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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.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
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Achilles Tendinosis : Treatment Options Roberto Gabriel L. Lopez, Hong-Geun Jung pp.1-7
The Targon FN System for the Management of Intracapsular Neck of Femur Fractures: Minimum 2-Year Experience and Outcome in an Independent Hospital Donald Osarumwense, Elizabeth Tissingh, Kakra Wartenberg, Saurabh Aggarwal, Fikry Ismail, Sam Orakwe, Farid Khan pp.22-28
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Comorbidity is Independently Associated with Poor Outcome in Extremity Soft Tissue Sarcoma Seungcheol Kang, Han-Soo Kim, Wanlim Kim, Jun Ho Kim, So Hyun Kang, Ilkyu Han pp.120-130
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참고문헌 (25건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
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 네이버 미소장
3 Alumina-debris-induced osteolysis in contemporary alumina-on-alumina total hip arthroplasty. A case report. 네이버 미소장
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 네이버 미소장
6 Wear in alumina-on-alumina ceramic total hip replacements: a retrieval analysis of edge loading. 네이버 미소장
7 Revision total hip arthroplasty in hip joints with metallosis: a single-center experience with 31 cases. 네이버 미소장
8 The relationship between the presence of metallosis and massive infection in metal-on-metal hip replacements. 네이버 미소장
9 The Natural History of Metallosis From Catastrophic Failure of a Polyethylene Liner in a Total Hip 네이버 미소장
10 Inflammatory responses to orthopaedic biomaterials in the murine air pouch 네이버 미소장
11 [Surgical therapy of osteolysis around stable cementless hip arthroplasty]. 네이버 미소장
12 The bubble signA new radiographic sign in total hip arthroplasty 네이버 미소장
13 Classification of femoral abnormalities in total hip arthroplasty. 네이버 미소장
14 Classification and management of acetabular abnormalities in total hip arthroplasty. 네이버 미소장
15 Osteolysis after Charnley primary low-friction arthroplasty. A comparison of two matched paired groups. 네이버 미소장
16 Endosteal erosion in association with stable uncemented femoral components. 네이버 미소장
17 Traumatic Arthritis of the Hip after Dislocation and Acetabular Fractures 네이버 미소장
18 Primary total hip reconstruction with a titanium fiber-coated prosthesis inserted without cement. 네이버 미소장
19 Long-term results of cemented total hip arthroplasty in patients younger than 30 years and the outcome of subsequent revisions. 네이버 미소장
20 Revision Total Hip Arthroplasty Using an Alumina-On-Alumina Bearing Surface in Patients With Osteolysis 네이버 미소장
21 PMMA particles and pressure—a study of the osteolytic properties of two agents proposed to cause prosthetic loosening 네이버 미소장
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 네이버 미소장
24 Dose-dependent cytotoxicity of clinically relevant cobalt nanoparticles and ions on macrophages in vitro. 네이버 미소장
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