Orthopaedic metals and their potential toxicity in the arthroplasty patient - Review of current knowledge and future strategies

被引:248
作者
Keegan, G. M. [1 ]
Learmonth, I. D. [1 ]
Case, C. P. [1 ]
机构
[1] Univ Bristol, Southmead Hosp, Bristol Implant Res Ctr, Avon Orthopaed Ctr, Bristol BS10 5NB, Avon, England
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2007年 / 89B卷 / 05期
关键词
D O I
10.1302/0301-620X.89B5.18903
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
摘要
The long-term effects of metal-on-metal arthroplasty are currently under scrutiny because of the potential biological effects of metal wear debris. This review summarises data describing the release, dissemination, uptake, biological activity, and potential toxicity of metal wear debris released from alloys currently used in modern orthopaedics. The introduction of risk assessment for the evaluation of metal alloys and their use in arthroplasty patients is discussed and this should include potential harmful effects on immunity, reproduction, the kidney, developmental toxicity, the nervous system and carcinogenesis.
引用
收藏
页码:567 / 573
页数:7
相关论文
共 119 条
[1]
ANDERSON MB, 1992, REPROD TOXICOL, V6, P41
[2]
THE EFFECT OF CHROMIUM ON PARAMETERS RELATED TO IRON-METABOLISM [J].
ANI, M ;
MOSHTAGHIE, AA .
BIOLOGICAL TRACE ELEMENT RESEARCH, 1992, 32 :57-64
[3]
[Anonymous], 2004, IARC MON EV CARC RIS
[4]
Pulmonary effects of welding fumes: Review of worker and experimental animal studies [J].
Antonini, JM ;
Lewis, AB ;
Roberts, JR ;
Whaley, DA .
AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, 2003, 43 (04) :350-360
[5]
Chronic chromium exposure-induced changes in testicular histoarchitecture are associated with oxidative stress:: study in a non-human primate (Macaca radiata Geoffroy) [J].
Aruldhas, MM ;
Subramanian, S ;
Sekar, P ;
Vengatesh, G ;
Chandrahasan, G ;
Govindarajulu, P ;
Akbarsha, MA .
HUMAN REPRODUCTION, 2005, 20 (10) :2801-2813
[6]
Cobalt [J].
Barceloux, DG .
JOURNAL OF TOXICOLOGY-CLINICAL TOXICOLOGY, 1999, 37 (02) :201-216
[7]
Chromium [J].
Barceloux, DG .
JOURNAL OF TOXICOLOGY-CLINICAL TOXICOLOGY, 1999, 37 (02) :173-194
[8]
Risk assessment of substances that are both genotoxic and carcinogenic -: Report of an International Conference organized by EFSA and WHO with support of ILSI Europe [J].
Barlow, S. ;
Renwick, A. G. ;
Kleiner, J. ;
Bridges, J. W. ;
Busk, L. ;
Dybing, E. ;
Edler, L. ;
Eisenbrand, G. ;
Fink-Gremmels, J. ;
Knaap, A. ;
Kroes, R. ;
Liem, D. ;
Mueller, D. J. G. ;
Page, S. ;
Rolland, V. ;
Schlatter, J. ;
Tritscher, A. ;
Tueting, W. ;
Wurtzen, G. .
FOOD AND CHEMICAL TOXICOLOGY, 2006, 44 (10) :1636-1650
[9]
Neurobehavioral effects of vanadium [J].
Barth, A ;
Schaffer, AW ;
Konnaris, C ;
Blauensteiner, R ;
Winker, R ;
Osterode, W ;
Rüdiger, HW .
JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH-PART A, 2002, 65 (09) :677-683
[10]
Bonde JP, 1996, HUM EXP TOXICOL, V15, P1