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Erschienen in: International Orthopaedics 3/2012

01.03.2012 | Original Paper

Serum metal ion levels after rotating-hinge knee arthroplasty: comparison between a standard device and a megaprosthesis

verfasst von: Joerg Friesenbichler, Werner Maurer-Ertl, Patrick Sadoghi, Thomas Lovse, Reinhard Windhager, Andreas Leithner

Erschienen in: International Orthopaedics | Ausgabe 3/2012

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Abstract

Purpose

The effects of systemic metal ion exposure in patients with implants made of common prosthetic alloys continue to be a matter of concern. The aim of the study was to determine the measurement values of cobalt (Co), chromium (Cr) and molybdenum (Mo) in serum following rotating-hinge knee arthroplasty.

Methods

Blood was taken from 25 patients [mean follow-up 35 (range nine to 67) months] treated with megaprostheses (n=17) or standard rotating-hinge devices (n=8) and analysed using electrothermal graphite furnace atomic absorption spectrometry (ET-ASS).

Results

Determining the concentrations of metal ions following rotating-hinge knee arthroplasty revealed increments for Co and Cr but not Mo. Metal ion release was significantly higher in patients with megaprostheses compared to a standard rotating-hinge knee device (Co p=0,024; Cr p=0.025).

Conclusion

The authors believe there might be an additional metal ion release from the surface of the prosthesis and not only from the articulating surfaces because, in cases of rotating-hinge knee prosthesis, there is a metal-on-polyethylene articulation and not a direct metal-on-metal junction. Nevertheless, long-term studies are required to determine adverse effects of Co, Cr and Mo following total hip replacement and total knee arthroplasty.
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Metadaten
Titel
Serum metal ion levels after rotating-hinge knee arthroplasty: comparison between a standard device and a megaprosthesis
verfasst von
Joerg Friesenbichler
Werner Maurer-Ertl
Patrick Sadoghi
Thomas Lovse
Reinhard Windhager
Andreas Leithner
Publikationsdatum
01.03.2012
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 3/2012
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1317-4

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