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Bart G. Pijls
Bart G. Pijls
Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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Jennifer M. T. A. Meessen
Jennifer M. T. A. Meessen
Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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Keith Tucker
Keith Tucker
Implant Performance Committee, England and Wales National Joint Registry, ODEP, Beyond Compliance and MHRA Expert Advisory Group for MoM Prostheses, London, UK
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Susanna Stea
Susanna Stea
Istituto Ortopedico Rizzoli, Bologna, Italy
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Liza Steenbergen
Liza Steenbergen
Dutch Arthroplasty Register (Landelijke Registratie Orthopedische Implantaten, LROI), 's- Hertogenbosch, The Netherlands
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Anne Marie Fenstad
Anne Marie Fenstad
The Norwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway
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Keijo Mäkelä
Keijo Mäkelä
Department of Orthopedics and Traumatology, Turku University Hospital, Turku, Finland
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Ioan Cristian Stoica
Ioan Cristian Stoica
Foisor Orthopaedics Clinical Hospital, Bucharest, Romania
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Maxim Goncharov
Maxim Goncharov
VJRR, Russian Scientific Research Institute of Traumatology and Orthopedics, St Petersburg, Russia
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Søren Overgaard
Søren Overgaard
Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
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Jorge Arias de la Torre
Jorge Arias de la Torre
Departament de Salut, Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Instituto de Biomedicina (IBIOMED). Universidad de León, León, Spain
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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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Anne Lübbeke
Anne Lübbeke
Division of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Geneva, Switzerland
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
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Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
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Ola Rolfson
Ola Rolfson
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Rob G. H. H. Nelissen
Rob G. H. H. Nelissen
Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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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
Keijo T. Mäkelä
Keijo T. Mäkelä
Turku University Hospital and University of Turku, Finland, and the Finnish Arthroplasty Register
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Ove Furnes
Ove Furnes
Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register
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Geir Hallan
Geir Hallan
Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register
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Anne Marie Fenstad
Anne Marie Fenstad
Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register
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Ola Rolfson
Ola Rolfson
Sahlgrenska University Hospital and University of Gothenburg, Sweden, and the Swedish Hip Arthroplasty Register
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Johan Kärrholm
Johan Kärrholm
Sahlgrenska University Hospital and University of Gothenburg, Sweden, and the Swedish Hip Arthroplasty Register
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Cecilia Rogmark
Cecilia Rogmark
Department of Orthopedics, Skåne University Hospital, Department of Clinical Sciences Malmö, Lund University, and the Swedish Hip Arthroplasty Register, Sweden
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Alma Becic Pedersen
Alma Becic Pedersen
Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark, and the Danish Hip Arthroplasty Register
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Otto Robertsson
Otto Robertsson
The Swedish Knee Arthroplasty Register, Department of Orthopedics, Skåne University Hospital, and Department of Clinical Sciences, Orthopedics, Lund University, Sweden
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Annette W-Dahl
Annette W-Dahl
The Swedish Knee Arthroplasty Register, Department of Orthopedics, Skåne University Hospital, and Department of Clinical Sciences, Orthopedics, Lund University, Sweden
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Antti Eskelinen
Antti Eskelinen
Coxa Hospital for Joint Replacement, Tampere, Finland, and the Finnish Arthroplasty Register
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Henrik M. Schrøder
Henrik M. Schrøder
Department of Orthopaedic Surgery, Naestved Hospital, Denmark, and the Danish Knee Arthroplasty Register
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Ville Äärimaa
Ville Äärimaa
Turku University Hospital and University of Turku, Finland, and the Finnish Arthroplasty Register
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Jeppe V. Rasmussen
Jeppe V. Rasmussen
Department of Orthopaedic Surgery, Herlev Hospital, University of Copenhagen, Denmark, and the Danish Shoulder Arthroplasty Register
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Björn Salomonsson
Björn Salomonsson
Department of Orthopedics, Karolinska Institutet, Danderyds Sjukhus AB, Sweden, and the Swedish Shoulder Arthroplasty Register
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Randi Hole
Randi Hole
Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register
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Søren Overgaard
Søren Overgaard
Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Department of Clinical Research, University of Southern Denmark, and the Danish Hip Arthroplasty Register
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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
Ann Alriksson-Schmidt
Ann Alriksson-Schmidt
Lund University, Department of Clinical Sciences, Sweden
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Jonas Ranstam
Jonas Ranstam
Mdas AB, Sweden
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Otto Robertsson
Otto Robertsson
Lund University, Department of Clinical Sciences, Sweden
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Lars Lidgren
Lars Lidgren
Lund University, Department of Clinical Sciences, Sweden
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Introduction In the wake of the Poly Implant Prosthèse breast implant and the metal-on-metal incidents, the inherent flaws of European regulatory systems for medical products and devices have been highlighted once again. 1 In lieu of the
Giorgio Perino
Giorgio Perino
Department of Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany
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Ivan De Martino
Ivan De Martino
Division of Orthopaedics and Traumatology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
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Lingxin Zhang
Lingxin Zhang
Department of Pathology and Laboratory Medicine, Sinai Health System, Toronto, Canada
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Zhidao Xia
Zhidao Xia
Centre for Nanohealth, Swansea University Medical School, Singleton Park, Swansea, UK
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Jiri Gallo
Jiri Gallo
Department of Orthopaedics, Faculty of Medicine and Dentistry, University Hospital, Palacky University Olomouc, Czech Republic
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Shonali Natu
Shonali Natu
Department of Pathology, University Hospital of North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK
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David Langton
David Langton
Orthopaedic Department, Freeman Hospital, Newcastle upon Tyne, UK
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Monika Huber
Monika Huber
Pathologisch-bakteriologisches Institut, Otto Wagner Spital, Wien, Austria
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Anastasia Rakow
Anastasia Rakow
Department of Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany
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Janosch Schoon
Janosch Schoon
Department of Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany
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Enrique Gomez-Barrena
Enrique Gomez-Barrena
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario La Paz-IdiPAZ, Universidad Autónoma de Madrid, Madrid, Spain
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Veit Krenn
Veit Krenn
MVZ-Zentrum für Histologie, Zytologie und Molekulare Diagnostik-GmbH, Trier, Germany
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lymphocytic-dominated vasculitis associated lesion (ALVAL), 20 later expanded to adverse local tissue reactions (ALTR) 21 and adverse reactions to metal debris (ARMD) 22 associated with metal-on-metal (MoM) hip resurfacing arthroplasty (HRA) and
Richard N. de Steiger
Richard N. de Steiger
Australian Orthopaedic Association National Joint Replacement Registry, SAHMRI, Adelaide, Australia
School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Australia
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School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Australia
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Stephen E. Graves
Stephen E. Graves
School of Public Health, Faculty of Health and Medical Sciences, University of Adelaide, Australia
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. Fig. 1 Funnel plot of primary total conventional hip replacement (excluding large-head metal-on-metal, all diagnoses, revision for prosthesis dislocation within 2 years). The Australian Orthopaedic Association has recommended access of a
Christoph H. Lohmann
Christoph H. Lohmann
Department of Orthopeadic Surgery, Otto-von-Guericke University, Leipziger Str. 44,39120 Magdeburg, Germany
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Sanjiv Rampal
Sanjiv Rampal
Department of Orthopeadic Surgery, Otto-von-Guericke University, Leipziger Str. 44,39120 Magdeburg, Germany
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Martin Lohrengel
Martin Lohrengel
Department of Orthopeadic Surgery, Otto-von-Guericke University, Leipziger Str. 44,39120 Magdeburg, Germany
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Gurpal Singh
Gurpal Singh
Division of Musculoskeletal Oncology, University Orthopaedics Hand and Reconstructive Microsurgery Cluster, National University Health System, 1E Kent Ridge Road, 119228 Singapore
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loosening? According to the recommendations provided by the multidisciplinary consensus statement on the use and monitoring of metal-on-metal (MoM) bearings for THA and hip resurfacing, radiographs should be performed in all patients during follow
Andrew Carr
Andrew Carr
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
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’ surfaces, there would be a reduction in the risk of dislocation which would be particularly advantageous in younger patients. Unfortunately, this new concept and design was not rigorously tested prior to widespread adoption and use. One particular metal-on-metal
Anna Bogdanova-Bennett
Anna Bogdanova-Bennett
Academic Surgical Unit, South West London Elective Orthopaedic Centre, Epsom, UK
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Amit Sagi
Amit Sagi
Academic Surgical Unit, South West London Elective Orthopaedic Centre, Epsom, UK
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Vipin Asopa
Vipin Asopa
Academic Surgical Unit, South West London Elective Orthopaedic Centre, Epsom, UK
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Richard E. Field
Richard E. Field
Academic Surgical Unit, South West London Elective Orthopaedic Centre, Epsom, UK
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David H. Sochart
David H. Sochart
Academic Surgical Unit, South West London Elective Orthopaedic Centre, Epsom, UK
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reactions; Co, cobalt; COC, ceramic-on-ceramic; COP, ceramic-on-plastic; Cr, chromium; Fe, iron; Mn, manganese; Mo, molybdenum; MOM, metal-on-metal; MOP, metal-on-plastic; Ni, nickel; NR, not recorded; THR, total hip replacement; Ti, titanium; TJR, total
M M Morlock
M M Morlock
Institute of Biomechanics, TUHH Hamburg University of Technology, Hamburg, Germany
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E Gomez-Barrena
E Gomez-Barrena
Department of Orthopaedic Surgery and Traumatology, Universidad Autónoma de Madrid, Madrid, Spain
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D C Wirtz
D C Wirtz
Department of Orthopaedics and Traumatology, University Hospital Bonn, Bonn, Germany
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A Hart
A Hart
London Implant Retrieval Centre, Royal National Orthopaedic Hospital, Stanmore, UK
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J P Kretzer
J P Kretzer
Department of Orthopaedic Surgery, Heidelberg University Hospital, Heidelberg, Germany
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( 5 ), wear problems with highly crystalline phase-modified polyethylene ( 6 ) and toxicological surface contamination on porous-coated sockets ( 7 ). Innovative procedures such as hip resurfacing and large metal-on-metal hip joint bearings ( 8 ) ( Fig
Claus Varnum
Claus Varnum
The Danish Hip Arthroplasty Register
Department of Orthopaedic Surgery, Vejle Hospital, Vejle, Denmark
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Department of Orthopaedic Surgery, Vejle Hospital, Vejle, Denmark
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Alma Bečić Pedersen
Alma Bečić Pedersen
Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark
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Ola Rolfson
Ola Rolfson
The Swedish Hip Arthroplasty Register
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Cecilia Rogmark
Cecilia Rogmark
The Swedish Hip Arthroplasty Register
Lund University, Skåne University Hospital, Department of Orthopedics, Malmö, Sweden
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Lund University, Skåne University Hospital, Department of Orthopedics, Malmö, Sweden
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Ove Furnes
Ove Furnes
The Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, Norway
Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Geir Hallan
Geir Hallan
The Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, Norway
Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Keijo Mäkelä
Keijo Mäkelä
The Finnish Arthroplasty Register
Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland
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Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland
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Richard de Steiger
Richard de Steiger
Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), Adelaide, Australia
Department of Surgery, Epworth HealthCare, University of Melbourne, Melbourne, Australia
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Department of Surgery, Epworth HealthCare, University of Melbourne, Melbourne, Australia
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Martyn Porter
Martyn Porter
The National Joint Registry of England, Wales, Northern Ireland and Isle of Man
Centre for Hip Surgery, Wrightington Hospital, Wrightington, Wigan and Leigh NHS Trust, Lancashire, United Kingdom
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Centre for Hip Surgery, Wrightington Hospital, Wrightington, Wigan and Leigh NHS Trust, Lancashire, United Kingdom
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Søren Overgaard
Søren Overgaard
The Danish Hip Arthroplasty Register
Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
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Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark
Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
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register. For example, owing to Swedish surgeons’ cautious attitude towards undocumented new concepts, Sweden avoided the catastrophes associated with metal-on-metal (MoM) implants. Today, six different stem designs account for > 92% of all femoral
