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What Does The Following CT Scan Report Indicate?

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Posted on Thu, 3 Nov 2016
Question: Hear is a report of a ct scan. I need it put into common language:::Coronal and sagittal reconstruction. Automated exposure control utilized for dose reduction purposes on this examination Total DLP 684 mGy*cm. Findings the is interval prottusion of the acetabular cup medially through the medial border of the iliac bone. The superomedially oriented cup screw extends inot the illiopsoas muscle 2.5 cm. There is complete break through of medial portion of the acetabular cup, displaced 5-10 mm through the medial cortical surface. Lytic and sclerotic change of the iliac bone in the region of the acetabular cup and extending towards the SI joint. Extensive demineralization of the adjacent sacrum. The femoral stem and proximal femur are intact. Severe atherosclerosis Impression: Severe acetabular cup protrusion, with breakthrough the medial iliac bone cortical surface. and Mixed lytic and sclerotic change throughout the ileum and right side of the sacrum suggestive of bone necrosis.
doctor
Answered by Dr. Dr. Praveen Tayal (1 hour later)
Brief Answer:
Suggests loosening of implant.

Detailed Answer:
Hello,
Thanks for posting your query.
The CT scan report suggests that the hip implant is displaced and the bones show an evidence of osteoporosis. The implant has loosened up and has damaged the cortical surface of the bone.
This usually happens due to age related bone thinning and the screws gradually get loosened up.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (1 hour later)
What can be done for my husband??? He first had hip pinning---than the ball came apart and the screw gouged the bone---thne they cleaned that up and did the hip replacement. Now it is failing what can be done to help him. We need help!!!
doctor
Answered by Dr. Dr. Praveen Tayal (7 hours later)
Brief Answer:
Revision hip replacement is needed.

Detailed Answer:
Hello.
Thanks for writing again.
The failing hip replacement needs to be revised. His bones are so weak that they are not able to hold the screws properly and cannot hold the implant in correct position. He needs to start with calcium supplements and the implant needs to be fixed properly with the help of bone cement next time.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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What Does The Following CT Scan Report Indicate?

Brief Answer: Suggests loosening of implant. Detailed Answer: Hello, Thanks for posting your query. The CT scan report suggests that the hip implant is displaced and the bones show an evidence of osteoporosis. The implant has loosened up and has damaged the cortical surface of the bone. This usually happens due to age related bone thinning and the screws gradually get loosened up. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal