FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2255184484> ?p ?o ?g. }

• W2255184484 endingPage "30" @default.
• W2255184484 startingPage "30" @default.
• W2255184484 abstract "Introduction Neck-stem corrosion has been associated with Adverse Local Tissue Reaction (ALTR) in dual-taper femoral stems. Several diagnostic tests, of varying specificity and sensitivity, are used to identify ALTR. The purpose of this study was to document the clinical presentation, diagnostic workup and surgical findings in a large cohort of patients with dual modular stems, and use this information to propose an evaluation protocol that assists surgical decision-making. Methods This is a single center, single surgeon9s retrospective case series of 38 patients who underwent 42 primary total hip arthroplasty (THA) with a dual-taper femoral components between March 2010 and May 2011 The evaluation included clinical exam, hip radiographs, labs including serum metal ion levels, metal artifact reduction sequence magnetic resonance imaging (MARS MRI), and fluoroscopic hip aspiration with qualitative and quantitative assessment of synovial fluid. Each hip aspirate was classified into Class 1 (clear, 10cc), or 3 (cloudy, turbid, viscous). 20 patients to date have undergone revision THA. Results 19/42 hips were symptomatic. Serum cobalt levels were elevated in 38/42 patients. 23/42 had abnormal MRI findings. MRI was able to identify abnormalities in 79% (15/19) of symptomatic patients and 35% (8/23) asymptomatic patients. Class 2 and 3 hip aspirates were associated with abnormal MRI (in 86% and 61%, respectively), elevated Cobalt, and a high rate of revision (71% and 72%, respectively). ESR and CRP were normal in most patients (76% and 66%, respectively). A small subset of patients (2/38) with symptoms, normal metal ion levels and normal MRI, had abnormal aspirates (Class 2 or 3) with extensive tissue necrosis at revision. Conclusion The diagnosis of ALTR can be challenging and requires integrating data from several sources: clinical exam, radiographs, serum metal testing, MARS MRI and hip aspirations. Hip aspiration appears to be useful not only in excluding infection, as proposed in current literature, but also in identifying ALTR in patients with otherwise normal tests. Abnormal results on MARS MRI and/or hip aspiration appear to be most predictive of surgical pathology. Both should be included in the protocol to evaluate for underlying ALTR in patients with dual-taper femoral stems." @default.
• W2255184484 created "2016-06-24" @default.
• W2255184484 creator A5025597265 @default.
• W2255184484 creator A5054814748 @default.
• W2255184484 creator A5084879838 @default.
• W2255184484 creator A5090739352 @default.
• W2255184484 date "2016-01-01" @default.
• W2255184484 modified "2023-09-26" @default.
• W2255184484 title "A PROTOCOL TO ASSESS FOR ADVERSE LOCAL TISSUE REACTION IN PATIENTS WITH DUAL-TAPER FEMORAL STEMS" @default.
• W2255184484 hasPublicationYear "2016" @default.
• W2255184484 type Work @default.
• W2255184484 sameAs 2255184484 @default.
• W2255184484 citedByCount "0" @default.
• W2255184484 crossrefType "journal-article" @default.
• W2255184484 hasAuthorship W2255184484A5025597265 @default.
• W2255184484 hasAuthorship W2255184484A5054814748 @default.
• W2255184484 hasAuthorship W2255184484A5084879838 @default.
• W2255184484 hasAuthorship W2255184484A5090739352 @default.
• W2255184484 hasConcept C126322002 @default.
• W2255184484 hasConcept C126838900 @default.
• W2255184484 hasConcept C141071460 @default.
• W2255184484 hasConcept C143409427 @default.
• W2255184484 hasConcept C167135981 @default.
• W2255184484 hasConcept C2775854910 @default.
• W2255184484 hasConcept C2776211809 @default.
• W2255184484 hasConcept C2776541429 @default.
• W2255184484 hasConcept C2777910003 @default.
• W2255184484 hasConcept C2778336525 @default.
• W2255184484 hasConcept C2779967601 @default.
• W2255184484 hasConcept C36454342 @default.
• W2255184484 hasConcept C71924100 @default.
• W2255184484 hasConceptScore W2255184484C126322002 @default.
• W2255184484 hasConceptScore W2255184484C126838900 @default.
• W2255184484 hasConceptScore W2255184484C141071460 @default.
• W2255184484 hasConceptScore W2255184484C143409427 @default.
• W2255184484 hasConceptScore W2255184484C167135981 @default.
• W2255184484 hasConceptScore W2255184484C2775854910 @default.
• W2255184484 hasConceptScore W2255184484C2776211809 @default.
• W2255184484 hasConceptScore W2255184484C2776541429 @default.
• W2255184484 hasConceptScore W2255184484C2777910003 @default.
• W2255184484 hasConceptScore W2255184484C2778336525 @default.
• W2255184484 hasConceptScore W2255184484C2779967601 @default.
• W2255184484 hasConceptScore W2255184484C36454342 @default.
• W2255184484 hasConceptScore W2255184484C71924100 @default.
• W2255184484 hasLocation W22551844841 @default.
• W2255184484 hasOpenAccess W2255184484 @default.
• W2255184484 hasPrimaryLocation W22551844841 @default.
• W2255184484 hasRelatedWork W1513906254 @default.
• W2255184484 hasRelatedWork W2033413198 @default.
• W2255184484 hasRelatedWork W2063415630 @default.
• W2255184484 hasRelatedWork W2068865162 @default.
• W2255184484 hasRelatedWork W2131076119 @default.
• W2255184484 hasRelatedWork W2195600968 @default.
• W2255184484 hasRelatedWork W2271233801 @default.
• W2255184484 hasRelatedWork W2370183310 @default.
• W2255184484 hasRelatedWork W2398512231 @default.
• W2255184484 hasRelatedWork W2425695977 @default.
• W2255184484 hasRelatedWork W2489423106 @default.
• W2255184484 hasRelatedWork W2525742843 @default.
• W2255184484 hasRelatedWork W2605503229 @default.
• W2255184484 hasRelatedWork W2735052924 @default.
• W2255184484 hasRelatedWork W2795140682 @default.
• W2255184484 hasRelatedWork W3024734949 @default.
• W2255184484 hasRelatedWork W3133543397 @default.
• W2255184484 hasRelatedWork W2183498835 @default.
• W2255184484 hasRelatedWork W2946594419 @default.
• W2255184484 hasRelatedWork W3080231653 @default.
• W2255184484 isParatext "false" @default.
• W2255184484 isRetracted "false" @default.
• W2255184484 magId "2255184484" @default.
• W2255184484 workType "article" @default.