An American experience with metal-on-metal total hip arthroplasties: a 7-year follow-up study.
This study reviews the clinical performance of 161 hip arthroplasties (154 patients) with the Metasul metal-on-metal articulation and an uncemented modular acetabular component. Between 1995 and 2002 clinical evaluation and radiographic follow-up of patients included Harris hip scores, patient self-assessment, and radiographs. Twelve operative site complications (7.5%) included 6 revision operations, (3.7%) and 3 other complications (1.9%) not needing reoperation. Six revision operations (3.7%) included 1 femoral revision for aseptic loosening (0.06%) and 5 acetabular revisions (3.1%). One cup revision was for recurrent dislocation, 1 for disassociation of the acetabular insert from the cup, 1 for infection, and 2 for unexplained pain. Histologic evidence did not support the diagnosis of metal hypersensitivity in either case of unexplained pain, and 1 had relief following spine surgery. A focal radiolucency, identified as calcar resorption, was observed in 9 patients.
Long
William T
WT
The Arthritis Institute at Centinela Hospital, Inglewood, California 90301, USA.
Dorr
Lawrence D
LD
Gendelman
Vlad
V
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008670:Metals; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation
D008670:Metals