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Revision in Metal-on-Metal Total Hip Arthroplasty: Current Knowledge

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European Instructional Lectures

Part of the book series: European Instructional Lectures ((EICL,volume 15))

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Abstract

Metal-on-metal (MoM) pairings have been widely used for conventional total hip arthroplasty and hip resurfacing. If local or systemic adverse effects of MoM implants develop, revision may be indicated. Depending on the type of implant as well as the failure mechanism and the observed tissue reactions around the prosthesis, revision surgery of MoM devices may be challenging. The aim of this paper is therefore to discuss reasons for and outcome of revision, to present a standardized diagnostic algorithm for decision making, and to address technical issues of revision procedures.

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Abbreviations

ARMD:

Adverse reaction to metal debris

HR:

Hip resurfacing

MoM:

Metal-on-metal

THA:

Total hip arthroplasty

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Authors and Affiliations

  1. University Centre for Orthopedics and Trauma Surgery, University Clinic Carl Gustav Carus at Technische Universität Dreaden, Fetscherstrasse 74, Building 29, Dresden, D-01307, Germany

    Maik Stiehler & Klaus-Peter Günther

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  1. Maik Stiehler
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  2. Klaus-Peter Günther
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Correspondence to Maik Stiehler .

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  1. Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, United Kingdom

    George Bentley

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Stiehler, M., Günther, KP. (2015). Revision in Metal-on-Metal Total Hip Arthroplasty: Current Knowledge. In: Bentley, G. (eds) European Instructional Lectures. European Instructional Lectures, vol 15. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46287-4_12

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  • DOI: https://doi.org/10.1007/978-3-662-46287-4_12

  • Publisher Name: Springer, Berlin, Heidelberg

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