Total hip arthroplasty has evolved along with improvements in component materials and design. The radiologist must accurately diagnose associated complications with imaging methods and stay informed about newer complications associated with innovations in surgical technique, prosthetic design, and novel materials. This pictorial essay presents clinical and imaging correlation of modern hip arthroplasty complications, with an emphasis on the most common complications of instability, aseptic loosening, and infection as well as those complications associated with contemporary metal-on-metal arthroplasty.
WhiteL.M.KimJ.K.MehtaM.Complications of total hip arthroplasty: MR imaging-initial experienceRadiology2000; 215:254–262.
2.
CushnerF.AgnelliG.FitzGeraldG.Complications and functional outcomes after total hip arthroplasty and total knee arthroplasty: results from the Global Orthopaedic RegistryAm J Orthop39suppl201022–28.
3.
LeeM.F.KimS.LeeS.A.Overcoming artifacts from metallic orthopedic implants at high-field-strength MR imaging and multidetector CTRadioGraphics2007; 27:791–803.
4.
BozicK.J.KurtzS.M.LauE.The epidemiology of revision total hip arthroplasty in the United StatesJ Bone Joint Surg Am2009; 91:128–133.
5.
BiedermannR.ToninA.KrismerM.Reducing the risk of dislocation after total hip arthroplasty: the effect of orientation of the acetabular componentJ Bone Joint Surg Br2005; 87:762–769.
6.
WhiteR.E.Jr.FornessT.J.AllmanJ.K.Effect of posterior capsular repair on early dislocation in primary total hip replacementClin Orthop Relat Res2001; 393:163–167.
7.
SilviaM.LuckJ.V.Jr.Long-term results of primary total knee replacement in patients with hemophiliaJ Bone Joint Surg Am2005; 87:85–91.
8.
GalatD.D.McGovernS.C.HanssenA.D.Early return to surgery for evacuation of a postoperative hematoma after primary total knee arthroplastyJ Bone Joint Surg Am2008; 90:2331–2336.
9.
HaasS.B.BarrackR.L.WestrichG.Venous thromboembolic disease after total hip and knee arthroplastyInstr Course Lect2009; 58:781–793.
10.
TiggesS.StilesR.G.RobersonJ.R.Complications of hip arthroplasty causing periprosthetic radiolucency on plain radiographsAJR Am J Roentgenol1994; 162:1387–1391.
11.
RobertsP.WaltersA.J.McMinnD.J.Diagnosing infection in hip replacements. The use of fine-needle aspiration and radiometric cultureJ Bone Joint Surg Br1992; 74:265–269.
12.
LoveC.TomasM.B.MarwinS.E.Role of nuclear medicine in diagnosis of the infected joint replacementRadiographics2001; 21:1229–1238.
13.
DuncanC.P.MasriB.A.Fractures of the femur after hip replacementInstr Course Lect1995; 44:293–304.
14.
SpringerB.D.BerryD.J.LewallenD.G.Treatment of periprosthetic femoral fractures following total hip arthroplasty with femoral component revisionJ Bone Joint Surg Am2003; 85:2156–2162.
15.
CartyF.L.CashmanJ.P.ParviziJ.Imaging of the postoperative hipSemin Musculoskelet Radiol2011; 15:357–371.
16.
RajpuraA.PorterM.L.GambhirA.K.Clinical experience of revision of metal-on-metal hip arthroplasty for aseptic lymphocyte dominated vasculitis associated lesions (ALVAL)Hip Int2011; 21:43–51.
BrookerA.F.BowermanJ.W.RobinsonR.A.Ectopic ossification following total hip replacement. Incidence and a method of classificationJ Bone Joint Surg Am1973; 55:1629–1632.
20.
ChaoS.T.JoyceM.J.SuhJ.H.Treatment of heterotopic ossificationOrthopedics2007; 30:457–464.
