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Magnetic resonance imaging of painful metal-on-metal total hip replacement

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Consecutive patients that had primary metal-on-metal (MoM) or metal-on-polyethylene (MoP) hip arthroplasty were prospectively enrolled to this study. All operated hips were evaluated with MRI by one radiologist who was blinded to the radiographic findings and clinical symptoms. Three groups of patients were formed: (1) thirteen MoM THRs in 13 patients with groin pain (Group 1), (2) ten MoM THRs in 10 patients with no pain (Group 2), (3) five MoP THRs in 4 patients without pain (control group). Abnormal MRI findings were distributed in all groups in a balanced way, irrespective of the patients’ symptoms, prostheses, or metal ion levels. Two patients from Group 1 and one patient of Group 3 (control group) were diagnosed with a large periprosthetic mass (pseudotumor).

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Authors and Affiliations

  1. Division of Orthopaedic Surgery, McGill University, Montreal, QC, Canada

    Vassilios S. Nikolaou, Alain Petit, David J. Zukor, Olga L. Huk & John Antoniou

  2. Lady Davis Institute for Medical Research, SMBD-Jewish General Hospital, 3755, Chemin de la Cote Ste-Catherine Road, Montreal, QC, H3T 1E2, Canada

    Vassilios S. Nikolaou, Alain Petit, David J. Zukor, Olga L. Huk & John Antoniou

  3. Department of Radiology, McGill University Health Center, Montreal, QC, Canada

    Viviane Khoury & Etienne Blain-Pare

Authors
  1. Vassilios S. Nikolaou
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  2. Alain Petit
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  3. Viviane Khoury
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  4. Etienne Blain-Pare
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  5. David J. Zukor
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  6. Olga L. Huk
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  7. John Antoniou
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Correspondence to Vassilios S. Nikolaou.

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Nikolaou, V.S., Petit, A., Khoury, V. et al. Magnetic resonance imaging of painful metal-on-metal total hip replacement. Eur J Orthop Surg Traumatol 25, 313–319 (2015). https://doi.org/10.1007/s00590-014-1491-3

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  • DOI: https://doi.org/10.1007/s00590-014-1491-3

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