title: Metal-on-Metal Hip Arthroplasty: A Review of Adverse Reactions and Patient Management.
abstract: Recent alarming joint registry data highlighting increased revision rates has prompted further research into the area of metal-on-metal hip replacements and resurfacings. This review article examines the latest literature on the topic of adverse reactions to metal debris and summarises the most up-to-date guidelines on patient management. Adverse reactions to metal debris can cause significant damage to soft tissue and bone if not diagnosed early. Furthermore, not every patient with an adverse reaction to metal debris will be symptomatic. As such, clinicians must remain vigilant when assessing and investigating these patients in order to detect failing implants and initiate appropriate management.
authors.affiliation: Melbourne Medical School, University of Melbourne, Melbourne, Victoria 3052, Australia. jmdr444@gmail.com.
authors.forename: James
authors.initials: J
authors.lastname: Drummond
authors.affiliation: Department of Orthopaedics, Western Health, Melbourne, Victoria 3011, Australia. office@phongtran.com.au.
authors.forename: Phong
authors.initials: P
authors.lastname: Tran
authors.affiliation: Department of Orthopaedics, Western Health, Melbourne, Victoria 3011, Australia. camfary@gmail.com.
authors.forename: Camdon
authors.initials: C
authors.lastname: Fary
keywords: adverse reactions; aseptic lymphocyte-dominated vasculitis-associated lesion (ALVAL); hip arthroplasty; hip replacement; hip resurfacing; metal-on-metal; patient management; pseudotumour; revision surgery