Pseudotumors in Small-Head Metal-on-Metal Total Hip Arthroplasties at a Minimum Follow-Up of 20 Years

نویسندگان

چکیده

BackgroundMetal-on-metal (MOM) surfaces in total hip arthroplasty (THA) have been used widely. Serum cobalt and chromium levels the standard investigation for follow-up examinations, but magnetic resonance imaging (MRI) with metal artifact reducing sequences has shown good results detecting pseudotumors. The aim of this study is to survey a significant correlation among MRI findings, serum levels, clinical scores patients small-head MOM implants if are sufficient pseudotumors long-term follow-up.MethodsAt minimum 20 years, 26 (29 THAs) original 98 (105 included between November 1992 May 1994 were available examination. Clinical scores, ion MRIs obtained.ResultsWe found mean 1.87 μg/L (±3.44) 2.23 (±2.96) very functional (mean Harris Hip Score 88.6) follow-up. Pseudotumors detected 21 hips. There no differences or without regarding outcome demographic data, cup inclination. cumulative rate survival was still at 91.4% 22.8 years.ConclusionThis presents first published data on hips, comparing pseudotumors, clinical, radiological period more than years reveals that not significantly higher pseudotumors.Level EvidenceTherapeutic Level III

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ژورنال

عنوان ژورنال: Journal of Arthroplasty

سال: 2021

ISSN: ['1532-8406', '0883-5403']

DOI: https://doi.org/10.1016/j.arth.2021.03.022