Summary
A series of 40 patients were studied, who were operated upon for a painful total hip prosthesis, half of which were infected. In each case, preoperative scintigraphy was performed using Tc99, Ga67 and In111. The images obtained with Tc and Ga were compared with those of In111 and analysed with respect to sensitivity, specificity, accuracy and the predictive value of a positive or negative test. In111 had a predictive value of more than 90% and showed greater reliability in the diagnosis of an infection as the cause of a painful total hip prosthesis.
Résumé
Etude d'une série de 40 malades, opérés en raison de douleurs après arthroplastie totale de hanche. La moitié d'entre elles étaient infectées. On avait effectué dans chaque cas, avant l'intervention, une scintigraphie au Tc99, au Ga67 et à l'In111. Les images obtenues avec le Tc99 et le Ga67 ont été comparées à celles de l'In111 et analysées en ce qui concerne la sensibilité, la spécificité, l'exactitude et la valeur prédictive d'une réponse positive ou négative. Celle-ci est supérieure à 90% avec l'In111, qui se montre l'examen le plus fiable pour le diagnostic d'infection en présence d'une prothèse totale douloureuse.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Al-Sheikh W, Sfakianakis Gn, Mnaymneh W, Hourani M, Heal A, Duncan RC, Burnett A, Ashkar FS, Serafini AN (1985) Subacute and Chronic bone infections: Diagnosis using In-111, Ga-67 and Tc-99m MDP bone scintigraphy, and radiography. Radiology 155: 501–506
Amundsen TR, Siegel MJ, Siegel BA (1984) Osteomyelitis and infarction in sickle cell hemoglobinopathies: Differentiation by combined technetium and gallium scintigraphy. Radiology 153: 807–812
Carlsson AS (1978) Erythrocyte sedimentation rate in infected and non infected total hip arthroplasties. Acta Orthop Scand 49: 287–290
Crokaert F, Schoutens A, Wagner J, Ansay J (1982) Gallium-67 citrate as and aid to the diagnosis of infection in hip surgery. Int Orthop 6: 163
Horoszowski H, Ganel A, Kambin M, Zaltzman S, Farine I (1980) Sequential use of technetium 99m MDP and gallium 67 citrate imaging in the evaluation of painful total hip replacement. Brit J Radiol 53: 1169–1173
Hughes S (1980) Radionuclides in orthopaedic surgery. J Bone Joint Surg [A] 62: 141–150
Lisbona R, Rosenthall L (1977) Observations on the sequential use of 99m Tc-phosphate complex and 67-Ga imaging in osteomyelitis, cellulitis, and septic arthritis. Radiology 123: 123–129
Mall J, Hoffer P, Murray W, Rodrigo J, Anger H, Samuel A (1977) Heterotopicbone, a potential source of error in evaluating hip prosthesis by radionuclide techniques. J Nucl Med 18: 604
Merkel KD, Brown ML, Dewanjee MK, Fitzgerald RH (1985) Comparison of indium-labelled-leukocyte imaging with sequential technetium-gallium scanning in the diagnosis of low-grade musculosketal sepsis. J Bone Joint Surg [A] 67: 465–476
Mulamba L, Ferrant A, Leners N, De Nayer P, Rombouts JJ, Vincent A (1983) Indium-11 Leucocyte scanning in the evaluation of painful hip arthroplasty. Acta Orthop Scand 54: 695–697
Pring DJ, Henderson RG, Rivett AG, Krauszt, Coombs RRH, Lavender JP (1986) Autologous granulocyte scanning of painful prosthetic joints. J Bone Joint Surg [Br] 68: 647–651
Propst-Proctor SL, Dillingham MF, McDougall IR, Goodwind (1982) The white blood cell scan in orthopedics. Clin Orthop 168: 157–165
Reing CM, Richin PF, Kenmore PI (1979) Differential bone-scanning in the evaluation of a painful total joint replacement. J Bone Joint Surg [A] 61: 933–936
Rosenthall L, Lisbona R, Hernandez M, Hadjipavlou A (1979) 99m Tc-PP and 67 Ga imaging following insertion of orthopedic devices. Radiology 133: 717–721
Rushton N, Coakley AJ, Tudor J, Wraight EP (1982) The value of technetium and gallium scanning in assessing pain after total hip replacement. J Bone Joint Surg [Br] 64: 313–318
Sfakianakis GN, Al-Sheikh W, Heal A, Rodman G, Zeppa R, Serafini A (1982) Comparisons of scintigraphy with In-111 Leukocytes and Ga-67 in the diagnosis of occult sepsis. J Nucl Med 23: 618–626
Weiss PE, Mall JC, Hoffer PB, Murray WR, Rodrigo JJ, Genant HK (1979) 99m Tc-methylene diphosphonate bone imaging in the evaluation of total hip prostheses. Radiology 133: 727–729
Willians F, McCall IW, Park WM, O'Connor BT, Morris V (1981) Gallium-67 scanning in the painful total hip replacement. Clin Radiol 32: 431–439
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gómez-Luzuriaga, M.A., Galán, V. & Villar, J.M. Scintigraphy with Tc, Ga and In in painful total hip prostheses. International Orthopaedics 12, 163–167 (1988). https://doi.org/10.1007/BF00266983
Issue Date:
DOI: https://doi.org/10.1007/BF00266983