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Introduction Large-head metal-on-metal (MoM) bearings were re-popularised in the late 1990s with the introduction of modern hip resurfacing (HR), followed shortly afterward by large metal head total hip arthroplasty (THA). The introduction of
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dissatisfaction, and litigation ( 4 ). Hip resurfacing arthroplasty (HRA) is an attractive alternative to standard stemmed THA. HRA are metal-on-metal (MoM) articulations, and various in vitro assessments have confirmed a low wear rate with the use of MoM
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.5% for THA performed. 6 While THA is a successful procedure in most cases, failures are still recorded. Overall, excluding metal-on-metal (MoM) bearings from the analysis, failures due to articulating materials represent around 5% of the total
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neutralise the formation of free radicals responsible for oxidation. 22 Vitamin E can be incorporated either by diffusion, or by blending it into PE before the moulding process. Metal-on-metal bearings With a first implantation in 1938 by Wiles
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CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Instituto de Biomedicina (IBIOMED). Universidad de León, León, Spain
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Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
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Introduction Metal-on-metal (MoM) bearings have been used since the early years of total hip replacement (THR). Early historical MoM prostheses from the 1960s, 1970s and 1980s include the McKee Farrar hip and the Ring hip prostheses. 1
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a promising survivorship ( 1 ). CoCr alloys have been widely used in metal-on-metal (MoM) hip replacements, femoral component of total knee replacements (TKR) as well as in the ball portion of shoulder replacements. For example, in mid-2000s
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situation – Metal-on-metal bearings Since dislocation was one of the most frequent revision reasons, larger heads were used more frequently, starting around 2004, to reduce the dislocation risk. 6 Since larger heads generate more wear against
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School of Health Professions Education (SHE), Maastricht University, Maastricht, the Netherlands
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School of Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
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cobalt concentrations are often seen after implantation of metal-on-metal (MoM) hip bearings ( 7 ). This can be due to the release of ions from the metal (cobalt–chromium) surface either directly (corrosion) or during sliding under load, which may create
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those classified according to fixation technique as cemented, uncemented, and hybrids (uncemented cup/cemented stem). Focus on metal-on-metal hip devices Johanson et al (2010) compared 1638 hip resurfacing arthroplasties in Sweden, Norway and
Region Västra Götaland, Sahlgrenska University Hospital, Department of Orthopaedics, Gothenburg, Sweden
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Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
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Region Västra Götaland, Sahlgrenska University Hospital, Department of Orthopaedics, Gothenburg, Sweden
The Swedish Hip Arthroplasty Register, Gothenburg, Sweden
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standard in many countries. 4 Introduction of metal-on-metal articulations, ceramic-on-ceramic and, above all later on, highly cross-linked polyethylene opened the possibility for the use of bigger head sizes, but recent studies have suggested limited