scholarly journals A novel ceramic coating for reduced metal ion release in metal‐on‐metal hip surgery

2018 ◽  
Vol 107 (6) ◽  
pp. 1760-1771
Author(s):  
Gordon W. Blunn ◽  
Roberta Ferro De Godoy ◽  
Jayantilal Meswania ◽  
Tim W. R. Briggs ◽  
Philippa Tyler ◽  
...  
Author(s):  
Coathup Melanie ◽  
Ferro De Godoy Roberta ◽  
Meswania Jay ◽  
Tyler Philippa ◽  
Hargunani Rikin ◽  
...  

Diagnostics ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 941
Author(s):  
Assunta Pozzuoli ◽  
Antonio Berizzi ◽  
Alberto Crimì ◽  
Elisa Belluzzi ◽  
Anna Chiara Frigo ◽  
...  

Total hip arthroplasty (THA) with metal-on-metal (MoM) bearings have shown problems of biocompatibility linked to metal ion release at the local level causing an adverse reaction to metal debris (ARMD) and at a systemic level. The aim of this study was to evaluate clinical and radiological outcomes, and metal ion concentrations in the blood and urine of patients who underwent THA with the LIMA Met-Met hip system. Patients with ceramic-on-ceramic (CoC) bearings were included as a control group. In this study, 68 patients were enrolled: 34 with MoM THAs and 34 with CoC THAs. Patients were evaluated clinically (Harris Hip Score, SF-36) and radiologically at a median of 7.4 years after surgery. Whole blood and urinary cobalt and chromium levels were also assessed. Both types of implants were comparable in terms of clinical and functional results. Ion levels were significantly higher in the MoM group compared with CoC group 7 years after surgery. No correlations were found between metal ion levels and patient demographics, functional and radiological outcomes, and prosthesis features. Patient monitoring is thus advised to establish if prosthesis revision is necessary, especially in the case of MoM THA.


Author(s):  
Gordon Blunn

♦ Traditionally bearings were made from polyethylene and cobalt chrome. These bearings are still most commonly used for knee replacements. In hip replacements due to osteolysis caused by polyethylene wear alternative material combinations at the bearing surface are used♦ Highly cross linked plastics have been developed and have been shown to reduce wear. There are a number of different types available which differ in their performance♦ Metal on metal bearings first used in the 1960s have also been developed and show very low wear rates. These bearings are more susceptible to edge loading and the resulting metal ion release can result in adverse biological reactions leading to failure♦ Whilst ceramic on plastic surfaces have been used for a considerable amount of time the reduction in wear is not as great as with well functioning metal on metal bearings♦ Ceramic on ceramic bearings have been used for a considerable time and show even lower wear rates than metal on metal bearings. In the past there has been an incidence of catastrophic fracture of these bearings but developments in materials technology have considerably reduced these events.


2010 ◽  
Vol 92-B (1) ◽  
pp. 12-19 ◽  
Author(s):  
P.-A. Vendittoli ◽  
A. Roy ◽  
S. Mottard ◽  
J. Girard ◽  
D. Lusignan ◽  
...  

2014 ◽  
Vol 29 (9) ◽  
pp. 1763-1767 ◽  
Author(s):  
Annamaria Nicolli ◽  
Gianluca Bisinella ◽  
Giovanni Padovani ◽  
Antonio Vitella ◽  
Federica Chiara ◽  
...  

2014 ◽  
Vol 102 (7) ◽  
pp. 1595-1601 ◽  
Author(s):  
Matteo Cadossi ◽  
Giuseppe Tedesco ◽  
Lucia Savarino ◽  
Nicola Baldini ◽  
Antonio Mazzotti ◽  
...  

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