Lorenzi G L, Rossi P, Denicolai F, Dettoni A, Quaglia F
1st Orthopaedic Clinic, University of Torino.
Ital J Orthop Traumatol. 1987 Jun;13(2):167-72.
Based on the authors' clinical experience and a review of the literature, the methods used for the diagnosis of loosening in hip arthroprostheses are considered. Clinical and radiographic monitoring are essential but the authors believe that in suspected loosening it is particularly important to perform bone scintigraphy using Tc 99 M.D.P., Ga 67, and Indium 111. Arthrography is advised only in selected cases. The criteria of evaluation in the various tests are reported and a procedure for diagnosis is proposed.
基于作者的临床经验和文献回顾，对用于诊断髋关节假体松动的方法进行了考量。临床和影像学监测至关重要，但作者认为，在怀疑假体松动时，使用锝99m亚甲基二膦酸盐、镓67和铟111进行骨闪烁显像尤为重要。仅在特定病例中建议进行关节造影。报告了各种检查的评估标准，并提出了诊断程序。
