Management of failed metal-on-metal total hip arthroplasty

被引：12

作者：

Griffin, Justin W. ^{[1
]}

D'Apuzzo, Michele ^{[1
]}

Browne, James A. ^{[1
]}

机构：

[1] Univ Virginia Hlth Syst, Dept Orthopaed Surg, 400 Ray C Hunt Dr, Charlottesville, VA 22903 USA

来源：

WORLD JOURNAL OF ORTHOPEDICS | 2012年 / 3卷 / 06期

关键词：

Hip arthroplasty; Metal-on-metal; Revision joint arthroplasty; Pseudotumor; Aseptic lymphocytic-vasculitis-associated lesions; Metal hypersensitivity;

D O I：

10.5312/wjo.v3.i6.70

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 theoretical advantages of metal-on-metal (MOM) bearing couples in total hip arthroplasty (THA) have been recently balanced by concerns regarding adverse local and systemic effects. Higher than anticipated early revision rates have been reported by several joint registries. Failed MOM hips present with a spectrum of symptoms and findings and traditional methods of failure must be considered in addition to the failure modes that appear to be unique to the MOM bearing couple. Metal hypersensitivity and soft tissue immune reactions remain incompletely understood and require careful ongoing study. The tools available to evaluate MOM THAs and the indications for revision surgery remain to be defined. Outcomes following revision of MOM hips appear to depend on appropriate evaluation, early identification, and appropriate surgical management. (c) 2012 Baishideng. All rights reserved.

引用

页码：70 / 74

页数：5

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