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Catastrophic polyethylene failure diagnosed with magnetic resonance imaging in a painful total knee arthroplasty.
MedLine Citation:
PMID:  20334993     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Determining the etiology of a painful knee after arthroplasty can be extremely challenging. Traditionally, orthopedists relied mainly on physical examination, laboratory results, serial radiographs, and 3-phase bone or indium-labeled white blood cell scans; however, recent advances in magnetic resonance imaging (MRI) software have given orthopedists another powerful tool in their diagnostic armamentarium. We provide the MRI software modification technique for metallic artifact reduction as well as present a novel case in which MRI was used to diagnose catastrophic polyethylene postfailure in a posterior cruciate ligament substituting knee. Although the role for MRI in the postarthroplasty knee has yet to be clearly defined, its utility in working up a painful arthroplasty when history, physical examination, and other diagnostic utilities fail to provide answers is clearly demonstrated in this case.
Authors:
Gregory C Mallo; Scott J C Stanat; Jason A Jones; James D Capozzi; Jonathan S Luchs
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Publication Detail:
Type:  Journal Article     Date:  2010-03-23
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  26     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  505.e13-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Stony Brook University Orthopaedics, 14 Technology Drive East Setauket, New York.
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