Incidence of Adverse Reactions to Metal Debris From 28-mm Metal-on-Metal Total Hip Arthroplasties With Minimum 10 Years of Follow-Up: Clinical, Laboratory, and Ultrasound Assessment of 44 Cases
| Autor: | Pierre Cholewinski, Amandine Paris, Julien Girard, Béchir Ayoub, Henri Migaud, Sophie Putman |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Chromium Reoperation medicine.medical_specialty Osteolysis Time Factors Adolescent Arthroplasty Replacement Hip Total hip replacement Prosthesis Design 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications Inclination angle medicine Prevalence Humans Orthopedics and Sports Medicine Femur Retrospective Studies Ultrasonography 030222 orthopedics business.industry Incidence (epidemiology) Incidence Ultrasound Acetabulum 030229 sport sciences Metal debris Cobalt Middle Aged medicine.disease Surgery Radiography Survival Rate Treatment Outcome Metals Radiological weapon Metal-on-Metal Joint Prostheses Female Implant Hip Prosthesis business Follow-Up Studies |
| Zdroj: | The Journal of arthroplasty. 32(4) |
| ISSN: | 1532-8406 |
| Popis: | Background Total hip arthroplasty with metal-on-metal (MoM) bearings has been suspected to cause adverse reactions to metal debris (ARMD), with the incidence varying greatly by implant type and patient gender. The prevalence of ARMD from small-diameter MoM bearings in women is unknown, especially after 10 years of follow-up (FU). Methods Cementless 28-mm MoM total hip arthroplasty bearings (Metasul) were implanted consecutively in 42 active women between 1996 and 2002. They were reviewed after a minimum of 10 years' FU with clinical, laboratory, radiological, and ultrasound assessments. Results Mean FU was 15.9 years (range, 13-18). The mean Postel-Merle d'Aubigne and Oxford scores were 16.9 (range, 13-18) and 15.1 (range, 12-24), respectively, at FU. Mean cup inclination angle was 46.3° (range, 35°-57°). No femoral osteolysis was detected, but limited acetabular osteolysis (11%) over the screw holes occurred in 5 cases. No liquid or solid synovial reactions or ARMD were apparent on ultrasound, even in the 5 cases of pelvic osteolysis. Mean chromium levels were 1.32 μg/L (range, 0.1-7.9) and cobalt levels were 1.85 μg/L (range, 0.35-13.6). Cobalt was >3 μg/L in only 3 cases. The 15.9-year survivorship was 95% (range, 94.1%-98.9%). Conclusion Reliable results were obtained with 28-mm MoM bearings, notably in young, active patients. This implant configuration requires very accurate positioning. No ARMD was seen in this group at 16 years' FU. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect