S. Tigges et al., COMPLICATIONS OF HIP-ARTHROPLASTY CAUSING PERIPROSTHETIC RADIOLUCENCYON PLAIN RADIOGRAPHS, American journal of roentgenology, 162(6), 1994, pp. 1387-1391
The technique of hip arthroplasty is at least 30 years old and current
ly is performed 120,000 times per year in the United States [1]. Chang
es in materials and surgical techniques have markedly decreased the pr
evalence of infection and aseptic loosening. At the same time, other c
omplications such as stress shielding and aggressive granulomatosis ha
ve become increasingly important complications of joint replacement [2
]. All four of these entities manifest radiographically as periprosthe
tic lucency (Fig. 1). The purpose of this essay is to illustrate the p
lain film findings of each of these complications.