2015
DOI: 10.4055/cios.2015.7.1.46
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The Result of Revision Total Hip Arthroplasty in Patients with Metallosis Following a Catastrophic Failure of a Polyethylene Liner

Abstract: BackgroundWear 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.MethodsTwenty-three hips of 23 patients were identif… Show more

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Cited by 12 publications
(26 citation statements)
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“…20 Recent data suggest that revision total hip arthroplasty performed because of excessive component wear may be associated with worse outcomes and decreased implant survivorship. 27 Future series with more patients and longer follow-up can elucidate whether higher degrees of wear negatively affect outcomes after revision. This investigation has several limitations.…”
Section: Discussionmentioning
confidence: 99%
“…20 Recent data suggest that revision total hip arthroplasty performed because of excessive component wear may be associated with worse outcomes and decreased implant survivorship. 27 Future series with more patients and longer follow-up can elucidate whether higher degrees of wear negatively affect outcomes after revision. This investigation has several limitations.…”
Section: Discussionmentioning
confidence: 99%
“…Other authors have also reported good outcomes for CoP bearings, albeit the results are for primary THR. [ 22 , 23 ] However, in a small series of 23 cases, Kwak et al [ 30 ] found higher re-revision rates for replacing fractured ceramic bearings with CoP bearings compared to MoP bearings. Still, in lack of sufficient data to highlight the best coupling, both CoC and CoP seem to be advisable choices for replacing fractured ceramic bearings during revision THR.…”
Section: Discussionmentioning
confidence: 99%
“…Total hip arthroplasty (THA) is an effective treatment for hip diseases [1,2]. However, it can cause various complications, such as infection, periprosthetic fracture, destructive wear, particulate debris, osteolysis, metallosis, dislocation, heterotopic ossi cation, implant loosening and failure [1][2][3][4][5][6].…”
Section: Introductionmentioning
confidence: 99%
“…Catastrophic component wear can continue to progress, generating many polyethylene (PE), ceramic and metal wear particles [6]. These wear particles are known to cause an in ammatory reaction and subsequent osteolysis, and their systemic absorption can cause clinical symptoms [3,6,9].…”
Section: Introductionmentioning
confidence: 99%
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