A computer-based model is used to investigate the total cost of primary total hip-joint replacement. The model takes into account the probability of prosthesis failure, death and re-revision. The results emphasize the importance of age at insertion, demonstrating that the expected life-span of the patient has a major influence on the total cost for a given prosthesis. The discussion considers t...

1. Rana SB, Pokharel S. A dosimetric study of volumetric modulated arc therapy planning techniques for treatment of low-risk prostate cancer in patients with bilateral hip prostheses. South Asian J Cancer 2014;3:18-21. 2. Rana S, Cheng C, Zheng Y, Hsi W, Zeidan O, Schreuder N, et al. Dosimetric study of uniform scanning proton therapy planning for prostate cancer patients with a metal hip prost...

The complications of total hip arthroplasty (THA) during the immediate postoperative period consist mainly in dislocation of the prosthesis, haematomas under antocoagulants, early infections, dismantling of osteotomy, neurological injury, heterotopic ossification and delayed restoration of the range of motion of the hip joint. We present here an infrequently described case of haematoma of the p...

The frequency of air embolism was studied in 21 patients during total hip replacement. Two groups were examined, one having femoral shaft cement insertion by hand, the other by Exeter cement gun. Venous air embolism was common throughout the hip surgery, but was especially so during prosthesis positioning in the femoral shaft. There were fewer air emboli and cardiovascular sequelae detected in ...

Introduction. The term adverse local tissue reactions (ALTRs) is used to describe pathologic conditions appearing after total joint replacement, and it includes osteolysis, bone necrosis, muscle cystic lesions, excessive fluid collections, soft masses, pseudotumors, metal sensitivity, metallosis, chronic inflammatory lesions. ALTRs are rarely described in the literature breakage of ceramic comp...

Custom femoral components have been developed for total hip arthroplasty to maximize cortical form-fit and thereby to reduce the problems of stress shielding and aseptic loosening. Limited information is available about how much endosteal cortical contact can actually be achieved with these expensive implants. The aim of this study was therefore to verify the exact cortical contact of a custom ...

Clinical results after total hip arthroplasty with the use of a Hylamer liner have been described as being poor. In this study, polyethylene wear rates as well as clinical results were assessed after hip arthroplasty using a Hylamer liner. Thirty patients were followed radiographically and clinically after total hip arthroplasty with a Hylamer liner. The mean follow-up was six years. Radiolucen...

We retrospectively evaluated the results of 61 patients (67 hips) who underwent total hip arthroplasty using the thrust plate prosthesis (TPP) for osteoarthritis of the hip joint. All patients were followed-up at least two years (mean: 37.2 months). Mean preoperative Harris hip score improved from 45.8 (SD: 13.5) to 94.9 (SD: 5.4) points postoperatively. Revision was performed in five cases. Me...

A patient is presented with progressive respiratory failure, caused by pulmonary fat embolism as proved by an open lung biopsy. Four and a half yrs earlier, she underwent a right hip operation. We surmise that a loosening hip prosthesis caused the marrow embolisation.