دورية أكاديمية
Long-Term Outcome of Small Head Metal-On-Metal Total Hip Arthroplasty: A 15-to-22 Year Follow-Up.
| العنوان: | Long-Term Outcome of Small Head Metal-On-Metal Total Hip Arthroplasty: A 15-to-22 Year Follow-Up. |
|---|---|
| المؤلفون: | Maliarov A; Department of Orthopedics, SMBD-Jewish General Hospital, Montreal, QC, Canada., Huk OL; Department of Orthopedics, SMBD-Jewish General Hospital, Montreal, QC, Canada., Epure LM; Department of Orthopedics, SMBD-Jewish General Hospital, Montreal, QC, Canada., Bergeron SG; Department of Orthopedics, SMBD-Jewish General Hospital, Montreal, QC, Canada., Antoniou J; Department of Orthopedics, SMBD-Jewish General Hospital, Montreal, QC, Canada., Zukor DJ; Department of Orthopedics, SMBD-Jewish General Hospital, Montreal, QC, Canada. |
| المصدر: | The Journal of arthroplasty [J Arthroplasty] 2021 Sep; Vol. 36 (9), pp. 3214-3220. Date of Electronic Publication: 2021 Apr 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor and Francis Country of Publication: United States NLM ID: 8703515 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8406 (Electronic) Linking ISSN: 08835403 NLM ISO Abbreviation: J Arthroplasty Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New Brunswick, NJ : Taylor and Francis Original Publication: [New York, NY : Churchill Livingstone, c1986- |
| مواضيع طبية MeSH: | Arthroplasty, Replacement, Hip* , Hip Prosthesis* , Metal-on-Metal Joint Prostheses*/adverse effects, Follow-Up Studies ; Humans ; Prosthesis Design ; Prosthesis Failure ; Reoperation ; Treatment Outcome |
| مستخلص: | Background: The Metasul articular interface was a second-generation metal-on-metal (MoM) total hip arthroplasty (THA) that was introduced as a promising interface with improved manufacturing technology, better clearances, and enhanced metal hardness. In December 2001, the manufacturer recalled these implants due to the failure of cup osseointegration. Methods: Between 1997 and 2004, 168 consecutive primary Metasul THAs were performed in 144 patients. Most patients received a cementless femoral and porous-coated acetabular component with 28 mm head. A competing risk analysis was performed for determination separately for bearing surface-related, recalled bearing failure, and end point revision for any reason. For clinical patient evaluation, we used Harris hip score and University of California at Los Angeles scores. Cobalt and chromium ion level measurement and standard radiographic assessment was performed. Results: Of the 168 THAs, 19 hips were revised at a mean period of 15 years as follows: 12 of them were due to recalled acetabular component, five hips had noninterface-related complication, and two true interface surface failure. The survival distribution function of all hips with revision for any reason was 88.4%, for bearing interface relation 98.8%, and 92.6% for recalled cups. The mean Harris hip score and University of California at Los Angeles scores were 85 and 6, respectively, and the median Co and Cr blood levels were 1.0 and 0.91 μg/L. Conclusion: Excluding the recalled components, Metasul articular interface has performed extremely well at a minimum follow-up of 15 years in this relatively young population. There were two interface-related revisions in the entire cohort. (Copyright © 2021 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: 28 mm small head; MoM THA; blood metal ion level; metasul; pseudotumor |
| تواريخ الأحداث: | Date Created: 20210504 Date Completed: 20211025 Latest Revision: 20211025 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.arth.2021.04.011 |
| PMID: | 33941413 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder كن أول من يترك تعليقا!