Loosening of the hip joint prostheses.

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Revision knee replacements are performed under a combined (spinal and general) anaesthetic. The old knee replacement is removed with great care in order to protect the surrounding bone. Often there has been significant bone loss as a result of aseptic loosening; a bone graft or additional prosthetic implants may be necessary to allow the revision knee replacement to be properly aligned and stable. Revision knee replacements usually need an extension (called a ‘stem’) in the femur and tibia so that there is adequate support (see pictures).

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Lucent lines don't necessarily represent problem - may be present in well-fixed prosthesis (retrieval studies) - often due to remodelling O'Neil & Harris JBJS Am'84 1. Possible Bone-cement lucency - may be due to poor cementing technique - loosening if progressive 2. Probable Cement-implant radiolucent line >2mm wide - progressive 3. Definite 1.


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[Aseptic loosening of a total hip prosthesis]

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