title: Long-term clinical, radiological and histopathological follow-up of a well-fixed Mckee-Farrar metal-on-metal total hip arthroplasty.
abstract: Metal-on-metal is one potential bearing option for total hip arthroplasty (THA). Proponents of the bearing have suggested that if the tribology is optimal, volumetric wear may occur at levels at least one order of magnitude lower than metal-on-polyethylene bearings. We present a unique postmortem case of a well fixed, metal-on-metal, McKee-Farrar total hip arthroplasty implanted 30 years previously that was clinically asymptomatic in life. Clinical and radiological examination is supplemented by tribological examination of the bearing and histopathological examination of the cement-bone interface.
authors.affiliation: Department of Orthopaedic Surgery, Upstate Medical University, Syracuse, NY 13202, USA.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Clarke
authors.forename: Clare
authors.initials: C
authors.lastname: Darrah
authors.forename: Todd
authors.initials: T
authors.lastname: Stewart
authors.forename: Eileen
authors.initials: E
authors.lastname: Ingham
authors.forename: John
authors.initials: J
authors.lastname: Fisher
authors.forename: John F
authors.initials: JF
authors.lastname: Nolan
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design