Increased Serum Ion Levels After Ceramic-on-Metal Bearing Total Hip Arthroplasty: Influence of an Asian Lifestyle

被引:6
|
作者
Han, Seung-Beom [1 ]
Oh, Jong Keon [2 ]
Jang, Woo Young [1 ]
Choudhary, Nishant [2 ]
Kim, Hyun Gon [2 ]
Shon, Won Yong [2 ]
机构
[1] Korea Univ, Coll Med, Anam Hosp, Dept Orthoped, Seoul, South Korea
[2] Korea Univ, Guro Hosp, Dept Orthopaed Surg, 148 Gurodong Ro, Seoul 08308, South Korea
来源
JOURNAL OF ARTHROPLASTY | 2018年 / 33卷 / 03期
关键词
total hip arthroplasty; serum ion; lifestyle; ceramic; metal; DIFFERENTIAL-HARDNESS; SURFACE REPLACEMENT; IMPINGEMENT; COMPONENTS; OSTEOARTHRITIS; CHROMIUM; COBALT; TRIAL; JOINT; WEAR;
D O I
10.1016/j.arth.2017.10.037
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
Background: Recent clinical studies have suggested that systemic metal ion levels are significantly elevated at midterm follow-up in patients with ceramic-on-metal (COM) bearing. However, it is not clear whether there is a correlation between patient-related factors including the lifestyle and elevated levels of serum metal ions following COM total hip arthroplasty (THA). Methods: Serum metal levels were measured in 201 patients (234 hips) including 121 COM patients (140 hips) and 80 non-COM patients (94 hips). The Harris Hip Score, University of California, Los Angeles activity scale score, and Western Ontario and McMaster Universities Osteoarthritis Index score were measured and radiographs were obtained for the analysis. Results: Significantly higher levels of cobalt (Co) and chromium (Cr) were detected in the serum of the COM THA group (Co: 1.86 +/- 4.0 mu g/L; Cr: 1.81 +/- 2.87 mu g/L) than those of the non-COM THA group (Co: 0.27 +/- 0.14 mu g/L; Cr: 0.19 +/- 0.25 mu g/L; P < .001). The serum metal levels of patients who achieved the squatting position and the kneeling position were significantly higher than those of patients who could not squat (Co: P = .033; Cr: P = .074) and kneel (Co: P = .049; Cr: P = .031). The metal ion levels of the COM THA group correlated with the total range of motion (Co: P = .0293; Cr: P = .0399). Conclusion: Patients who underwent a 36-mm COM THA showed high serum metal levels although good clinical outcomes at the midterm follow-up. We found that COM THA patients who were capable of greater range of motion, squatting, and kneeling are at risk of metal ionerelated problems. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:887 / 892
页数:6
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