Metal-on-Metal Hip Arthroplasty: A Review of Adverse Reactions and Patient Management

Journal of Functional Biomaterials

James Drummond¹  Phong Tran²  Camdon Fary² 

[1] Melbourne Medical School, University of Melbourne, Melbourne, Victoria 3052, Australia;Department of Orthopaedics, Western Health, Melbourne, Victoria 3011, Australia; E-Mails:

关键词: metal-on-metal;    hip arthroplasty;    hip replacement;    hip resurfacing;    adverse reactions;    patient management;    pseudotumour;    aseptic lymphocyte-dominated vasculitis-associated lesion (ALVAL);    revision surgery;   

DOI  :  10.3390/jfb6030486

来源: mdpi

【 摘 要 】

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.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.