other complications producing a painful hip prosthesis exist and are demonstrable by arthrography. Since the etiologies of these are as diversely different as the treatment, the hip arthrogram is advocated as an integral part of the diagnostic approach to the patient with a painful hip prosthesis in order to assess the specific complication and determine the therapeutic approach.

Aged

Three methods for determining anteversion and retroversion of a total hip prosthesis.

Three new methods to assess the degree of anteversion or retroversion of the femoral component of a total hip prosthesis are described. Compared with previously described methods, the new methods make few physical demands on the recently operated patient. The only requirement is that the affected femur be held in a neutral position parallel to the x-ray table. The methods are relatively easy to perform and are accurate and objective.

Anthropometry

[The fixation of madreporic total hip prosthesis; an experimental study (author's transl)].

The author has designed a new type of total hip prosthesis described as "madreporic" because its surface is rough and resembles some kinds of coral. This type of implant, which does not require cement, was tested on dogs. The bone-prosthesis junction was assessed using light and electron microscopy. Radio-spectrography and micro-radiography showed that osteogenesis occurred in the roughened surface of the implant leading to an early, strong and long-standing fixation. The prosthesis was inserted in two hundred patients. Five were removed after septic complications and one after premature death. The fixation with new bone to the surface of the metal was confirmed.

Alloys

[Total hip prosthesis and sport (author's transl)].

The artificial replacement of the hip joint has become a routine operation the assessment of load resistance of the total hip prothesis (THP), on the other hand, is very variable. If at all possible, a THP should only be implanted in elderly people usually with the object of obtaining painless and improved walking ability. Occasionally, however, the question of the possibility of sports activities arises. But for this there are no practical pointers for better orientation. Therefore 120 operated patients under the age of 60 were questioned in detail on their sports activities and followed up. Then an attempt was made to classify the types of sport. Swimming, cycling, gymnastics, walking and rowing seemed suitable.

Adult

[Study of factors favoring infection in total hip prosthesis. Twenty-five observations].

The authors report 25 cases of infection following total hip replacement and individual factors are analysed. The role of immunological abnormalities is discussed. They distinguish early infection due to the operative conditions from late infection where individual factors are the most important. A few preventive measures are proposed, they emphasise the necessity of a large scale study of factors favouring late infection.

Hip Joint

[Mycobacterium fortuitum infection after total hip prosthesis. A report of 3 cases (author's transl)].

The authors have observed three instances of sepsis due to Mycobacterium fortuitum complicating total hip replacement for osteoarthritis. The case histories are fully described. The requirements are given for recognition of the organism which grows on special culture media and which may be mistaken for Mycobacterium tuberculosis. This feature explains why, in some cases, the organism may not be discovered. Antibiotics were ineffective but the general condition of the patient was not greatly affected.

Aged

[Sequelae of acetabulum fractures treated by total hip prosthesis].

The authors have treated by total prosthesis 39 cases of fractures of the acetabulum, at the stage of severe sequellae. 21 of them had been initially treated conservatively, and 18 had been previously operated on. 23 times they used conventional prosthesis anchored with cement. 8 cases became loose and had to be re-operated on. 16 times an original prosthesis made of highly porous metal was used with no complication at the present time.

Acetabulum