Similar incidence of periprosthetic fluid collections after ceramic-on-polyethylene total hip arthroplasties and metal-on-metal resurfacing arthroplasties: results of a screening metal artefact reduction sequence-MRI study

The Bone & Joint Journal
Pepijn BisselingJob L C van Susante

Abstract

Patients from a randomised trial on resurfacing hip arthroplasty (RHA) (n = 36, 19 males; median age 57 years, 24 to 65) comparing a conventional 28 mm metal-on-metal total hip arthroplasty (MoM THA) (n = 28, 17 males; median age 59 years, 37 to 65) and a matched control group of asymptomatic patients with a 32 mm ceramic-on-polyethylene (CoP) THA (n = 33, 18 males; median age 63 years, 38 to 71) were cross-sectionally screened with metal artefact reducing sequence-MRI (MARS-MRI) for pseudotumour formation at a median of 55 months (23 to 72) post-operatively. MRIs were scored by consensus according to three different classification systems for pseudotumour formation. Clinical scores were available for all patients and metal ion levels for MoM bearing patients. Periprosthetic lesions with a median volume of 16 mL (1.5 to 35.9) were diagnosed in six patients in the RHA group (17%), one in the MoM THA group (4%) and six in the CoP group (18%). The classification systems revealed no clear differences between the groups. Solid lesions (n = 3) were exclusively encountered in the RHA group. Two patients in the RHA group and one in the MoM THA group underwent a revision for pseudotumour formation. There was no statistically significant...Continue Reading

References

Feb 13, 2010·The Journal of Arthroplasty·Shiraz A SabahAlister J Hart
May 14, 2011·The Journal of Bone and Joint Surgery. American Volume·UNKNOWN Canadian Hip Resurfacing Study Group
Dec 14, 2011·The Journal of Bone and Joint Surgery. American Volume·Daniel H WilliamsDonald S Garbuz
Dec 20, 2011·Clinical Orthopaedics and Related Research·Ashley K MatthiesAlister J Hart
Jan 29, 2013·Clinical Orthopaedics and Related Research·Danyal H NawabiHollis G Potter
Mar 29, 2013·Clinical Orthopaedics and Related Research·Sulaiman A AlmousaDonald S Garbuz
May 17, 2013·The Journal of Bone and Joint Surgery. American Volume·Danyal H NawabiHollis G Potter
Jul 23, 2013·Clinical Orthopaedics and Related Research·Donald S GarbuzBruce B Forster
Aug 22, 2013·Clinical Orthopaedics and Related Research·Thomas K FehringJessica Weathersbee
Jun 17, 2014·The Journal of Arthroplasty·Masahiro HasegawaAkihiro Sudo

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Citations

Feb 7, 2016·The Bone & Joint Journal·F S Haddad, L Zagra
Jan 28, 2016·Current Reviews in Musculoskeletal Medicine·Brian J McGrory, Brigham R McKenney
Sep 5, 2006·The Journal of Arthroplasty·Harvey S SandhuJ Louis Pozo
May 19, 2012·The Journal of Arthroplasty·Thomas P Gross, Fei Liu
Mar 12, 2003·The Journal of Arthroplasty·Keisuke HagioTakahiro Ochi
Jun 7, 2008·The Journal of Arthroplasty·Kuen Tak SuhJung Sub Lee
Feb 1, 2006·The Journal of Arthroplasty·Christian DöttlHarald Effenberger
Sep 9, 2016·The Journal of Bone and Joint Surgery. American Volume·Gulraj S MatharuHemant G Pandit
Apr 5, 2017·The Journal of Bone and Joint Surgery. American Volume·Jason M JenningsDouglas A Dennis
Oct 30, 2016·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Gulraj S MatharuDavid W Murray
Nov 7, 2017·Acta Orthopaedica·Gulraj S MatharuHemant G Pandit
Aug 23, 2019·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Catherine Van Der StraetenKoen De Smet
Jul 9, 2017·Clinical Orthopaedics and Related Research·Christiaan SmeekesRob G H H Nelissen
Feb 22, 2017·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Albrecht HartmannJens Goronzy
Mar 28, 2017·Journal of Magnetic Resonance Imaging : JMRI·Pia M JungmannReto Sutter
Apr 6, 2021·JBJS Reviews·Johannes Michiel van der Merwe
Apr 5, 2021·The Journal of Arthroplasty·Paul KolbitschRichard Lass

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