Five- to ten-year outcomes for modular metal-on-metal total hip arthroplasty

Thomas L. Bernasek, John A. Polikandriotis, Melissa F. Levering, David Dalury, David A. Fisher, Michael J. Adler

Research output: Contribution to journalArticle

Abstract

In recent years, metal-on-metal (MOM) arthroplasty has come under fire with reported adverse outcomes of metal hypersensitivity, adverse local tissue reaction (ALTR), and the carcinogenicity concern from systemic metal ions. We present a retrospective analysis of 354 primary total hip arthroplasties from 2 independent centers. Revision data, predicted survival and Harris Hip Scores (HHS) are reported. Nine hips (2.5%) underwent component revision, and 9. year predicted survival was 95.8%. One revision had elevated metal ions but no histological evidence of ALTR. Average HHS at a minimum 5. year follow up (range 5-10. years) improved significantly from 52 pre-operatively to 93 post-operatively. While a 2.5% revision rate and improved clinical outcomes are reported in this study, longer term follow-up is warranted to monitor for late complications.

Original languageEnglish (US)
Pages (from-to)1231-1234
Number of pages4
JournalJournal of Arthroplasty
Volume28
Issue number7
DOIs
StatePublished - Aug 1 2013
Externally publishedYes

Fingerprint

Arthroplasty
Hip
Metals
Ions
Hypersensitivity

Keywords

  • Metal-on-metal
  • Modular
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Bernasek, T. L., Polikandriotis, J. A., Levering, M. F., Dalury, D., Fisher, D. A., & Adler, M. J. (2013). Five- to ten-year outcomes for modular metal-on-metal total hip arthroplasty. Journal of Arthroplasty, 28(7), 1231-1234. https://doi.org/10.1016/j.arth.2013.03.012

Five- to ten-year outcomes for modular metal-on-metal total hip arthroplasty. / Bernasek, Thomas L.; Polikandriotis, John A.; Levering, Melissa F.; Dalury, David; Fisher, David A.; Adler, Michael J.

In: Journal of Arthroplasty, Vol. 28, No. 7, 01.08.2013, p. 1231-1234.

Research output: Contribution to journalArticle

Bernasek, TL, Polikandriotis, JA, Levering, MF, Dalury, D, Fisher, DA & Adler, MJ 2013, 'Five- to ten-year outcomes for modular metal-on-metal total hip arthroplasty', Journal of Arthroplasty, vol. 28, no. 7, pp. 1231-1234. https://doi.org/10.1016/j.arth.2013.03.012
Bernasek TL, Polikandriotis JA, Levering MF, Dalury D, Fisher DA, Adler MJ. Five- to ten-year outcomes for modular metal-on-metal total hip arthroplasty. Journal of Arthroplasty. 2013 Aug 1;28(7):1231-1234. https://doi.org/10.1016/j.arth.2013.03.012
Bernasek, Thomas L. ; Polikandriotis, John A. ; Levering, Melissa F. ; Dalury, David ; Fisher, David A. ; Adler, Michael J. / Five- to ten-year outcomes for modular metal-on-metal total hip arthroplasty. In: Journal of Arthroplasty. 2013 ; Vol. 28, No. 7. pp. 1231-1234.
@article{b41f704b1dd74147b0db4eedf8e8af57,
title = "Five- to ten-year outcomes for modular metal-on-metal total hip arthroplasty",
abstract = "In recent years, metal-on-metal (MOM) arthroplasty has come under fire with reported adverse outcomes of metal hypersensitivity, adverse local tissue reaction (ALTR), and the carcinogenicity concern from systemic metal ions. We present a retrospective analysis of 354 primary total hip arthroplasties from 2 independent centers. Revision data, predicted survival and Harris Hip Scores (HHS) are reported. Nine hips (2.5{\%}) underwent component revision, and 9. year predicted survival was 95.8{\%}. One revision had elevated metal ions but no histological evidence of ALTR. Average HHS at a minimum 5. year follow up (range 5-10. years) improved significantly from 52 pre-operatively to 93 post-operatively. While a 2.5{\%} revision rate and improved clinical outcomes are reported in this study, longer term follow-up is warranted to monitor for late complications.",
keywords = "Metal-on-metal, Modular, Total hip arthroplasty",
author = "Bernasek, {Thomas L.} and Polikandriotis, {John A.} and Levering, {Melissa F.} and David Dalury and Fisher, {David A.} and Adler, {Michael J.}",
year = "2013",
month = "8",
day = "1",
doi = "10.1016/j.arth.2013.03.012",
language = "English (US)",
volume = "28",
pages = "1231--1234",
journal = "Journal of Arthroplasty",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "7",

}

TY - JOUR

T1 - Five- to ten-year outcomes for modular metal-on-metal total hip arthroplasty

AU - Bernasek, Thomas L.

AU - Polikandriotis, John A.

AU - Levering, Melissa F.

AU - Dalury, David

AU - Fisher, David A.

AU - Adler, Michael J.

PY - 2013/8/1

Y1 - 2013/8/1

N2 - In recent years, metal-on-metal (MOM) arthroplasty has come under fire with reported adverse outcomes of metal hypersensitivity, adverse local tissue reaction (ALTR), and the carcinogenicity concern from systemic metal ions. We present a retrospective analysis of 354 primary total hip arthroplasties from 2 independent centers. Revision data, predicted survival and Harris Hip Scores (HHS) are reported. Nine hips (2.5%) underwent component revision, and 9. year predicted survival was 95.8%. One revision had elevated metal ions but no histological evidence of ALTR. Average HHS at a minimum 5. year follow up (range 5-10. years) improved significantly from 52 pre-operatively to 93 post-operatively. While a 2.5% revision rate and improved clinical outcomes are reported in this study, longer term follow-up is warranted to monitor for late complications.

AB - In recent years, metal-on-metal (MOM) arthroplasty has come under fire with reported adverse outcomes of metal hypersensitivity, adverse local tissue reaction (ALTR), and the carcinogenicity concern from systemic metal ions. We present a retrospective analysis of 354 primary total hip arthroplasties from 2 independent centers. Revision data, predicted survival and Harris Hip Scores (HHS) are reported. Nine hips (2.5%) underwent component revision, and 9. year predicted survival was 95.8%. One revision had elevated metal ions but no histological evidence of ALTR. Average HHS at a minimum 5. year follow up (range 5-10. years) improved significantly from 52 pre-operatively to 93 post-operatively. While a 2.5% revision rate and improved clinical outcomes are reported in this study, longer term follow-up is warranted to monitor for late complications.

KW - Metal-on-metal

KW - Modular

KW - Total hip arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=84880699069&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880699069&partnerID=8YFLogxK

U2 - 10.1016/j.arth.2013.03.012

DO - 10.1016/j.arth.2013.03.012

M3 - Article

C2 - 23643031

AN - SCOPUS:84880699069

VL - 28

SP - 1231

EP - 1234

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

IS - 7

ER -