Journal article
Metal-on-Metal Total Hip Arthroplasty at Five to Twelve Years Follow-Up: A Concise Follow-Up of a Previous Report
The Journal of arthroplasty, Vol.31(8), pp.1773-1778
08/2016
DOI: 10.1016/j.arth.2016.01.058
PMID: 27113940
Abstract
Concern has arisen regarding potential complications with modular metal-on-metal (MoM) acetabular components in total hip arthroplasty. The purpose of this study was to analyze longitudinally the longer term results of a previously reported cohort of patients utilizing a cementless modular acetabular component with a MoM bearing.
One hundred sixty-nine consecutive but selected total hip arthroplasties were performed in 148 patients at 2 institutions using a modular acetabular MoM component. One hundred thirty-nine patients (158 hips) were living at minimum 5 years, 1 patient (1 hip) was lost to follow-up and 8 patients (10 hips) were deceased. Patients were evaluated clinically in terms of revision as well as radiographically. Additional testing (metal ion levels, advanced imaging) was performed when concerns for adverse local tissue reaction (ALTR) arose.
There were 6 (3.8%) additional hips revised since the prior report for a total of 7 hips (4.4%) revised at 5-12 year follow-up. All newly revised hips (3.8%) demonstrated ALTR. There were 7 (4.7%) additional cases of radiographically detected acetabular osteolysis and 7 (4.7%) cases of femoral osteolysis.
Longitudinal evaluation of a modular MoM bearing surface acetabular component demonstrated increased rates of ALTR and osteolysis at longer duration follow-up. Although greater than 95% of hips in this study performed well at 5-12 years, when comparing the results to metal-on-polyethylene bearings using the same acetabular component, the results were inferior. Longitudinal surveillance is warranted with this design and this bearing surface couple as cases of ALTR and osteolysis increased with longer follow-up.
Details
- Title: Subtitle
- Metal-on-Metal Total Hip Arthroplasty at Five to Twelve Years Follow-Up: A Concise Follow-Up of a Previous Report
- Creators
- Justin J Greiner - Department of Orthopaedics & Rehabilitation, University of Iowa, Iowa City, IowaJohn J Callaghan - Department of Orthopaedics & Rehabilitation, University of Iowa, Iowa City, IowaNicholas A Bedard - Department of Orthopaedics & Rehabilitation, University of Iowa, Iowa City, IowaSteve S Liu - Department of Orthopaedics & Rehabilitation, University of Iowa, Iowa City, IowaDevon D Goetz - Des Moines Orthopaedic Surgeons, West Des Moines, IowaCraig R Mahoney - Iowa Orthopaedic Center, Des Moines, Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of arthroplasty, Vol.31(8), pp.1773-1778
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.arth.2016.01.058
- PMID
- 27113940
- ISSN
- 0883-5403
- eISSN
- 1532-8406
- Language
- English
- Date published
- 08/2016
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation
- Record Identifier
- 9984040345502771
Metrics
22 Record Views