title: The Metasul metal-on-metal articulation in primary total hip replacement: clinical and radiological results at ten years.
abstract: We report the clinical and radiological outcome at ten years of 104 primary total hip replacements (100 patients) using the Metasul metal-on-metal bearing. Of these, 52 had a cemented Stuehmer-Weber polyethylene acetabular component with a Metasul bearing and 52 had an uncemented Allofit acetabular component with a Metasul liner. A total of 15 patients (16 hips) died before their follow-up at ten years and three were lost to follow-up. The study group therefore comprised 82 patients (85 hips). The mean Oxford score at ten years was 20.7 (12 to 42). Six of 85 hips required revision surgery. One was performed because of infection, one for aseptic loosening of the acetabular component and four because of unexplained pain. Histological examination showed an aseptic lymphocytic vasculitis associated lesion-type tissue response in two of these. Continued follow-up is advocated in order to monitor the long-term performance of the Metasul bearing and tissue responses to metal debris.
authors.affiliation: Research and Education, South West London Elective Orthopaedic Centre, Dorking Road, Epsom, Surrey KT18 7EG, UK. vasanth22@yahoo.com
authors.forename: V
authors.initials: V
authors.lastname: Eswaramoorthy
authors.forename: P
authors.initials: P
authors.lastname: Moonot
authors.forename: Y
authors.initials: Y
authors.lastname: Kalairajah
authors.forename: L C
authors.initials: LC
authors.lastname: Biant
authors.forename: R E
authors.initials: RE
authors.lastname: Field
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D019544:Equipment Failure Analysis; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006622:Hip Prosthesis / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011095:Polyethylenes; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation / Q000706:statistics & numerical data; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D011095:Polyethylenes