title: Assessment of Patients with a DePuy ASR Metal-on-Metal Hip Replacement: Results of Applying the Guidelines of the Spanish Society of Hip Surgery in a Tertiary Referral Hospital.
abstract: The prognosis associated with the DePuy ASR hip cup is poor and varies according to the series. This implant was withdrawn from use in 2010 and all patients needed to be assessed. We present the results of the assessment of our patients treated with this device, according to the Spanish Society of Hip Surgery (SECCA) algorithm published in 2011. This retrospective study evaluates 83 consecutive ASR cups, followed up at a mean of 2.9 years. Serum levels of chromium and cobalt, as well as the acetabular abduction angle, were determined in order to assess their possible correlation with failure, defined as the need for revision surgery. The mean Harris Hip Score was 83.2 (range 42-97). Eight arthroplasties (13.3%) required revision due to persistent pain and/or elevated serum levels of chromium/cobalt. All the cups had a correct abduction angle, and there was no correlation between elevated serum levels of metal ions and implant failure. Since two previous ASR implants were exchanged previously to the recall, the revision rate for ASR cups in our centre is 18.2% at 2.9 years.
authors.affiliation: Hip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, Spain.
authors.forename: Jenaro
authors.initials: J
authors.lastname: Fernández-Valencia
authors.affiliation: Hip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, Spain.
authors.forename: Xavier
authors.initials: X
authors.lastname: Gallart
authors.affiliation: Hip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, Spain.
authors.forename: Guillem
authors.initials: G
authors.lastname: Bori
authors.affiliation: Hip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, Spain.
authors.forename: Sebastián Garcia
authors.initials: SG
authors.lastname: Ramiro
authors.affiliation: Hip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, Spain.
authors.forename: Andrés
authors.initials: A
authors.lastname: Combalía
authors.affiliation: Hip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, Spain.
authors.forename: Josep
authors.initials: J
authors.lastname: Riba