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Understanding why metal-on-metal hip arthroplasties fail: a comparison between patients with well-functioning and revised birmingham hip resurfacing arthroplasties. AAOS exhibit selection.

Hart, AJ; Matthies, A; Henckel, J; Ilo, K; Skinner, J; Noble, PC; (2012) Understanding why metal-on-metal hip arthroplasties fail: a comparison between patients with well-functioning and revised birmingham hip resurfacing arthroplasties. AAOS exhibit selection. J Bone Joint Surg Am , 94 (4) , Article e22. 10.2106/JBJS.K.01266. Green open access

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Abstract

A large proportion of metal-on-metal hip arthroplasty failures are due to unexplained pain. The mechanism of failure has been thought to be associated with factors that increase material loss, including specific design features and surgical positioning of components. However, recent evidence suggests that there is not a simple dose-response relationship. An analysis of failed metal-on-metal hip arthroplasties involving a single design was performed in an attempt to help resolve this issue. Our aim was to identify the clinical and component variables associated with failure of metal-on-metal hip arthroplasties, particularly in patients undergoing revision arthroplasty because of unexplained hip pain, and to clarify the role of material loss.

Type: Article
Title: Understanding why metal-on-metal hip arthroplasties fail: a comparison between patients with well-functioning and revised birmingham hip resurfacing arthroplasties. AAOS exhibit selection.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.2106/JBJS.K.01266
Publisher version: http://dx.doi.org/10.2106/JBJS.K.01266
Language: English
Additional information: Copyright © 2013. All Rights Reserved. The Journal of Bone and Joint Surgery, Inc. STRIATUS Orthopaedic Communications
Keywords: Adolescent, Adult, Aged, Chromium, Cobalt, Female, Hip Prosthesis, Humans, Male, Middle Aged, Pain, Prosthesis Design, Prosthesis Failure, Reoperation, Retrospective Studies, Young Adult
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Ortho and MSK Science
URI: https://discovery.ucl.ac.uk/id/eprint/1353521
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