Understanding why metal-on-metal hip arthroplasties fail: a comparison between patients with well-functioning and revised birmingham hip resurfacing arthroplasties. AAOS exhibit selection

The Journal of Bone and Joint Surgery. American Volume
Alister J HartPhilip C Noble

Abstract

A large proportion of metal-on-metal hip arthroplasty failures are due to unexplained pain. The mechanism of failure has been thought to be associated with factors that increase material loss, including specific design features and surgical positioning of components. However, recent evidence suggests that there is not a simple dose-response relationship. An analysis of failed metal-on-metal hip arthroplasties involving a single design was performed in an attempt to help resolve this issue. Our aim was to identify the clinical and component variables associated with failure of metal-on-metal hip arthroplasties, particularly in patients undergoing revision arthroplasty because of unexplained hip pain, and to clarify the role of material loss. We prospectively recruited fifty-five patients who were undergoing revision of a metal-on-metal Birmingham Hip Resurfacing System (BHR) arthroplasty (Smith & Nephew). We collected clinical data preoperatively, intraoperatively, and following the revision arthroplasty. Data included chromium and cobalt levels in whole blood, which were measured with use of inductively coupled plasma mass spectrometry (ICPMS), and component orientation, which was typically measured with use of computed tomogra...Continue Reading

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Citations

Jan 29, 2013·Clinical Orthopaedics and Related Research·Danyal H NawabiHollis G Potter
Jul 31, 2013·Clinical Orthopaedics and Related Research·Danyal H NawabiDouglas E Padgett
May 16, 2013·Orthopedics·Masahiro HasegawaAkihiro Sudo
Nov 22, 2013·The Journal of Bone and Joint Surgery. American Volume·Eric Y ChangChristine B Chung
Jan 7, 2015·International Journal of Surgery Case Reports·Harry KrishnanJohn Skinner
May 9, 2015·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Harry S HothiAlister J Hart
May 23, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Harry A McKellopJohn A Skinner
Nov 18, 2018·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Gordon W BlunnMelanie J Coathup
Aug 7, 2013·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Ashley K MatthiesAlister J Hart
Dec 1, 2019·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Feng LiuWenhua Du
Aug 3, 2013·The Bone & Joint Journal·UNKNOWN Canadian Arthroplasty Society
Oct 27, 2012·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Denis NamEdwin P Su
Dec 21, 2017·Archives of Orthopaedic and Trauma Surgery·Maximilian F KasparekFriedrich Boettner
May 6, 2019·BMC Musculoskeletal Disorders·Lari LehtovirtaAntti Eskelinen
Oct 7, 2015·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Anna Di LauraAlister J Hart
Mar 12, 2015·Clinical Orthopaedics and Related Research·Bryan D HaughomJoshua J Jacobs
Oct 1, 2018·International Orthopaedics·Francesco PisanuPaolo Tranquilli Leali
Dec 1, 2018·Case Reports in Orthopedics·Cristian BarrientosMaximiliano Barahona

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