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, Herts, UK), where a modular cobalt–chromium (CoCr) liner sits within the traditional titanium acetabular shell. This adds the advantages of the traditional porous metal shell, with its options for supplementary acetabular screw fixation, use of metal
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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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Introduction Bearing partners for artificial joint implants are usually composed of ceramic, high-quality plastic or durable metal and are used to replace the damaged joint(s) (i.e. hip, knee, shoulder, ankle and elbow joints). Among a variety
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end of the 1970s for the assembly of ceramic heads to metal stems after problems with the fixation strength of ceramic heads fixed by glueing or screwing. 3 They became widely popular around 1985 to allow the combination of different materials in
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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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with the study of friction, wear, and lubrication”. 1 Tribology is fundamental to the function and long-term survival of orthopaedic implants. With the development of hip implants with metal-on-polyethylene (MoP) bearings in the early 1960s
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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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Introduction Exposure to metal ions after hip arthroplasty surgery is a widely reported phenomenon. Multiple studies have shown that an increase in metal ions can result in local soft tissue reactions described as an adverse reaction to metal
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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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potential effects of pre-existing or developing hypersensitivity to these metals have been raised as a concern in orthopaedic surgery over the last half-century. 3 Metal hypersensitivity is a type IV (or delayed-type) hypersensitivity reaction, which
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