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Combined nuclear and digital subtraction contrast arthrography in painful knee prosthesis

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Abstract

The evaluation of a painful knee prosthesis remains a difficult problem for both orthopaedic surgeons and radiologists. We have compared digital subtraction arthrography with nuclear arthrography in 7 patients with a painful knee prosthesis. Three patients showed a loose tibial component, demonstrated by both digital subtraction and nuclear arthrography. All 3 underwent revision of their prosthesis. One patient had an equivocal digital subtraction arthrogram and negative nuclear arthrogram, while both studies were negative in the 3 remaining patients. Nuclear arthrography is a simple procedure and can provide useful additional information when combined with digital subtraction arthrography.

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Authors and Affiliations

  1. Department of Radiology, Royal Infirmary, G31 2ER, Glasgow, UK

    J. Namasivayam, A. Forrester & A. S. Bryan

  2. Department of Nuclear Medicine, Royal Infirmary, G31 2ER, Glasgow, UK

    F. W. Poon, G. F. Cuthbert & J. H. McKillop

Authors
  1. J. Namasivayam
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  2. F. W. Poon
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  3. A. Forrester
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  4. A. S. Bryan
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  5. G. F. Cuthbert
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  6. J. H. McKillop
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Offprint requests to: F.W Poon

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Namasivayam, J., Poon, F.W., Forrester, A. et al. Combined nuclear and digital subtraction contrast arthrography in painful knee prosthesis. Eur J Nucl Med 19, 445–448 (1992). https://doi.org/10.1007/BF00177373

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  • DOI: https://doi.org/10.1007/BF00177373

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