Low Revision Rates at 10 years for Metal on Metal Hip Implants in a Military Population

Military Medicine
Sean E SlavenJohn P Cody

Abstract

Prior to being largely abandoned due to unacceptably high failure rates and the adverse physiologic reactions to metal ions, metal-on-metal (MoM) total hip arthroplasty (THA) and hip resurfacing (HR) were in widespread use throughout the USA, and the potential benefit of decreased volumetric wear rates made it of particular interest to those who serve a young active population, such as military surgeons. The aim of our study was to determine the revision rate of metal on metal hip implants performed at our military institution and obtain current patient reported outcomes from this cohort. We conducted a retrospective review of patients who underwent MoM total hip arthroplasty (THA) or hip resurfacing (HR) at our institution from 2006 to 2012. Revision status and component type were determined, and patients were contacted to obtain current HOOS JR scores. We identified 103 THAs in 88 patients and 38 HRs in 33 patients, with mean follow up of 10.2 years. Average age at time of surgery was 48 years, and 85% of the patients were male. The mean HOOS JR score in the THA and HR groups were 84.9 ± 17.6 and 75.8 ± 24.9, respectively (p = 0.38), and were not significantly lower in those who were revised. Two THA revisions occurred for me...Continue Reading

References

Mar 4, 2008·The Journal of Bone and Joint Surgery. American Volume·E DunstanT W R Briggs
Oct 2, 2008·The Journal of Bone and Joint Surgery. British Volume·V EswaramoorthyR E Field
Apr 1, 2009·Arthritis and Rheumatism·Danielle L ScherBrett D Owens
Dec 2, 2009·The Journal of Bone and Joint Surgery. British Volume·S Glyn-JonesD W Murray
Mar 19, 2011·The Journal of Arthroplasty·Kyu-Tae HwangIl-Yong Choi
Apr 23, 2011·The Journal of Bone and Joint Surgery. British Volume·F S HaddadC P Case
Jul 1, 2011·Arthritis and Rheumatism·Kenneth L CameronSteven J Svoboda
Mar 16, 2012·Lancet·Alison J SmithUNKNOWN National Joint Registry of England and Wales
May 16, 2013·Orthopedics·Masahiro HasegawaAkihiro Sudo
Jul 9, 2013·The Journal of Arthroplasty·Geoffrey P GlebusTad L Gerlinger
Sep 24, 2014·Annals of the Royal College of Surgeons of England·G S MatharuD J Dunlop
Aug 14, 2015·Orthopedics·Matteo CadossiSandro Giannini
Oct 24, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Michael P Bolognesi, Cameron K Ledford
Oct 20, 2017·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Hendrik A ZuiderbaanDiederik A Vergroesen
Jun 9, 2018·Journal of Orthopaedics·Muhammad UmarSyam Morapudi

❮ Previous
Next ❯

Citations

Mar 17, 2021·Clinical Orthopaedics and Related Research·Kevin TaniguchiBrian Barlow

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.