Large Diameter Metal on Metal Articulations. Comparison of Total Hip Arthroplasty and Hip Resurfacing Arthroplasty

被引：26
作者：
Jack, Christopher M. [1 ]
Walter, William L. [1 ]
Shimmin, Andrew J. [2 ]
Cashman, Kara [3 ]
de Steiger, Richard N. [3 ]
机构：
[1] Specialist Orthopaed Grp, Wollstonecraft, NSW, Australia
[2] Melbourne Orthopaed Grp 33, Melbourne, Vic, Australia
[3] Univ Adelaide, AOA Natl Joint Replacement Registry, Data Management & Anal Ctr, Discipline Publ Hlth,Sch Populat Hlth & Clin Prac, Adelaide, SA 5005, Australia
来源：
JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 04期
关键词：
metal on metal; failure; trunion; hip resurfacing; REPLACEMENT; BEARINGS; FAILURE; RATES;
D O I：
10.1016/j.arth.2012.07.032
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 use of large diameter metal bearing total hip arthroplasty (THA) and hip resurfacing arthroplasty (HRA) increased in popularity in the last decade. More recent literature has highlighted the effect of head size in patient outcomes. Data was obtained from the Australian Orthopaedic Association National Joint Replacement Registry (AOA-NJRR) to evaluate the Birmingham (MoM) bearing surface when used with THA and HRA. There is no difference in the overall rate of revision between the THA and HRA but head size has a significant effect on revision rate. The data show that small diameter metal bearings in HRA (below 50 mm) have a higher rate of revision than large diameter metal bearings in HRA (equal to and above 50mm) (P<.001). Conversely the large diameter metal bearings in THA have a higher rate of revision than the small diameter metal bearings in THA (P=.027). The revision rate for large diameter HRA compared to small diameter THA is not significantly different P=.670. We recommend caution when choosing either a large diameter (>= 50mm) metal on metal THA or small diameter (<50 mm) HRA. (C) 2013 Elsevier Inc. All rights reserved.
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收藏
页码：650 / 653
页数：4
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