The clinical performance of metal-on-metal as an articulation surface in total hip replacement. Export

@article{citeulike:6112363, abstract = {The metal-on-metal articulations in total hip arthroplasty (THA) were widely used between 1960 and 1975. The McKee-Farrar and other first-generation prostheses failed at a high rate because impingement caused early component loosening. The problem of early component loosening was corrected by improved component design and better manufacturing quality. Second-generation metal-on-metal total hip replacements have experienced short and medium-term success as assessed by Harris Hip Scores and patient self-assessment. The combined annual linear wear of the metal-on-metal femoral head and acetabular insert is less than 10 mm and osteolysis has only rarely been observed in association with well-fixed metal-on-metal total hip replacements. Hypersensitivity is not a common cause of loosening with second-generation hip replacements and remains to be proven as a definitive diagnosis in unusual cases of unexplained pain. More than 40 years of use has demonstrated no increase in the incidence of renal failure or cancer in patients with metal-on-metal total hip replacements. The scientific evidence of the results using the metal-on-metal articulations would recommend its continued use in any patient who does not have compromised renal function.}, author = {Long, William T.}, citeulike-article-id = {6112363}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/16089065}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=16089065}, issn = {1541-5457}, journal = {The Iowa orthopaedic journal}, keywords = {metmet-outcome}, pages = {10--16}, posted-at = {2009-11-14 23:32:10}, priority = {2}, title = {The clinical performance of metal-on-metal as an articulation surface in total hip replacement.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/16089065}, volume = {25}, year = {2005} }

TY - JOUR ID - citeulike:6112363 L3 - citeulike-article-id:6112363 N2 - The metal-on-metal articulations in total hip arthroplasty (THA) were widely used between 1960 and 1975. The McKee-Farrar and other first-generation prostheses failed at a high rate because impingement caused early component loosening. The problem of early component loosening was corrected by improved component design and better manufacturing quality. Second-generation metal-on-metal total hip replacements have experienced short and medium-term success as assessed by Harris Hip Scores and patient self-assessment. The combined annual linear wear of the metal-on-metal femoral head and acetabular insert is less than 10 mm and osteolysis has only rarely been observed in association with well-fixed metal-on-metal total hip replacements. Hypersensitivity is not a common cause of loosening with second-generation hip replacements and remains to be proven as a definitive diagnosis in unusual cases of unexplained pain. More than 40 years of use has demonstrated no increase in the incidence of renal failure or cancer in patients with metal-on-metal total hip replacements. The scientific evidence of the results using the metal-on-metal articulations would recommend its continued use in any patient who does not have compromised renal function. JF - The Iowa orthopaedic journal SN - 1541-5457 EP - 16 TI - The clinical performance of metal-on-metal as an articulation surface in total hip replacement. VL - 25 SP - 10 KW - metmet-outcome AU - Long, William PY - 2005/// UR - http://view.ncbi.nlm.nih.gov/pubmed/16089065 ER -