| Autor: |
Phonthakorn Panichkul, C. Anderson Engh, Henry Ho, Robert H. Hopper |
| Rok vydání: |
2016 |
| Předmět: |
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| Zdroj: |
Journal of Arthritis. |
| ISSN: |
2167-7921 |
| DOI: |
10.4172/2167-7921.1000192 |
| Popis: |
Background: There remain concerns about the ability of community laboratories to accurately measure blood metal levels as one piece of the monitoring and treatment algorithms for patients with a metal-on-metal total hip arthroplasty (THA). Question/purposes: The purpose of this study is to compare serum cobalt and chromium levels obtained from one group of patients at a single reference laboratory to levels from a different group of patients measured at multiple community laboratories. Methods: We compare serum metal levels performed prospectively at a single reference laboratory on 57 patients to levels performed retrospectively on 160 patients in community laboratories. All patients had unilateral metal-on-metal bearing hips. Metal levels were measured at 1, 2, 3 and 5 years post-op. Results: There was no difference between community and reference groups in mean values, median values or the number of cases with values greater than 7 μg/L at any time interval. Conclusions: We conclude that metal level values drawn in the community are similar to values obtained in tightly controlled prospective studies. Level of evidence: Level I, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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