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current system for medical device regulation in Europe. The early failure and other adverse effects associated with certain metal-on-metal (MoM) hip implants were identified as an important weakness of the medical device regulatory system which needed to
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. Schouten R Malone AA Frampton CM Tiffen C Hooper G . Five-year follow-up of a prospective randomised trial comparing ceramic-on-metal and metal-on-metal bearing surfaces in total hip arthroplasty . Bone Joint J 2017
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Introduction Appropriate component orientation is important for success following hip arthroplasty ( 1 ). The significance of appropriate acetabular component (cup) orientation was further highlighted with the use of the third-generation metal-on-metal
Department of Clinical Medicine, Faculty of Health & Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Department of Orthopaedic and Trauma Surgery, Ludwig Maximilians University Munich, Musculoskeletal University Center Munich (MUM), Campus Grosshadern, Munich, Germany
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Technical University Delft, Delft, the Netherlands
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Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK
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large-diameter head metal-on-metal hip arthroplasty technology based on the hope of a better outcome. This turned out to be a catastrophe for many patients and is an example of enthusiastic dissemination of available new products with insufficient
Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece
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Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece
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Department of Trauma and Orthopaedics, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
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Centre of Orthopaedic and Regenerative Medicine (CORE), Center for Interdisciplinary Research and Innovation (CIRI)-Aristotle University of Thessaloniki (AUTH), Balkan Center, Thessaloniki, Greece
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/not known; MoM, metal-on-metal; RH, reverse hybrid; U, uncemented. Overall revision rate Eleven studies reported the revision rate for any reason ( 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 40 , 41 ), whereas one studied only the
Centre for Hip Surgery, Wrightington Hospital, UK
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Head of Health Registries, Northgate Public Services, Peoplebuilding 2, Hemel Hempstead, Hertfordshire, England
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Royal Derby Hospital, Derby, UK
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West Suffolk NHS Foundation Trust, UK
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University of Sheffield, Sheffield, UK
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procedures over the lifetime of the NJR. Primary uncemented hip procedures over the lifetime of the NJR. Primary hybrid hip procedures over the lifetime of the NJR. Primary metal-on-metal hip replacements over the lifetime of the NJR
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Meyer H et al. Particle characterisation and cytokine expression in failed small-diameter metal-on-metal total hip arthroplasties . Bone Joint J 2015 ; 97-B : 917 – 923 . 12. Wang Z Liu N Shi T et al
Department of Biomedical Data Sciences, Medical Decision Making, Leiden University Medical Centre, Leiden, The Netherlands
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many patients from unnecessary suffering was the metal-on-metal hip arthroplasty disaster, in which 20% of patients had to undergo a revision within 10 years, compared with 4% in metal-on-polyethylene arthroplasties ( 54 , 55 ). The Australian
South West London Elective Orthopaedic Centre, UK
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. 37. Mellon SJ Grammatopoulos G Andersen MS . Optimal acetabular component orientation estimated using edge-loading and impingement risk in patients with metal-on-metal hip resurfacing arthroplasty . J Biomech 2015
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Levine BR Sporer SM Paprosky WG Jacobs JJ & Della Valle CJ . Do serologic and synovial tests help diagnose infection in revision hip arthroplasty with metal-on-metal bearings or corrosion? In Clinical Orthopaedics and Related Research 2015