MRI Findings Following Metal on Metal Hip Arthroplasty and Their Relationship With Metal Ion Levels and Acetabular Inclination Angles
Autor: | Ciara M. Fox, Anthony G. Ryan, Gerry F. McCoy, John F. Quinlan, Karen M. Bergin, Gabrielle E. Kelly |
---|---|
Rok vydání: | 2014 |
Předmět: |
Chromium
Medical Device Recalls medicine.medical_specialty Databases Factual Bursitis Bone marrow oedema Arthroplasty Replacement Hip Periprosthetic Prosthesis Design Abductor muscle Inclination angle Edema Humans Medicine Orthopedics and Sports Medicine In patient Ions Hip business.industry Acetabulum Cobalt musculoskeletal system medicine.disease Magnetic Resonance Imaging Surgery Hip arthroplasty Metal-on-Metal Joint Prostheses Hip Joint Hip Prosthesis business Nuclear medicine Mri findings |
Zdroj: | The Journal of Arthroplasty. 29:1647-1652 |
ISSN: | 0883-5403 |
DOI: | 10.1016/j.arth.2014.03.030 |
Popis: | Following the global recall of all ASR metal on metal hip products, our aim was to correlate MRI findings with acetabular inclination angles and metal ion levels in patients with these implants. Both cobalt and chromium levels were significantly higher in the presence of a periprosthetic fluid collection. There was no association between the presence of a periprosthetic mass, bone marrow oedema, trochanteric bursitis or greater levels of abductor muscle destruction for cobalt or chromium. There was no association between the level of periprosthetic tissue reaction and the acetabular inclination angle with any of the pathologies identified on MRI. The relationship between MRI pathology, metal ion levels and acetabular inclination angles in patients with ASR implants remains unclear adding to the complexity of managing patients. |
Databáze: | OpenAIRE |
Externí odkaz: |