Long-Term Results of Metal-on-Metal Total Hip Replacement After a Minimum of Seventeen Years’ Follow-Up

Author(s):  
Richard Lass ◽  
Alexander Grübl ◽  
Alexander Kolb ◽  
Stephan Domayer ◽  
Claudia Csuk ◽  
...  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Weiguang Yu ◽  
Meiji Chen ◽  
Xianshang Zeng ◽  
Mingdong Zhao ◽  
Xinchao Zhang ◽  
...  

Abstract Background Given the unexpected high rate of failure following metal-on-metal total hip replacement (MoM-THR), it is expected that more MoM-THR patients will experience revision. The long-term outcomes regarding the primary MoM-THR revised to cemented THR (CTHR) remain controversial. The purpose of this retrospective review was to evaluate the long-term outcomes of patients who underwent conversion from MoM-THR to CTHR. Methods A total of 220 patients (220 hips) who underwent a conversion of primary MoM-THR to CTHR from March 2006 to October 2016 were retrospectively reviewed. The primary outcomes were the functional outcomes assessed using the Harris hip scores (HHS) and major radiographic outcomes. Follow-ups occurred at 3 months, 6 months, 1 year, 2 years, and then every two years after revision. Results Mean follow-up was 10.1 years (5–13 years). Distinct improvements were detected in the mean HHS between the preoperative and last follow-up analysis (62.35[±8.49] vs. 84.70[±14.68], respectively, p < 0.001). The key orthopaedic complication rate was 18.2% (27/148). Seven (4.7%) cases experienced a CTHR failure at a mean of 3.4 (±1.2) years after revision MoM-THR, mostly attributed to recurrent dislocation. Conclusion CTHR might yield an acceptable functional score and a low rate of the key orthopaedic complications.


2007 ◽  
Vol 25 (7) ◽  
pp. 841-848 ◽  
Author(s):  
Alexander Grübl ◽  
Martina Marker ◽  
Wolfram Brodner ◽  
Alexander Giurea ◽  
Georg Heinze ◽  
...  

1994 ◽  
Vol 43 (3) ◽  
pp. 927-930
Author(s):  
Takeshi Hashikawa ◽  
Katsuro Iwasaki ◽  
Katsuro Takahashi ◽  
Junji Oda ◽  
Kitau Teshima ◽  
...  

1997 ◽  
Vol 46 (4) ◽  
pp. 1022-1026
Author(s):  
Hiroshi Enomoto ◽  
Hidehiko Horiuchi ◽  
Katsuro Takahashi

2004 ◽  
Vol 11 (4) ◽  
pp. 35-41
Author(s):  
E Sh Lomtatidze ◽  
V E Lomtatidze ◽  
S V Potseluyko ◽  
Yu V Groshev ◽  
N I Kim ◽  
...  

From January 1999 to August 2004 total hip replacement with cement SFEN-C implants was performed in 113 patients (128 joints). Average age of patients at surgery was 65.5 years (from 21 to 87). Results were evaluated 3, 6, 12 months after operation and then yearly. At control examination pelvic radiography, assessment of cement technique by Barrack, dynamics of radiographic density at the metal-cement borders, cement-bone of femoral component by Gruen as well as acetabular component by DeLee and Charnley were performed. Functional result was evaluated by Merle d'Aubigne and Postel systems in modification by Charnley and by Harris. Mean follow-up was 20.3+10.8 months (from 3 to 68 months). Long-term results were studied in 87 patients. No sings of polyethylene shell wear and acetabular and proximal femur osteolysis were detected. No clinical symptoms of instability requiring re-operation were noted.


1985 ◽  
Vol 67 (4) ◽  
pp. 513-516 ◽  
Author(s):  
P M Pellicci ◽  
P D Wilson ◽  
C B Sledge ◽  
E A Salvati ◽  
C S Ranawat ◽  
...  

2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110122
Author(s):  
Wenlu Liu ◽  
Huanyi Lin ◽  
Xianshang Zeng ◽  
Meiji Chen ◽  
Weiwei Tang ◽  
...  

Objective To compare the clinical outcomes of primary metal-on-metal total hip replacement (MoM-TR) converted to uncemented total hip replacement (UTR) or cemented total hip replacement (CTR) in patients with femoral neck fractures (AO/OTA: 31B/C). Methods Patient data of 234 UTR or CTR revisions after primary MoM-TR failure from March 2007 to January 2018 were retrospectively identified. Clinical outcomes, including the Harris hip score (HHS) and key orthopaedic complications, were collected at 3, 6, and 12 months following conversion and every 12 months thereafter. Results The mean follow-up was 84.12 (67–100) months for UTR and 84.23 (66–101) months for CTR. At the last follow-up, the HHS was better in the CTR- than UTR-treated patients. Noteworthy dissimilarities were correspondingly detected in the key orthopaedic complication rates (16.1% for CTR vs. 47.4% for UTR). Statistically significant differences in specific orthopaedic complications were also detected in the re-revision rate (10.3% for UTR vs. 2.5% for CTR), prosthesis loosening rate (16.3% for UTR vs. 5.9% for CTR), and periprosthetic fracture rate (12.0% for UTR vs. 4.2% for CTR). Conclusion In the setting of revision of failed primary MoM-TR, CTR may demonstrate advantages over UTR in improving functional outcomes and reducing key orthopaedic complications.


1986 ◽  
Vol 1 (4) ◽  
pp. 229-236 ◽  
Author(s):  
Paul F. Lachiewicz ◽  
Byron D. Rosenstein

Author(s):  
Renée Huggard ◽  
Grace Wicks ◽  
Gordon Corfield

Abstract Objective The aim of this study was to assess the short-term clinical outcome in dogs following a hip hemi-arthroplasty for the treatment of primary pathological disorders of the hip and as a salvage procedure following failure of the cup component of a total hip replacement. Materials and Methods Medical records of dogs that had a unilateral hip hemi-arthroplasty performed between 2015 and 2020 were reviewed. Data collected included follow-up orthopaedic examinations performed at 0, 2, 8 and 52 weeks postoperatively, pelvic radiography at 0, 8 and 52 weeks postoperatively and an owner questionnaire (Helsinki chronic pain index [HCPI]). Results Eleven unilateral hip hemi-arthroplasty procedures were identified. The median age at time of surgery was 3.6 years (8 months–10 years) and the median follow-up time was 13 months (range: 2 months–3 years). The HCPI for all dogs at follow-up was median 8 ± 7.30 (range: 5–25). Total HCPI was < 12 for 7/10 dogs and ≥ 12 for 3 dogs. Pelvic radiographs at 1 year confirmed osteointergration of the femoral stem implant and no evidence of implant subsidence or progression of osteoarthritis. However, there was some evidence of mild lucency of the acetabular bed around the prosthetic femoral head and mild peri-acetabular sclerosis in four cases. Conclusion Hip hemi-arthroplasty provides a clinically acceptable treatment for disabling disease of the coxofemoral joint with 10/11 patients achieving acceptable short-term clinical function. Long-term assessment of the hip hemi-arthroplasty and comparison with total hip replacement is indicated.


1985 ◽  
Vol 16 (4) ◽  
pp. 757-769 ◽  
Author(s):  
Charles N. Cornell ◽  
Eduardo A. Salvati ◽  
Paul M. Pellicci

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