Revision total hip arthroplasty in hip joints with metallosis - A single-center experience with 31 cases

被引：49

作者：

Chang, JD ^{[1
]}

Lee, SS ^{[1
]}

Hur, M ^{[1
]}

Seo, EM ^{[1
]}

Chung, YK ^{[1
]}

Lee, CJ ^{[1
]}

机构：

[1] Hallym Univ, Coll Med, Dept Orthopaed Surg, Seoul 150719, South Korea

来源：

JOURNAL OF ARTHROPLASTY | 2005年 / 20卷 / 05期

关键词：

metallosis; total hip arthroplasty; osteolysis; revision;

D O I：

10.1016/j.arth.2005.04.001

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：

Clinical and radiographic findings of metallosis in relation to the clinical outcome of revision total hip arthroplasty were analyzed for 31 hips. Causes of metallosis were dissociation of polyethylene liner in 24 hips, catastrophic wear in 6, and the screw used for stem fixation in 1. Metallosis was grade I in 12 hips, grade II in 7, and grade III in 12. Osteolysis around the acetabular cup was observed in 24 (77.4%) of 31 hips. At the time of final follow-up evaluation, none of the hips showed osteolysis, acetabular cup migration, or any change in inclination. Although metallosis could not be completely eradicated in severe cases, the clinical outcome for these hips was favorable. This study demonstrates that metallosis frequently causes osteolysis and that complete elimination of it is not a prerequisite for the success of revision total hip arthroplasty.

引用

页码：568 / 573

页数：6

共 23 条

[1] METALLIC WEAR IN FAILED TITANIUM-ALLOY TOTAL HIP REPLACEMENTS - A HISTOLOGICAL AND QUANTITATIVE-ANALYSIS [J].

AGINS, HJ ;

ALCOCK, NW ;

BANSAL, M ;

SALVATI, EA ;

WILSON, PD ;

PELLICCI, PM ;

BULLOUGH, PG .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (03) :347-356

[2]

Bono J V, 1994, J Arthroplasty, V9, P119, DOI 10.1016/0883-5403(94)90059-0

[3]

Cameron H U, 1993, Orthop Rev, V22, P1160

[4] Cytotoxicity and macrophage cytokine release induced by ceramic and polyethylene particles in vitro [J].

Catelas, I ;

Petit, A ;

Marchand, R ;

Zukor, DJ ;

Yahia, LH ;

Huk, OL .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1999, 81B (03) :516-521

[5]

CHANG JD, 1996, T ORTHOP RES SOC, V21, P511

[6] CORROSION BETWEEN THE COMPONENTS OF MODULAR FEMORAL HIP PROSTHESES [J].

COLLIER, JP ;

SURPRENANT, VA ;

JENSEN, RE ;

MAYOR, MB ;

SURPRENANT, HP .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1992, 74 (04) :511-517

[7]

DANTONIO JA, 1989, CLIN ORTHOP RELAT R, V243, P126

[8] Dislodgment of polyethylene liners in first and second-generation Harris-Galante acetabular components - A report of eighteen cases [J].

Della Valle, AG ;

Ruzo, PS ;

Li, S ;

Pellicci, P ;

Sculco, TP ;

Salvati, EA .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (04) :553-559

[9]

EVANS BG, 1993, ORTHOP CLIN N AM, V24, P599

[10] Late dissociation of the polyethylene liner from a modular acetabular metal shell after primary total hip arthroplasty - A report of five cases [J].

Han, CD ;

Choe, WS ;

Yoo, JH .

YONSEI MEDICAL JOURNAL, 1998, 39 (03) :277-282

← 1 2 3 →