Can a safe level for metal ions in patients with metal-on-metal total hip arthroplasties be determined?

被引:86
作者
MacDonald, SJ
机构
[1] London Hlth Sci Ctr, London, ON N6A 5A5, Canada
[2] Univ Western Ontario, Div Orthopaed Surg, London, ON N6A 5A5, Canada
关键词
hip arthroplasty; metal ions; cobalt; chromium;
D O I
10.1016/j.arth.2004.09.008
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 single most significant obstacle preventing a broader application of metal-on-metal hip arthroplasties continues to be the concerns regarding elevated metal ion levels in the blood and urine of patients with this bearing. A safe level for metal ions has yet to be defined for patients with metal-on-metal hip arthroplasties. A review of occupational exposure data gives some insight; however, longitudinal Studies of large numbers of patients with metal-on-metal implants will ultimately be required to answer specific clinical concerns. Key words: hip arthroplasty, metal ions, cobalt, chromium.. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:71 / 77
页数:7
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