scholarly journals Taper Design Affects Failure of Large-head Metal-on-metal Total Hip Replacements

2013 ◽  
Vol 472 (2) ◽  
pp. 564-571 ◽  
Author(s):  
Nader A. Nassif ◽  
Danyal H. Nawabi ◽  
Kirsten Stoner ◽  
Marcella Elpers ◽  
Timothy Wright ◽  
...  
2013 ◽  
Vol 31 (11) ◽  
pp. 1677-1685 ◽  
Author(s):  
Ashley K. Matthies ◽  
Radu Racasan ◽  
Paul Bills ◽  
Liam Blunt ◽  
Suzie Cro ◽  
...  

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


2016 ◽  
Vol 85 (4) ◽  
pp. 760-763 ◽  
Author(s):  
Martijn F. Boomsma ◽  
Inge Slouwerhof ◽  
Christiaan van Lingen ◽  
Dean F.M. Pakvis ◽  
Jorn A. van Dalen ◽  
...  

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

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

2011 ◽  
Vol 44 (5) ◽  
pp. 513-516 ◽  
Author(s):  
Thomas J. Joyce ◽  
Harry Grigg ◽  
David J. Langton ◽  
Antoni V.F. Nargol

2017 ◽  
Vol 27 (3) ◽  
pp. 235-240 ◽  
Author(s):  
Hafiz J. Iqbal ◽  
Waheeb A.K. Al-Azzani ◽  
Esther Jackson-Taylor ◽  
Elizabeth Clatworthy ◽  
Alun John

Purpose We aimed to assess the early outcome following revision arthroplasty for failed metal-on-metal (MoM) total hip replacements (THR) due to adverse reaction to metal debris (ARMD). Methods We reviewed 106 consecutive revision arthroplasties. Case notes and radiological investigations were reviewed to assess the complications. Oxford Hip Score (OHS) and Euroqol (EQ-5D-3L) scores were used to assess the functional outcome and improvement of quality of life. Results At a mean follow-up of 20 months (12-48 months), the mean OHS was 28.7. Pain improved in 61% patients. A majority of patients were in level 2 for all the EQ-5D-3L dimensions. The overall complication rate was 16%. Survivorship free from further revision for any cause was 94.3% at 48 months. There was no correlation between pre-revision blood metal ions and the final outcome. Conclusions Revision surgery for failed MoM hip replacement due to ARMD is associated with a relatively higher rate of complications and risk of chronic pain. There is poor correlation between serum metal ions and development of ARMD and outcome following revision surgery.


1996 ◽  
Vol 333 ◽  
pp. 108???117 ◽  
Author(s):  
Lawrence D. Dorr ◽  
Kevin R. Hilton ◽  
Zhinian Wan ◽  
George D. Markovich ◽  
Roy Bloebaum

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