Clinical usefulness of SPECT–CT in patients with an unexplained pain in metal on metal (MOM) total hip arthroplasty

Article

Berber, R., Henckel, J., Khoo, M., Wan, S., Hua, J., Skinner, J. and Hart, A. 2015. Clinical usefulness of SPECT–CT in patients with an unexplained pain in metal on metal (MOM) total hip arthroplasty. The Journal of Arthroplasty. 30 (4), pp. 687-694. https://doi.org/10.1016/j.arth.2014.11.019
TypeArticle
TitleClinical usefulness of SPECT–CT in patients with an unexplained pain in metal on metal (MOM) total hip arthroplasty
AuthorsBerber, R., Henckel, J., Khoo, M., Wan, S., Hua, J., Skinner, J. and Hart, A.
Abstract

SPECT-CT is increasingly used to assess painful knee arthroplasties. The aim of this study was to evaluate the clinical usefulness of SPECT-CT in unexplained painful MOM hip arthroplasty. We compared the diagnosis and management plan for 19 prosthetic MOM hips in 15 subjects with unexplained pain before and after SPECT-CT. SPECT-CT changed the management decision in 13 (68%) subjects, Chi-Square=5.49, P=0.24. In 6 subjects (32%) pain remained unexplained however the result reassured the surgeon to continue with non-operative management. SPECT-CT should be reserved as a specialist test to help identify possible causes of pain where conventional investigations have failed. It can help reassure surgeons making management decisions for patients with unexplained pain following MOM hip arthroplasty.

Research GroupBiophysics and Bioengineering group
PublisherElsevier
JournalThe Journal of Arthroplasty
ISSN0883-5403
Publication dates
Online25 Nov 2014
Print01 Apr 2015
Publication process dates
Deposited28 May 2015
Accepted08 Nov 2014
Output statusPublished
Digital Object Identifier (DOI)https://doi.org/10.1016/j.arth.2014.11.019
LanguageEnglish
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