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Background: Wear cannot be completely prevented after total hip arthroplasty. If severe polyethylene (PE) liner wear develops, the so-called catastrophic failure occurs and metallosis develops. We postulated that longevity of the new implant may be affected after revision surgery for metallosis following a catastrophic failure of a PE liner due to the substantial amount of PE wear particles and infiltration of the metal particles in this catastrophic condition.
Methods: Twenty-three hips of 23 patients were identified because they showed metallosis during revision total hip arthroplasties performed in Seoul National University Hospital between January 1996 and August 2004. They were followed for at least 6.5 years after the index revision total hip arthroplasty. The clinical and radiological results of revision total hip arthroplasties in these patients were evaluated.
Results: The median Harris hip score increased from 60 points before revision total hip arthroplasties to 90 points at the final follow-up. Osteolysis was detected at an average of 9.3 years after revision total hip arthroplasties in 13 hips and acetabular cup loosening at average 9.8 years after revision total hip arthroplasties in 9 hips. With radiographic evidence of osteolysis and loosening as the end points, the 15-year survival rates were 28.2% and 56.0%, respectively.
Conclusions: The survival rate of revision total hip arthroplasty in patients with metallosis following a catastrophic failure of a PE liner was low.| 번호 | 참고문헌 | 국회도서관 소장유무 |
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| 1 | Cementless total hip arthroplasty for patients with crowe type III or IV developmental dysplasia of the hip : two-stage total hip arthroplasty following skeletal traction after soft tissue release for irreducible hips | 소장 |
| 2 | Reasons for Revision Hip Surgery: A Retrospective Review ![]() |
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| 3 | Alumina-debris-induced osteolysis in contemporary alumina-on-alumina total hip arthroplasty. A case report. ![]() |
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| 4 | Treatment of Periprosthetic Femoral Fractures in Hip Arthroplasty | 소장 |
| 5 | Long‐term evaluation of a compliant cushion form acetabular bearing for hip joint replacement: A 20 million cycles wear simulation ![]() |
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| 6 | Wear in alumina-on-alumina ceramic total hip replacements: a retrieval analysis of edge loading. ![]() |
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| 7 | Revision total hip arthroplasty in hip joints with metallosis: a single-center experience with 31 cases. ![]() |
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| 8 | The relationship between the presence of metallosis and massive infection in metal-on-metal hip replacements. ![]() |
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| 9 | The Natural History of Metallosis From Catastrophic Failure of a Polyethylene Liner in a Total Hip ![]() |
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| 10 | Inflammatory responses to orthopaedic biomaterials in the murine air pouch ![]() |
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| 11 | [Surgical therapy of osteolysis around stable cementless hip arthroplasty]. ![]() |
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| 12 | The bubble signA new radiographic sign in total hip arthroplasty ![]() |
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| 13 | Classification of femoral abnormalities in total hip arthroplasty. ![]() |
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| 14 | Classification and management of acetabular abnormalities in total hip arthroplasty. ![]() |
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| 15 | Osteolysis after Charnley primary low-friction arthroplasty. A comparison of two matched paired groups. ![]() |
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| 16 | Endosteal erosion in association with stable uncemented femoral components. ![]() |
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| 17 | Traumatic Arthritis of the Hip after Dislocation and Acetabular Fractures ![]() |
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| 18 | Primary total hip reconstruction with a titanium fiber-coated prosthesis inserted without cement. ![]() |
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| 19 | Long-term results of cemented total hip arthroplasty in patients younger than 30 years and the outcome of subsequent revisions. ![]() |
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| 20 | Revision Total Hip Arthroplasty Using an Alumina-On-Alumina Bearing Surface in Patients With Osteolysis ![]() |
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| 21 | PMMA particles and pressure—a study of the osteolytic properties of two agents proposed to cause prosthetic loosening ![]() |
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| 22 | Campbell P, Shimmin A, Walter L, Solomon M. Metal sensitivity as a cause of groin pain in metal-on-metal hip resurfacing. J Arthroplasty. 2008;23(7):1080-5. | 미소장 |
| 23 | The Correlation of Wear with Histological Features After Failed Hip Resurfacing Arthroplasty ![]() |
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| 24 | Dose-dependent cytotoxicity of clinically relevant cobalt nanoparticles and ions on macrophages in vitro. ![]() |
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| 25 | Pandit H, Glyn-Jones S, McLardy-Smith P, et al. Pseudotumours associated with metal-on-metal hip resurfacings. J Bone Joint Surg Br. 2008;90(7):847-51. | 미소장 |
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