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Can Metal-Metal Total Hip Arthroplasty induce Hypersensitivity reactions?

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Bioceramics and Alternative Bearings in Joint Arthroplasty

Part of the book series: Ceramics in Orthopaedics ((CIO))

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Abstract

Metal/metal articulations made from Cobalt-Chromium-Molybdenum (CoCrMo) alloys have been re-introduced more than 15 years ago. The Clinical mid term outcomes as well as the in vitro-testing results are very encouraging. Since the mid nineties of the last century lymphocytic infiltrations in the retrieval tissues around metal/metal arthroplasties have been observed. This phenomenon occurs at a low incidence around different metal systems.

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References

  1. Anthony D. C., Miller K. M., Fearn S., Townsend M. J., Opdenakker G., Wells G. M., Clements J. M., Chandler S., Gearing A. J., Perry V. H. Matrix metalloproteinase expression in an experimentally-induced DTH model of multiple sclerosis in the rat CNS. J Neuroimmunol 1998;87:62–72.

    Article  PubMed  CAS  Google Scholar 

  2. Chan F. W., Bobyn J. D., Medley J. B., Krygier J. J., Yue S., Tanzer M. Engineering issues and wear performance of metal on metal hip implants. Clin Orthop. 1999;333:96–107.

    Google Scholar 

  3. Doorn P. F., Mirra J. M., Campbell P. A., Amstutz H. C. Tissue reaction to metal on metal total hip prostheses. Clin Orthop. 1996;329S:S187–205.

    Article  Google Scholar 

  4. Doorn P. F., Campbell P. A., Worrall J., Benya P. D., McKellop H. A., Amstutz H. C. Metal wear particle characterization from metal on metal total hip replacements: transmission electron microscopy study of periprosthetic tissues and isolated particles. J Biomed Mater Res 1998 Oct;42:103–11.

    Article  PubMed  CAS  Google Scholar 

  5. Haynes D. R., Crotti T. N., Haywood M. R. Corrosion of and changes in biological effects of cobalt chrome alloy and 316L stainless steel prosthetic particles with age. J Biomed Mater Res. 2000;49:167–75.

    Article  PubMed  CAS  Google Scholar 

  6. Howie D. W., Rogers S. D., McGee M. A., Haynes D. R. Biologic effects of cobalt chrome in cell and animal models. Clin Orthop. 1996;329S: S217–32.

    Article  Google Scholar 

  7. Jacobs J. J., Urban R. M., Gilbert I. L., Skipor A. K., Black J., Jasty M., Galante J. O., Local und distant products from modularity. Clin Orthop 1995;319:94–105

    PubMed  Google Scholar 

  8. Lohmann C. H., Buchhorn G. H., Flury R., Koester G., Willert H. G.. Metal/Metal bearings and hypersensitivity in artificial hip joints. Proc Annual Meeting EORS 2003, Helsinki, Finland

    Google Scholar 

  9. Rieker C. B., Köttig P., Schön R., Windler M., Wyss U. P. Clinical wear performance of metal-on-metal hip arthroplasties. In: Jacobs J.J., Craig T. L. (eds.) Alternative Bearng Surfaces in Total Joint Replacement. ASTM STP 1346, pp 144–56, 1998.

    Google Scholar 

  10. Rieker C. B., Weber H., Schön R., Windler M., Wyss U.P. Development of the Metasul articulation, In: Metasul — A Metal-on-Metal Bearing. Rieker C., Windler M., Wyss U. (eds.) pp 15–22, H.Huber Bern 1999.

    Google Scholar 

  11. Semlitsch M., Streicher R. M., Weber H. VerschleißBverhalten von Pfannen und Kugeln aus CoCrMo — GußBlegierung bei langzeitig implantierten Ganzmetall-Hüftprothesen. Orthopäde. 1989;18:377–81.

    CAS  Google Scholar 

  12. Semlitsch M., Willert H. G. Clinical wear behavior of UHMW polyethylene cups paired with metal and ceramic ball heads in comparison to metal-on-metal pairings of hip joint replacements. Acta Chir Orthop Traumatol Cechosl; 1996;63:68–82.

    Google Scholar 

  13. Streicher R. M., Semlitsch M., Schön R., Weber H. Metal-on-metal articulation for artificial hip joints: Laboratory study and clinical results. Proc Inst Mech Eng [H]; 1996; 210:223–32.

    CAS  Google Scholar 

  14. Streicher R. M., Schön R., Semlitsch M. Untersuchung des tribologischen Verhaltens von Metall/Metall — Kombinationen für künstliche Hüftgelenke. Biomed Technik. 1990;35:107–11.

    Article  CAS  Google Scholar 

  15. Streicher R. M. Metal-on-metal articulation in total hip arthroplasty: the case for using metal-on-metal. J Arthroplasty 1998;13:343–5; discussion 345-6.

    Article  PubMed  CAS  Google Scholar 

  16. Weber B. G. Metall-Metall-Totalprothese des Hüftgelenkes: Zurück in die Zukunft. Z. Orthop. 1992;130:306–9.

    Article  PubMed  CAS  Google Scholar 

  17. Willert H. G., Semlitsch M. Tissue reactions to plastic and metallic wear products of joint endoprostheses. In: Gschwend N, Debrunner HU (eds.) Total Hip Endoprosthesis. Hans Huber Verlag, Bern 1976: 205–39.

    Google Scholar 

  18. Willert H. G., Semlitsch M. Reactions of the articular capsule to wear products of artificial joint prostheses. J Biomed Mater Res. 1977;11:157–64.

    Article  PubMed  CAS  Google Scholar 

  19. Willert H. G., Buchhorn G. H., Hess T. Die Bedeutung von Abrieb und Materialermüdung bei der Prothesenlockerung an der Hüfte. Orthopäde. 1989;18:350–69.

    PubMed  CAS  Google Scholar 

  20. Willert H. G., Buchhorn G. H., Göbel D., Köster G., Schaffner S., Schenk R., Semlitsch M. Wear behavior and histopathology of classic cemented metal on metal hip prostheses. Clin Orthop, 1996;329S: S160–186.

    Article  Google Scholar 

  21. Willert H. G., Buchhorn G. H. The biology of the loosening of implants. In: European Instuctional Course Lectures Vol.4. Jacob R. Fulford P. Horan F. (eds.) The British Society of Bone and Joint Surgery, London; 1999: 58–82.

    Google Scholar 

  22. Willert H. G., Bucchorn G. H., Fayazzi A., Flury R., Windler M., Koester G., Lohmann C. H.: Metal/metal bearings and hypersensitivity in artifical hip joint — a clinical and histomorphological study. J Bone Joint Surg-A, 2005;87-A), 28–36

    Article  Google Scholar 

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Lohmann, C. (2005). Can Metal-Metal Total Hip Arthroplasty induce Hypersensitivity reactions?. In: Bioceramics and Alternative Bearings in Joint Arthroplasty. Ceramics in Orthopaedics. Steinkopff. https://doi.org/10.1007/3-7985-1540-9_5

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  • DOI: https://doi.org/10.1007/3-7985-1540-9_5

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1518-5

  • Online ISBN: 978-3-7985-1540-6

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