Research progress on the revision of Metal-on-Metal hip arthroplasty due to adverse reactions to metal debris.
10.12200/j.issn.1003-0034.2022.01.019
- Author:
Xin WANG
1
;
Mei-Ping YANG
1
;
Hong-Liang LIU
1
;
Ze-Xin HUANG
1
;
Shu-Chai XU
1
Author Information
1. Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510105, Guangdong, China.
- Publication Type:Journal Article
- Keywords:
Arthroplasty, replacement, hip;
Reoperation;
Review
- MeSH:
Arthroplasty, Replacement, Hip/adverse effects*;
Hip Prosthesis/adverse effects*;
Humans;
Metal-on-Metal Joint Prostheses/adverse effects*;
Prosthesis Design;
Prosthesis Failure;
Reoperation
- From:
China Journal of Orthopaedics and Traumatology
2022;35(1):95-98
- CountryChina
- Language:Chinese
-
Abstract:
The choice of friction interface has always been a controversial topic in hip arthroplasty. Although the metal-on-metal (MoM) interface has gradually faded out of our vision, its revision is a clinical difficulty. Adverse reactions to metal debris (ARMD) is the most common indication for MoM hip arthroplasty revision, and the clinical results of hip arthroplasty due to ARMD are not satisfactory. At present, the indications and suggestions for revision of ARMD are not uniform. In this article, the clinical diagnosis, indications of revision, risk factors of prognosis, intraoperative suggestions and reasons for revision of ARMD were summarized. This article briefly introduces the diagnosis and treatment strategies and precautions of hip arthroplasty due to ARMD, in order to provide reference for such patients in clinical practice.