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Metallosis in Metal-on-Metal PPF Total Hip Arthroplasties

  • Conference paper
Bioceramics and Alternative Bearings in Joint Arthroplasty

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

Abstract

Metallosis in total hip arthroplasty (THA) is a not commonly reported complication. We followed 173 consecutive patients, who had received primary, single and non-cemented proximal press fit (PFF) THA with metal-on-metal bearings made of low carbon content in 1995. Follow-up results are available for a total of 161 (93.1%) patients. The mean age of the patients was 63.3 years (31 to 76). The mean duration of follow-up was 94.5 months (range, 57 to 112). The median Harris hip score at follow-up was 95 points.

36 (20.8%) metallosis cases were observed. 18 cases because of metallosis were revised. Dislocation in metallosis cases occurred in 25%. Revisions were obtained because of 2 femur fractures (1 with metallosis) and 5 infections. The results with metal-on-metal bearings were not satisfactory. Toxic metal concentrations in joint effusions were found. We do not implant or recommend metal-on-metal bearings in total hip arthroplasty anymore.

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Author information

Authors and Affiliations

  1. Orthopaedic Clinic, Hospital Wiener Neustadt, Corvinusring 3-5, 2700, Wiener Neustadt, Austria

    Robert Legenstein M.D.

Authors
  1. Robert Legenstein M.D.
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  2. W. Huber
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  3. P. Boesch
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Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery Hangang Sacred Heart Hospital, Hallym University College of Medicine, Youngdungpo-dong 2-ga, Youngdungpo-gu, 150-719, Seoul, Korea

    Jun-Dong Chang M.D.

  2. Medical Products Division, CeramTec AG, Fabrikstrasse 23-29, 73207, Plochingen, Germany

    Karl Billau

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© 2007 Steinkopff Verlag

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Legenstein, R., Huber, W., Boesch, P. (2007). Metallosis in Metal-on-Metal PPF Total Hip Arthroplasties. In: Chang, JD., Billau, K. (eds) Bioceramics and Alternative Bearings in Joint Arthroplasty. Ceramics in Orthopaedics. Steinkopff. https://doi.org/10.1007/978-3-7985-1783-7_27

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  • DOI: https://doi.org/10.1007/978-3-7985-1783-7_27

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1782-0

  • Online ISBN: 978-3-7985-1783-7

  • eBook Packages: MedicineMedicine (R0)

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