Second generation of metal-on-metal cemented total hip replacements: 12 years of clinical and biological follow-up

2007 ◽  
Vol 2 (3-4) ◽  
pp. 178-185 ◽  
Author(s):  
J. -Y. Lazennec ◽  
P. Boyer ◽  
J. Poupon ◽  
M. -A. Rousseau ◽  
F. Laude ◽  
...  
2013 ◽  
Vol 95 (3) ◽  
pp. 88-91
Author(s):  
J Lloyd ◽  
I Starks ◽  
T Wainwright ◽  
R Middleton

Metal-on-metal (MoM) hip resurfacings (HRs) and large head total hip replacements (LHTHRs) were perceived by many as a surgical revolution, with clear advantages over the traditional metal-on-polyethylene total hip replacement (THR). This is especially the case for younger, active individuals in whom conventional THR has been associated with higher rates of aseptic loosening. In addition to less bearing surface wear, frequently cited advantages for HR include the preservation of femoral bone stock, lower dislocation rates, and superior function and activity scores.


2019 ◽  
Vol 4 (6) ◽  
pp. 423-429 ◽  
Author(s):  
Bart G. Pijls ◽  
Jennifer M. T. A. Meessen ◽  
Keith Tucker ◽  
Susanna Stea ◽  
Liza Steenbergen ◽  
...  

The purpose of this paper is to determine the prevalence of metal-on-metal (MoM) total hip replacement (THR) in European registries, to assess the incidence of revision surgery and to describe the national follow-up guidelines for patients with MoM THR including resurfacings. Eleven registries of the Network of Orthopaedic Registries of Europe (NORE) participated totalling 54 434 resurfacings and 58 498 large stemmed MoM THRs. The resurfacings and stemmed large head MoM had higher pooled revision rates at five years than the standard total hip arthroplasties (THA): 6.0%, 95% confidence interval (CI) 5.3 to 6.8 for resurfacings; 6.9%, 95% CI 4.4 to 9.4 for stemmed large head MoM; and 3.0%, 95% CI 2.5 to 3.6 for conventional THA. The resurfacings and stemmed large head MoM had higher pooled revision rates at ten years than the standard THAs: 12.1%, 95% CI 11.0 to 13.3 for resurfacings; 15.5%, 95% CI 9.0 to 22 for stemmed large head MoM; and 5.1%, 95% CI 3.8 to 6.4 for conventional THA. Although every national registry reports slightly different protocols for follow-up, these mostly consist of annual assessments of cobalt and chromium levels in blood and MRI (MARS) imaging. Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180078


2017 ◽  
Vol 14 (1) ◽  
pp. 108-114 ◽  
Author(s):  
Amit Atrey ◽  
Alister Hart ◽  
Nasir Hussain ◽  
Jonathon Waite ◽  
Andrew J. Shepherd ◽  
...  

1992 ◽  
Vol 41 (2) ◽  
pp. 604-607
Author(s):  
Kiyotaka Okuyama ◽  
Kenichiro Shibata ◽  
Masahiro Kina ◽  
Shinji Tomari ◽  
Shinichi Motomatsu ◽  
...  

2006 ◽  
Vol 88 (6) ◽  
pp. 1173-1182 ◽  
Author(s):  
INGRID MILOŠEV ◽  
RIHARD TREBŠE ◽  
SIMON KOVAČ ◽  
ANDREJ CÖR ◽  
VENČESLAV PIŠOT

2010 ◽  
Vol 18 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Myung-Sik Park ◽  
Woo-Chul Chung ◽  
Sun-Jung Yoon ◽  
Hong-Man Cho ◽  
Suk-Hyun Kwon

Author(s):  
Cronan Kerin ◽  
G. Cheung ◽  
N. Graham ◽  
P. Cool

1998 ◽  
Vol 47 (1) ◽  
pp. 151-154
Author(s):  
Koji Hiraoka ◽  
Fujio Higuchi ◽  
Rikimaru Kawabata ◽  
Akio Inoue

2005 ◽  
Vol 15 (3) ◽  
pp. 129-135 ◽  
Author(s):  
B. Sonny Bal ◽  
T.J. Aleto ◽  
J.P. Garino ◽  
A. Toni ◽  
K.J. Hendricks

One reason why otherwise well-functioning total hip replacements have a finite service life is eventual aseptic loosening of the implants because of osteolysis induced by wear particles from the artificial bearing. Pain and osteolysis from wear debris can manifest even in the absence of aseptic loosening. Total hip replacements with ceramic-on-ceramic articulations have shown less wear both in vitro and in vivo. A randomized prospective clinical trial was conducted to compare the outcomes of ceramic-on-ceramic articulations to ceramic-on-polyethylene articulations. Two-year data are of interest because premature failures of ceramic femoral heads usually occur by this time interval. Of 500 patients enrolled in this trial, half received total hip replacements with alumina-on-alumina bearings, while the other half had ceramic-on-polyethylene bearings. At the two-year follow-up, 444 patients (217 study group and 227 control group) were available for review. The clinical and radiographic outcomes between the groups were comparable, and reflected the typical results of primary total hip replacements. No complications related to spontaneous failures of the ceramic bearings were observed at this early follow-up period. Further follow-up is needed to confirm these findings over the long-term, but the short-term safety of alumina ceramic bearings in hip replacements reported in other recent reports is further validated by our findings.


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