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Metal-on-Metal Bearings in Hip Surgery: The London Implant Retrieval Centre Experience

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Total Hip Arthroplasty

Abstract

Modern metal-on-metal bearings for hip replacement were reintroduced approximately 15 years ago in order to provide an alternative wear resistant bearing suitable for large diameter hip resurfacing and total hip replacement. Both types of metal-on-metal hip use a thin one-piece acetabular cup for use with either a resurfacing femoral head or a stemmed modular femoral head.

There were many proposed advantages for the use of large diameter metal-on-metal hip resurfacing. This included preservation of femoral bone stock and therefore easier revision surgery in young patients that are likely to outlive their primary hip replacement (Quesada et al., J Arthroplasty 23:69–73, 2008; Haddad et al., J Bone Joint Surg Br 93:572–579, 2011). Additionally, it has been reported that the use of larger femoral diameters allows patients to retain a more normal gait pattern, increased range of motion and reduced rates of dislocation (Quesada et al., J Arthroplasty 23:69–73, 2008; Haddad et al., J Bone Joint Surg Br 93:572–579, 2011).

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Authors and Affiliations

  1. Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, HA7 4LP, UK

    John Skinner, Alister Hart & Ashley Matthies

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  1. John Skinner
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  2. Alister Hart
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  3. Ashley Matthies
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Correspondence to John Skinner .

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  1. , 2nd Orthopaedic Department, Orthopaedic Hospital Vienna-Speising, Speisinger Straße 109, Vienna, 1130, Austria

    Karl Knahr

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Skinner, J., Hart, A., Matthies, A. (2012). Metal-on-Metal Bearings in Hip Surgery: The London Implant Retrieval Centre Experience. In: Knahr, K. (eds) Total Hip Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27361-2_7

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  • DOI: https://doi.org/10.1007/978-3-642-27361-2_7

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  • Print ISBN: 978-3-642-27360-5

  • Online ISBN: 978-3-642-27361-2

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