Osteolysis as it Pertains to Total Hip Arthroplasty

Brian Kurcz; Joseph Lyons; Zain Sayeed; Afshin A Anoushiravani; Richard Iorio

doi:10.1016/j.ocl.2018.06.001

Osteolysis as it Pertains to Total Hip Arthroplasty

Orthop Clin North Am. 2018 Oct;49(4):419-435. doi: 10.1016/j.ocl.2018.06.001.

Authors

Brian Kurcz¹, Joseph Lyons², Zain Sayeed³, Afshin A Anoushiravani⁴, Richard Iorio⁵

Affiliations

¹ Division of Orthopaedic Surgery, Southern Illinois University, 701 North 1st Street, Springfield, IL 62781, USA.
² Department of Surgery, Chicago Medical School, 3333 Green Bay Road, North Chicago, IL 60064, USA.
³ Department of Orthopaedic Surgery, Detroit Medical Center, 4201 Saint Antoine, Detroit, MI 48201, USA.
⁴ Division of Orthopaedic Surgery, Albany Medical Center, 43 New Scotland, Albany, NY, USA.
⁵ Division of Orthopaedic Surgery, Albany Medical Center, 43 New Scotland, Albany, NY, USA. Electronic address: Richard.iorio@nyumc.org.

PMID: 30224004
DOI: 10.1016/j.ocl.2018.06.001

Abstract

Osteolysis is a long-term complication of total hip arthroplasty (THA). As the projected number of THAs performed annually increases, osteolysis will likely continue to occur. However, because of advancements in prosthesis design, metallurgy, and enhanced bearing surfaces, fewer revision THAs will be linked to osteolysis and aseptic loosening. Despite these improvements, no preventative therapies are currently available for the management of osteolysis other than removing and replacing the source of bearing wear.

Keywords: Imaging; Management; Osteolysis; Total hip arthroplasty.

Publication types

Review

MeSH terms

Arthroplasty, Replacement, Hip / adverse effects*
Global Health
Hip Prosthesis / adverse effects*
Humans
Incidence
Osteolysis* / epidemiology
Osteolysis* / etiology
Osteolysis* / surgery
Postoperative Complications*
Prosthesis Failure
Reoperation