How Common Is Revision for Adverse Reaction to Metal Debris After Total Hip Replacement with a Metal-on-Polyethylene Bearing Surface?

2018 ◽  
Vol 100 (11) ◽  
pp. e82 ◽  
Author(s):  
David C. Ayers
Keyword(s):  
Adverse Reaction ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Bearing Surface ◽  
Metal Debris ◽  
Total Hip

Adverse reaction to metal debris is more common in patients following MoM total hip replacement with a 36 mm femoral head than previously thought

2014 ◽  
Vol 96-B (12) ◽  
pp. 1610-1617 ◽  
Author(s):  
O. Lainiala ◽  
A. Eskelinen ◽  
P. Elo ◽  
T. Puolakka ◽  
J. Korhonen ◽  
...  
Keyword(s):  
Adverse Reaction ◽  
Femoral Head ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Metal Debris ◽  
Total Hip

scholarly journals Adverse reaction to metal debris due to fretting corrosion between the acetabular components of modular dual-mobility constructs in total hip replacement: a systematic review and meta-analysis

2021 ◽  
Vol 6 (5) ◽  
pp. 343-353
Author(s):  
Jonathan M. R. French ◽  
Paul Bramley ◽  
Sean Scattergood ◽  
Nemandra A. Sandiford
Keyword(s):  
Systematic Review ◽  
Adverse Reaction ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Meta Analysis ◽  
Fretting Corrosion ◽  
Metal Debris ◽  
Dual Mobility ◽  
Total Hip ◽  
Metal Liner

Modular dual-mobility (MDM) constructs can be used to reduce dislocation rates after total hip replacement (THR). However, there are concerns about adverse reaction to metal debris (ARMD) as a result of fretting corrosion between the metal liner and shell. This systematic review reports outcomes following THR using MDM components. It was registered with PROSPERO and conducted in line with Cochrane and PRISMA recommendations. Sixteen articles were included overall, with meta-analysis performed on relevant subsets using a random intercept logistic regression model. Estimated median incidence of ARMD requiring revision surgery within study follow-up period was 0.3% (95% CI 0.1 – 1.8%, from 11 cohort studies containing 1312 cases). Serum metal ion levels were mildly raised in 7.9% of cases, and significantly raised in 1.8%, but there was no correlation with worse clinical hip function scores within studies. Dislocation rate was 0.8%. Revision rate was 3.3%. There are mixed reports of wear on the backside of the metal liner from the acetabular shell and screw heads. Both implant design and component malseating are implicated, but currently it is unclear to what extent each factor is responsible. Studies were poor quality with high risk of confounding, especially from trunnion corrosion. We have made recommendations for further work. In the meantime, surgeons should be aware of the potential risk of ARMD when considering using an MDM prosthesis, and, if selecting one, must ensure proper seating of the liner and screws intraoperatively. Cite this article: EFORT Open Rev 2021;6:343-353. DOI: 10.1302/2058-5241.6.200146

Failure rates of Asian-type anatomic medullary locking stemmed metal-on-metal total hip replacement: A cause for adverse tissue reactions to metal debris (ARMD)

2016 ◽  
Vol 21 (6) ◽  
pp. 779-785 ◽  
Author(s):  
Masaru Nakamura ◽  
Tateaki Shimakawa ◽  
Shunji Nakano ◽  
Takashi Chikawa ◽  
Shinji Yoshioka ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Failure Rates ◽  
Metal Debris ◽  
Total Hip ◽  
Metal On Metal ◽  
Tissue Reactions

BEARING SURFACE OPTIONS FOR TOTAL HIP REPLACEMENT IN YOUNG PATIENTS

2003 ◽  
Vol 85 (7) ◽  
pp. 1366-1379 ◽  
Author(s):  
CHRISTIAN HEISEL ◽  
MAURICIO SILVA ◽  
THOMAS P. SCHMALZRIED
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Young Patients ◽  
Bearing Surface ◽  
Total Hip

Stochastic Simulation of Modular Connections in Total Hip Replacement

2013 ◽  
Author(s):  
Finn E. Donaldson ◽  
James C. Coburn
Keyword(s):  
Adverse Reaction ◽  
Total Hip Arthroplasty ◽  
Stochastic Simulation ◽  
Total Hip Replacement ◽  
Hip Arthroplasty ◽  
Hip Replacement ◽  
Fretting Wear ◽  
Chemical Corrosion ◽  
Total Hip ◽  
Early Revision

Several modern Total Hip Arthroplasty (THA) implants have been associated with increased release of metallic debris through combined mechanical fretting wear and chemical corrosion. These particles can lead to painful Adverse Reaction to Metallic Debris, often requiring early revision [1]. While much research has focused on improving the performance of bearing surfaces, the key parameters driving release of metallic debris at modular junctions remains unclear.

scholarly journals Peculiarities of Total Hip Replacement in Femur Neck Fractures

2003 ◽  
Vol 10 (2) ◽  
pp. 3-8
Author(s):  
A F Lazarev ◽  
A O Ragozin ◽  
E I Solod ◽  
M G Kakabadze ◽  
A F Lazarev ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Total Hip Replacement ◽  
Joint Replacement ◽  
Hip Replacement ◽  
Bearing Surface ◽  
Dense Structure ◽  
Total Hip ◽  
Femur Neck ◽  
Deviation Degree ◽  
Femur Neck Fractures

Biomechanic conception of implant choice for primary total hip replacement in osteoporotic femur neck fractures is presented. Criterion for the choice is a localization of load-bearing surface of dense structure in acetabulum roof zone, i.e. sursile. Absolute indications to total hip replacement, use of bipolar and unipolar hemiprostheses are determined depending on the direction and deviation degree of sursile from horizontal axis of pelvis. Based on suggested conception the retrospective analysis of joint replacement results in 58 patients has been performed. The causes of protrusion and loosing of implants were studied.

Outcome analysis of various bearing surface materials used in total hip replacement

2020 ◽  
Vol 10 (3) ◽  
pp. 301-313 ◽  
Author(s):  
Long Chen ◽  
Fei Xing ◽  
Yuanzheng Wang ◽  
Rui He ◽  
Jingming He ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Prosthesis ◽  
Comprehensive Analysis ◽  
Metallic Alloys ◽  
Outcome Analysis ◽  
Bearing Surface ◽  
Total Hip ◽  
Materials Used ◽  
Published Research

Since the first total hip replacement (THR) in 1938 by Philip Wiles, prosthesis materials and THR surgical technologies have developed rapidly. In this review, we use internationally-published research to synthesize a comprehensive analysis of the specific characteristics and clinical outcomes of different bearing surfaces used in THR. Polyethylene, metallic alloys, and ceramic have become the three most commonly used hip prosthesis bearing surfaces after decades of hip implant development. Different bearing surface types have varying characteristics that offer specific benefits and risks of complication. A thorough understanding of the unique properties and possible complications of each type of bearing surface is critical to surgeons tasked with selecting appropriate implant materials for total hip replacement.

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