Cobalt and Chromium Ion Release After Large-Diameter Metal-on-Metal Total Hip Arthroplasty

2012 ◽  
Vol 27 (6) ◽  
pp. 990-996 ◽  
Author(s):  
Masahiro Hasegawa ◽  
Kakunoshin Yoshida ◽  
Hiroki Wakabayashi ◽  
Akihiro Sudo
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Large Diameter ◽  
Ion Release ◽  
Chromium Ion ◽  
Total Hip ◽  
Metal On Metal

Total Hip Arthroplasty with a Large-Diameter Metal-on-Metal Cup (Durom) and a Standard Stem: Short-Term Results

2012 ◽  
pp. 91-97
Author(s):  
Panayiotis Christofilopoulos ◽  
Anne Lübbeke ◽  
Charles Berton ◽  
Alexandre Lädermann ◽  
Martin Berli ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Large Diameter ◽  
Short Term ◽  
Total Hip ◽  
Metal On Metal

scholarly journals A Misdiagnosed Complication of a Metal-on-Metal Total Hip Arthroplasty

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Az-Eddine Djebara ◽  
Cédric Joseph ◽  
Florence Rousseau ◽  
Benoit Brunschweiler ◽  
Patrice Mertl
Keyword(s):  
Total Hip Arthroplasty ◽  
Yersinia Enterocolitica ◽  
Hip Arthroplasty ◽  
Large Diameter ◽  
Specific Treatment ◽  
Surrounding Tissue ◽  
Human Pathogens ◽  
Total Hip ◽  
First Case ◽  
Metal On Metal

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.

scholarly journals Surgical Approach May Influence Survival of Large-Diameter Head Metal-on-Metal Total Hip Arthroplasty: A 6- to 10-Year Follow-Up Study

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Chih-Chien Hu ◽  
Tsan-Wen Huang ◽  
Shih-Jie Lin ◽  
Po-Chun Lin ◽  
Feng-Chih Kuo ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Adverse Events ◽  
Hip Arthroplasty ◽  
Surgical Approach ◽  
Large Diameter ◽  
Harris Hip Score ◽  
Total Hip ◽  
Metal On Metal ◽  
Tissue Reactions

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.

Taper Failure After Large-Diameter Metal-on-Metal Total Hip Arthroplasty

Orthopedics ◽  
2016 ◽  
Vol 39 (5) ◽  
pp. e984-e987 ◽  
Author(s):  
Zachary H. Goldstein ◽  
Kenneth Estrera ◽  
Brett R. Levine
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Large Diameter ◽  
Total Hip ◽  
Metal On Metal

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
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Large Diameter ◽  
Early Failure ◽  
Dual Mobility ◽  
Total Hip ◽  
Metal On Metal

Large Diameter Metal-On-Metal Total Hip Arthroplasty for Crowe IV Developmental Dysplasia of the Hip

2009 ◽  
Vol 19 (4) ◽  
pp. 309-314 ◽  
Author(s):  
Atilla Sancar Parmaksizoglu ◽  
Ufuk Ozkaya ◽  
Fuat Bilgili ◽  
Seckin Basilgan ◽  
Yavuz Kabukcuoglu
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Large Diameter ◽  
Developmental Dysplasia ◽  
Total Hip ◽  
Metal On Metal ◽  
Dysplasia Of The Hip

Crowe Type I and II Ddh Managed by Large Diameter Metal-on-Metal Total Hip Arthroplasty

2011 ◽  
Vol 21 (2) ◽  
pp. 168-175 ◽  
Author(s):  
Nadir Yalcin ◽  
Kasim Kilicarslan ◽  
Hakan Cicek ◽  
Cetin Kayaalp ◽  
Hasan Yildirim
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Large Diameter ◽  
Type I ◽  
Total Hip ◽  
Metal On Metal

scholarly journals Metal Ion Release, Clinical and Radiological Outcomes in Large Diameter Metal-on-Metal Total Hip Arthroplasty at Long-Term Follow-Up

Diagnostics ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 941
Author(s):  
Assunta Pozzuoli ◽  
Antonio Berizzi ◽  
Alberto Crimì ◽  
Elisa Belluzzi ◽  
Anna Chiara Frigo ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Metal Ion ◽  
Local Level ◽  
Harris Hip Score ◽  
Control Group ◽  
Ion Release ◽  
Total Hip ◽  
Metal On Metal ◽  
Metal Ion Release

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.

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