Percutaneous cementoplasty of periprosthetic aseptic hip loosening

X. Tomas Batlle, J. C. Soler-Perromat, J. Blasco Andaluz, J. A. Fernandez-Valencia

Radiología (English Edition)(2023)

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摘要
Progressive population aging and improved healthcare have led to a significant increase in patients with hip arthroplasty (HA). In this patient group, the proportion of those who require a new arthroplasty (prosthetic replacement or secondary revision of the hip), has also increased. For this subgroup of patients in whom surgical prosthetic replacement should be considered but is contraindicated, a new technique has been developed since 2010: percu-taneous injection of periprosthetic cement under fluoroscopic or CT control ("femoroplasty; FMP") as an alternative and less invasive treatment compared to surgery to stabilize the HA without replacing it, with excellent results on patients' quality of life. In this brief communi-cation, we describe our positive experience regarding FMP, which we have performed for the first time in Spain on 4 patients (age range between 74-83 years, 2 female and 2 male patients, 3 right HA and 1 left HA), without post-complications. We highlight both the relative simplicity of this technique, which can be incorporated into radiological intervention even in regional hospitals, and the significant clinical improvement observed in all patients. In conclusion, we hope that our experience can contribute to the increased adoption of this innovative technique within the scientific community. (c) 2023 The Author(s). Published by Elsevier Espana, S.L.U. on behalf of SERAM. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/ 4.0/).
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关键词
Arthroplasty,Cementation,Cementoplasty,Fluoroscopy,Hip,Methods,Prostheses and implants
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