Large-Diameter Modular Metal-on-Metal Total Hip Arthroplasty Incidence of Revision for Adverse Reaction to Metallic Debris

被引：37

作者：

Barrett, William P. ^{[1
]}

Kindsfater, Kirk A. ^{[2
]}

Lesko, James P. ^{[3
]}

机构：

[1] Proliance Surg, Valley Orthoped Associates, Joint Ctr, Valley Med Ctr, Renton, WA 98055 USA

[2] Poudre Valley Hosp, Dept Adult Reconstruct, Orthopaed Ctr Rockies, Ft Collins, CO USA

[3] DePuy Orthopaed, Warsaw, IN USA

来源：

JOURNAL OF ARTHROPLASTY | 2012年 / 27卷 / 06期

关键词：

total hip arthroplasty; metal-on-metal; large-diameter heads; adverse reaction to metabolic debris (ARMED); metal sensitivity; ALVAL; COBALT; CHROMIUM; SENSITIVITY; REPLACEMENT; BEARINGS; EXPOSURE; GROIN; BLOOD; IONS;

D O I：

10.1016/j.arth.2012.01.019

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Large-diameter modular metal-on-metal (MOM) total hip arthroplasty (THA) may offer reduction in wear debris and improved stability. Four studies are summarized here that used a large-diameter modular MOM system. A total of 1076 THAs were performed. This article presents data from 779 of these THAs with minimum 2-year follow-up (mean, 4.2 years) or revision since index THA (21 hips, with 1 more pending). Overall survivorship at 2 years was 98.6%; at 5 years, it was 97.0%. Seven revisions for an adverse reaction to metallic debris (ARMED), and 1 additional pending revision for ARMED, showed marked variability in presenting symptoms and intraoperative and postoperative findings. Data show good clinical performance of the modular MOM system, but suggest that surgeons must be diligent in monitoring MOM THA patients and aggressive in diagnosing and revising patients with a potential ARMED.

引用

页码：976 / 983

页数：8

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