nach oben

Irish Journal of Medical Science (1971 -)

Erschienen in:

07.05.2018 | Original Article

Femoral offset found not to affect metal ion levels in metal-on-metal total hip arthroplasty

verfasst von: Eoghan Pomeroy, Fergal Macnamara, Evelyn Murphy, Niall McGoldrick, Anant Mahapatra, Nasir Awan

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Background

Failure to restore femoral offset in metal on polyethylene total hip arthroplasty (THA) causes polyethylene wear and aseptic loosening. To our knowledge, no study to date has investigated the relationship between femoral offset and wear in metal-on-metal (MOM) THA.

Aims

In this study, we investigated the relationship between femoral offset and wear by measuring circulating metal ion levels in MOM THA.

Methods

In this retrospective study, we identified patients who had undergone MOM THA with the ASR XL system (DePuy International Ltd., Leeds, UK). Femoral offset was measured using anteroposterior radiographs, and circulating metal ion levels (cobalt and chromium) were recorded.

Results

In total, 95 patients were included (68 males and 27 females). The mean age at the time of surgery was 64.9. Mean time from surgery to blood sampling was 15.4 months. No statistically significant relationship was found between femoral offset and cobalt (p = 0.313) or chromium (p = 0.401) ions.

Conclusion

It is known that failure to restore femoral offset during THA can lead to high rates of wear in metal-on-polyethylene articulations. In our study, no statistically significant relationship was found between femoral offset and serum cobalt or chromium ions. This study adds to the information available to surgeons regarding factors that increase wear in metal-on-metal total hip arthroplasty.

Sieber HP, Rieker CB, Köttig P (1999) Analysis of 118 second-generation metal-on-metal retrieved hip implants. J Bone Joint Surg (Br) 81:46–50CrossRef

Cuckler JM (2005) The rationale for metal-on-metal total hip arthroplasty. Clin Orthop Relat Res 441:132–136CrossRefPubMed

Komistek RD, Dennis DA, Ochoa JA, Haas BD, Hammill C (2002) In vivo comparison of hip separation after metal-on-metal or metal-on-polyethylene total hip arthroplasty. J Bone Joint Surg Am 84–A:1836–1841CrossRef

Bozic KJ, Kurtz S, Lau E, Ong K, Chiu V, Vail TP, Rubash HE, Berry DJ (2009) The epidemiology of bearing surface usage in total hip arthroplasty in the United States. J Bone Joint Surg Am 91:1614–1620. https://doi.org/10.2106/JBJS.H.01220 CrossRefPubMed

de Steiger RN, Hang JR, Miller LN, Graves SE, Davidson DC (2011) Five-year results of the ASR XL acetabular system and the ASR hip resurfacing system: an analysis from the Australian Orthopaedic Association National Joint Replacement Registry. J Bone Joint Surg Am 93:2287–2293. https://doi.org/10.2106/JBJS.J.01727 CrossRefPubMed

Pandit H, Whitwell D, Gibbons CLM, Athanasou N, Gill HS, Murray DW (2008) Pseudotumours associated with metal-on- metal hip resurfacings. J Bone Joint Surg 90:847–851. https://doi.org/10.1302/0301-620X.90B7 CrossRef

Campbell P, Shimmin A, Walter L, Solomon M (2008) Metal sensitivity as a cause of groin pain in metal-on-metal hip resurfacing. J Arthroplast 23:1080–1085. https://doi.org/10.1016/j.arth.2007.09.024 CrossRef

Williams DH, Greidanus NV, Masri BA, Duncan CP, Garbuz DS (2011) Prevalence of pseudotumor in asymptomatic patients after metal-on-metal hip arthroplasty. J Bone Joint Surg Am 93:2164–2171. https://doi.org/10.2106/JBJS.J.01884 CrossRefPubMed

Kwon Y-M, Ostlere SJ, McLardy-Smith P, Athanasou NA, Gill HS, Murray DW (2016) “Asymptomatic” pseudotumors after metal-on-metal hip resurfacing arthroplasty. J Arthroplast 26:511–518. https://doi.org/10.1016/j.arth.2010.05.030 CrossRef

10.

De Smet K, De Haan R, Calistri A, Campbell PA, Ebramzadeh E, Pattyn C et al (2008) Metal ion measurement as a diagnostic tool to identify problems with metal-on-metal hip resurfacing. J Bone Joint Surg Am 90(Suppl 4):202–208. https://doi.org/10.2106/JBJS.H.00672 CrossRefPubMed

11.

Langton DJ, Jameson SS, Joyce TJ, Webb J, Nargol AVF (2008) The effect of component size and orientation on the concentrations of metal ions after resurfacing arthroplasty of the hip. J Bone Joint Surg (Br) 90:1143–1151. https://doi.org/10.1302/0301-620X.90B9 CrossRef

12.

Hart AJ, Ilo K, Underwood R, Cann P, Henckel J, Lewis A et al (2011) The relationship between the angle of version and rate of wear of retrieved metal-on-metal resurfacings. Bone Joint J 93–B:315–320

13.

De Haan R, Pattyn C, Gill HS, Murray DW, Campbell PA, De Smet K (2008) Correlation between inclination of the acetabular component and metal ion levels in metal-on-metal hip resurfacing replacement. Bone Joint J 90–B:1291–1297

14.

Langton DJ, Sprowson AP, Joyce TJ, Reed M, Carluke I, Partington P et al (2009) Blood metal ion concentrations after hip resurfacing arthroplasty: a comparative study of articular surface replacement and birmingham hip resurfacing arthroplasties. J Bone Joint Surg (Br) 9191:1287–1295. https://doi.org/10.1302/0301-620X.91B10 CrossRef

15.

Bayley N, Khan H, Grosso P, Hupel T, Stevens D, Snider M, Schemitsch E, Kuzyk P (2014) What are the predictors and prevalence of pseudotumor and elevated metal ions after large-diameter metal-on-metal THA? Clin Orthop Relat Res 473:477–484. https://doi.org/10.1007/s11999-014-3824-2 CrossRefPubMedCentral

16.

Asayama I, Chamnongkich S, Simpson KJ, Kinsey TL, Mahoney OM (2016) Reconstructed hip joint position and abductor muscle strength after total hip arthroplasty. J Arthroplast 20:414–420. https://doi.org/10.1016/j.arth.2004.01.016 CrossRef

17.

Devane PA, Robinson EJ, Bourne RB, Rorabeck CH, Nayak NN, Horne JG (1997) Measurement of polyethylene wear in acetabular components inserted with and without cement. A randomized trial. J Bone Joint Surg Am 79:682–689CrossRefPubMed

18.

Bourne RB, Rorabeck CH (2002) Soft tissue balancing: the hip. J Arthroplast 17:17–22. https://doi.org/10.1054/arth.2002.33263 CrossRef

19.

McGrory BJ, Morrey BF, Cahalan TD, An KN, Cabanela ME (1995) Effect of femoral offset on range of motion and abductor muscle strength after total hip arthroplasty. Bone Joint J 77–B:865–869

20.

Fackler CD, Poss R (1980) Dislocation in total hip arthroplasties. Clin Orthop Relat Res 151:169–178

21.

Devane PA, Horne JG (1999) Assessment of polyethylene wear in total hip replacement. Clin Orthop Relat Res 369:59–72CrossRef

22.

Little NJ, Busch CA, Gallagher JA, Rorabeck CH, Bourne RB (2009) Acetabular polyethylene wear and acetabular inclination and femoral offset. Clin Orthop Relat Res 467:2895–2900. https://doi.org/10.1007/s11999-009-0845-3 CrossRefPubMedPubMedCentral

23.

Sakalkale DP, Sharkey PF, Eng K, Hozack WJ, Rothman RH (2001) Effect of femoral component offset on polyethylene wear in total hip arthroplasty. Clin Orthop Relat Res 388:125–134CrossRef

24.

Bonin N, Jacquot L, Boulard L, Reynaud P, Saffarini M, Lustig S (2016) How to best measure femoral length and lateralisation after total hip arthroplasty on antero-posterior pelvic radiographs. Int Orthop 40:1–7. https://doi.org/10.1007/s00264-016-3145-z CrossRef

25.

Craig P, Bancroft G, Burton A, Collier S, Shaylor P, Sinha A (2014) Raised levels of metal ions in the blood in patients who have undergone uncemented metal-on-polyethylene Trident-Accolade total hip replacement. Bone Joint J 96–B:43–47. https://doi.org/10.1302/0301-620X.96B1.30923 CrossRefPubMed

26.

White PB, Meftah M, Ranawat AS, Ranawat CS (2016) A comparison of blood metal ions in total hip arthroplasty using metal and ceramic heads. J Arthroplast 31:16–20. https://doi.org/10.1016/j.arth.2016.03.024 CrossRef

27.

Cassidy KA, Noticewala MS, Macaulay W, Lee JH, Geller JA (2012) Effect of femoral offset on pain and function after total hip arthroplasty. J Arthroplast 27:1863–1869. https://doi.org/10.1016/j.arth.2012.05.001 CrossRef

28.

Liebs TR, Nasser L, Herzberg W, Rüther W, Hassenpflug J (2014) The influence of femoral offset on health-related quality of life after total hip replacement. Bone Joint J 96–B:36–42CrossRefPubMed

29.

Mri M (2012) Ref : No authors listed. Medicines and Healthcare products Regulatory Agency (MHRA). Medical device alert: all metal-on-metal (MOM) hip replacements, 2010 MDA/2010/033. http://www.mhra.gov.uk/Publications/Safetywarnings/MedicalDeviceAlerts/CON079157:6–7

30.

Hart AJ, Sabah SA, Bandi AS, Maggiore P, Tarassoli P, Sampson B et al (2011) Sensitivity and specificity of blood cobalt and chromium metal ions for predicting failure of metal-on-metal hip replacement. J Bone Joint Surg (Br) 93–B:1308–1313. https://doi.org/10.1302/0301-620X.93B10.26249 CrossRef

31.

Knight SR, Aujla R, Biswas SP (2011) Total Hip Arthroplasty - over 100 years of operative history. Orthop Rev (Pavia) 3:2–4CrossRef

32.

Dobbs H (1980) Survivorship of total hip replacements. J Bone Joint Surg (Br) 62-B(2):168–173CrossRef

33.

Vendittoli P-A, Lavigne M, Girard J, Roy AG (2006) A randomised study comparing resection of acetabular bone at resurfacing and total hip replacement. Bone Joint J 88–B:997–1002

34.

Drummond J, Tran P, Fary C (2015) Metal-on-metal hip arthroplasty: a review of adverse reactions and patient management. J Funct Biomater 6:486–499. https://doi.org/10.3390/jfb6030486 CrossRefPubMedPubMedCentral

35.

Hallab N, Merritt K, Jacobs JJ (2001) Metal sensitivity in patients with orthopaedic implants. J Bone Joint Surg Am 83:428–436CrossRefPubMed

36.

MacDonald SJ (2004) Metal-on-metal total hip arthroplasty: the concerns. Clin Orthop Relat Res 429:86–93CrossRef

37.

Emmanuel AR, Bergin KM, Kelly GE, McCoy GF, Wozniak AP, Quinlan JF (2014) The effect of acetabular inclination on metal ion levels following metal-on-metal hip arthroplasty. J Arthroplast 29:186–191. https://doi.org/10.1016/j.arth.2013.04.022 CrossRef

38.

Langton DJ, Joyce TJ, Jameson SS, Lord J, Van Orsouw M, Holland JP et al (2011) Adverse reaction to metal debris following hip resurfacing. Bone Joint J 93–B:164–171

39.

Engh CA, MacDonald SJ, Sritulanondha S, Korczak A, Naudie D, Engh C (2014) Metal ion levels after metal-on-metal total hip arthroplasty: a five-year, prospective randomized trial. J Bone Joint Surg Am 96:448–455. https://doi.org/10.2106/JBJS.M.00164 CrossRefPubMed

Titel: Femoral offset found not to affect metal ion levels in metal-on-metal total hip arthroplasty
verfasst von: Eoghan Pomeroy
Fergal Macnamara
Evelyn Murphy
Niall McGoldrick
Anant Mahapatra
Nasir Awan
Publikationsdatum: 07.05.2018
Verlag: Springer London
Erschienen in: Irish Journal of Medical Science (1971 -) / Ausgabe 1/2019
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI: https://doi.org/10.1007/s11845-018-1808-z

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

16.04.2024 | Chronische Herzinsuffizienz | Nachrichten

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Femoral offset found not to affect metal ion levels in metal-on-metal total hip arthroplasty

Abstract

Background

Aims

Methods

Results

Conclusion

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Sind Betablocker auch für ältere herzschwache Personen nützlich?

Kein Abstrich bei chronischen Wunden ohne Entzündungszeichen!

Manche Gestagene können das Risiko für Meningeome erhöhen

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Update Innere Medizin

Springer Medizin

Abstract

Background

Aims

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2019

Where youth matters—clinicopathologic characteristics and emerging trends in treatment and outcomes in young Irish women with breast cancer

Absence of thyroid transcription factor-1 expression is associated with poor survival in patients with advanced pulmonary adenocarcinoma treated with pemetrexed-based chemotherapy

Future career intentions of higher specialist trainees in general Paediatrics

Transition from tube feeding to oral feeding: experience in a tertiary care paediatric cardiology unit

General practitioners’ (GP) attitudes and knowledge about attention deficit hyperactivity disorder (ADHD) in Ireland

To tube or not to tube? Utilising a tubeless antegrade ureteric stenting system in a tertiary referral hospital

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Sind Betablocker auch für ältere herzschwache Personen nützlich?

Kein Abstrich bei chronischen Wunden ohne Entzündungszeichen!

Manche Gestagene können das Risiko für Meningeome erhöhen

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Update Innere Medizin