Early Failure of Metal-on-Metal Large-Diameter Head Total Hip Arthroplasty Revised with a Dual-Mobility Bearing

2013 ◽  
Vol 3 (3) ◽  
pp. e95 ◽  
Author(s):  
Charles Riviere ◽  
Martin Lavigne ◽  
Ahmed Alghamdi ◽  
Pascal-André Vendittoli
2012 ◽  
pp. 91-97
Author(s):  
Panayiotis Christofilopoulos ◽  
Anne Lübbeke ◽  
Charles Berton ◽  
Alexandre Lädermann ◽  
Martin Berli ◽  
...  

2006 ◽  
Vol 21 (4) ◽  
pp. 522-526 ◽  
Author(s):  
Katsuhiko Maezawa ◽  
Masahiko Nozawa ◽  
Keiji Matsuda ◽  
Takahito Yuasa ◽  
Katsuo Shitoto ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Az-Eddine Djebara ◽  
Cédric Joseph ◽  
Florence Rousseau ◽  
Benoit Brunschweiler ◽  
Patrice Mertl

Introduction. The enterobacterial genus Yersinia includes a number of human pathogens. Large-diameter, metal-on-metal prostheses are no longer used because of their high failure rate. Here, we describe the first case of Yersinia enterocolitica infection of a metal-on-metal total hip arthroplasty. Clinical Examination. A metal-on-metal prosthesis failed ten years after implantation. After surgical revision, bacteriological testing revealed the presence of a pathogenic strain of Yersinia enterocolitica. Combination antibiotic therapy resulted in a favorable clinical outcome. Discussion. Three cases of hip arthroplasty infected with Yersinia enterocolitica have been described in the literature. The present case is the first infection of a metal-on-metal total hip arthroplasty. We suggest that the risk of infection is increased by the release of metal wear particles and their influence on the surrounding tissue. Conclusion. When a large-diameter, metal-on-metal total hip arthroplasty fails, the known complications associated with this type of prosthesis should not deter the physician from screening for an infectious process that requires specific treatment.


2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Chih-Chien Hu ◽  
Tsan-Wen Huang ◽  
Shih-Jie Lin ◽  
Po-Chun Lin ◽  
Feng-Chih Kuo ◽  
...  

Large-diameter head (LDH) metal-on-metal (MoM) total hip arthroplasty (THA) has lost popularity because of metal allergy or ALTRs (adverse local tissue reactions) in the past decade. Whether the surgical approach may influence the survival of LDH-MoM-THA has not been reported. From 2006 to 2009, we performed 96 LDH-MoM-THAs on 80 patients using an in situ head-neck assembly technique through a modified Watson-Jones approach. With a mean follow-up of 8.4 years (range, 6.3–10.1 years), the implant survival rate was 100%. All patients were satisfied with the results and the Harris Hip Score improved from 52 points to 98 points. No ALTRs were found, but 17.7% of the 96 hips (17 adverse events) experienced adverse events related to the cup, including 5 cases of outlier cup malposition, 11 cases of inadequate cup seating, and 1 acetabular fracture. The tissue tension that was improved by a muscle-sparing approach might lessen the chance of microseparation or edge-loading that is taken as the major risk for early implant failure. Further investigation of whether these LDH-MoM-THAs would fail or not would require a longer follow-up or even retrieval analysis in the future.


Orthopedics ◽  
2015 ◽  
Vol 38 (6) ◽  
pp. 369-374 ◽  
Author(s):  
Nimrod Snir ◽  
Brian K. Park ◽  
Garret Garofolo ◽  
Scott E. Marwin

Orthopedics ◽  
2016 ◽  
Vol 39 (5) ◽  
pp. e984-e987 ◽  
Author(s):  
Zachary H. Goldstein ◽  
Kenneth Estrera ◽  
Brett R. Levine

2009 ◽  
Vol 19 (4) ◽  
pp. 309-314 ◽  
Author(s):  
Atilla Sancar Parmaksizoglu ◽  
Ufuk Ozkaya ◽  
Fuat Bilgili ◽  
Seckin Basilgan ◽  
Yavuz Kabukcuoglu

2011 ◽  
Vol 21 (2) ◽  
pp. 168-175 ◽  
Author(s):  
Nadir Yalcin ◽  
Kasim Kilicarslan ◽  
Hakan Cicek ◽  
Cetin Kayaalp ◽  
Hasan Yildirim

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