Cementless metal-on-metal hip arthroplasty in patients less than 50 years of age

Migaud, Henri; Jobin, A; Chantelot, Christophe; Giraud, François; Laffargue, P; Duquennoy, A.

doi:10.1016/j.arth.2004.09.005

Cited by 24 publications

(6 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20 The reports on longevity of MoM implants are conflicting. Some reports show MoM implants have a higher survival rates than CoP, 7 as well as MoP implants. 8 However, there is still a concern over the formation of pseudo-tumors.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical outcomes assessment of three similar hip arthroplasty bearing surfaces

2014

Orthop Rev

View full text Add to dashboard Cite

This report examines the clinical performance of three very similar total hip arthroplasty designs with distinctly different bearing surfaces used over the course 10-17 years. Clinical outcomes assessments for each group are compared in the context of varying implant related costs related to the latest technology at the time of surgery. Eighty-one surgeries were studied and differ by bearing surface. In this study, 36 hips are ceramic on polyethylene, 27 are metal on polyethylene and 18 are metal on metal. All polyethylene components are nonhighly cross-linked. The ceramic on polyethylene group has younger patients, on average, and higher percentage of patients with significant polyethylene wear. These groups have an average follow-up time of 8.6 years when assessing functional hip scores, thigh pain, groin pain, revision surgeries and radiographic osteolysis. The implant purchasing cost at the time of surgery was assessed to determine if a correlation exists between outcomes and the more technologically advanced implants use at the time of surgery. Based on midterm clinical outcome assessment, no correlation between initial hospital cost and clinical outcomes of one bearing surface over another can be found.

show abstract

Section: Discussionmentioning

confidence: 99%

“…5,6 Metal on metal hip bearing surfaces (Metasul®, Zimmer, Warsaw IN, USA) with and without polyethylene backing of the cup metal liner have been used with varying reports of success and failure over the past three decades. 7-9 …”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes assessment of three similar hip arthroplasty bearing surfaces

2014

Orthop Rev

View full text Add to dashboard Cite

show abstract

“…While Holloway et al reported a 23% incidence of peri-acetabular osteolysis in 29 polyethylene sandwich cup metal-on-metal total hip arthroplasties at a mean follow-up of 105 months (range: 26-128 months) [79], several authors have reported incidences of osteolysis with similar implants of between 0 and 3% at mean follow-up times ranging from 60 to 85 months [36,41,[80][81][82][83]. In a prospective, randomized comparison of 39 metal-on-metal and 39 metal-on-conventionalpolyethylene total hip arthroplasties, Migaud et al reported a significantly higher incidence of osteolysis in the polyethylene group (9 vs 0 hips; p = 0.004) at a mean follow-up of 69 months (range: 61-80 months) [83]. This suggests that metal-on-metal articulations do provide the benefit of extremely low rates of osteolysis, which may be further reduced with the use of monoblock acetabular components that completely eliminate the use of polyethylene.…”

Section: Reviewmentioning

confidence: 96%

State of the art in hard-on-hard bearings: how did we get here and what have we achieved?

Zywiel

Sayeed

Johnson

et al. 2011

Expert Review of Medical Devices

View full text Add to dashboard Cite

Total hip arthroplasty has shown excellent results in decreasing pain and improving function in patients with degenerative disease of the hip. Improvements in prosthetic materials, designs and implant fixation have now resulted in wear of the bearing surface being the limitation of this technology, and a number of hard-on-hard couples have been introduced to address this concern. The purpose of this article is to review the origins, development, survival rates and potential advantages and disadvantages of the following hard-on-hard bearings for total hip arthroplasty: metal-on-metal standard total hip arthroplasty; metal-on-metal hip resurfacing arthroplasty, ceramic-on-ceramic total hip arthroplasty; and ceramic-on-metal bearings. Improvements in the manufacturing of metal-on-metal bearings over the past 50 years have resulted in implants that provide low wear rates and allow for the use of large femoral heads. However, concerns remain regarding elevated serum metal ion levels, potential teratogenic effects and potentially devastating adverse local tissue reactions, whose incidence and pathogenesis remains unclear. Modern total hip resurfacing has shown excellent outcomes over 10 years in the hands of experienced surgeons. Current ceramic-on-ceramic bearings have demonstrated excellent survival with exceptionally low wear rates and virtually no local adverse effects. Concerns remain for insertional chipping, in vivo fracture and the variable incidence of squeaking. Contemporary ceramic-on-metal interfaces are in the early stages of clinical use, with little data reported to date. Hard-on-hard bearings for total hip arthroplasty have improved dramatically over the past 50 years. As bearing designs continue to improve with new and modified materials and improved manufacturing techniques, it is likely that the use of hard-on-hard bearings will continue to increase, especially in young and active patients.

show abstract

“…Some long-term followup studies of the McKeeFarrar metal-on-metal hip have demonstrated results equivalent to metal-on-polyethylene hip replacements [3,20]. More recently, midterm results on second-generation metal-on-metal hips are available and appear encouraging [6,7,19,21,24,[29][30][31].…”

Section: Introductionmentioning

confidence: 93%

2008 John Charnley Award: Metal Ion Levels After Metal-on-Metal Total Hip Arthroplasty: A Randomized Trial

MacDonald

Sritulanondha

Thompson

et al. 2009

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Metal-on-metal bearing total hip arthroplasty is performed more commonly than in the past. There may be manufacturing differences such as clearance, roughness, metallurgy, and head size that affect performance. In a prospective, randomized trial, we compared 2-year postoperative ion levels for a 28-mm metal-on-polyethylene bearing with 28-mm and 36-mm metal-on-metal bearings. We measured serum, erythrocyte, and urine ion levels. We observed no difference in the ion levels for the 28-mm and 36-mm metal-on-metal bearings. The ion levels in these patients were lower than reported for most other metal-onmetal bearings. Although both erythrocyte and serum cobalt increased, erythrocyte chromium and erythrocyte titanium did not increase despite a four-to sixfold serum chromium and a three-to fourfold serum titanium increase. This may represent a threshold level for serum chromium and serum titanium below which erythrocytes are not affected.

show abstract

Cementless metal-on-metal hip arthroplasty in patients less than 50 years of age

Cited by 24 publications

References 15 publications

Clinical outcomes assessment of three similar hip arthroplasty bearing surfaces

Clinical outcomes assessment of three similar hip arthroplasty bearing surfaces

State of the art in hard-on-hard bearings: how did we get here and what have we achieved?

2008 John Charnley Award: Metal Ion Levels After Metal-on-Metal Total Hip Arthroplasty: A Randomized Trial

Contact Info

Product

Resources

About