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

Berber, Reshid, Henckel, Johann, Khoo, Michael, Wan, Simon, Hua, Jia ORCID: https://orcid.org/0000-0003-3558-2058, Skinner, John and Hart, Alister (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. ISSN 0883-5403 [Article] (doi:10.1016/j.arth.2014.11.019)

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.

Item Type: Article
Research Areas: A. > School of Science and Technology > Natural Sciences > Biophysics and Bioengineering group
Item ID: 16421
Useful Links:
Depositing User: Jia Hua
Date Deposited: 28 May 2015 13:28
Last Modified: 10 Aug 2021 08:41
URI: https://eprints.mdx.ac.uk/id/eprint/16421

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