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Sequelae of large-head metal-on-metal hip arthroplasties: Current status and future prospects

Large-head metal-on-metal (MoM) bearings were re-popularised in the late 1990s with the introduction of modern hip resurfacing (HR), followed closely by large metal head total hip arthroplasty (THA). A worldwide increase in the use of MoM hip arthroplasty subsequently saw a sharp decline, due to ser...

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Autores principales: van Lingen, Christiaan P., Zagra, Luigi M., Ettema, Harmen B., Verheyen, Cees C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2016
Materias:
Hip
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367524/
https://www.ncbi.nlm.nih.gov/pubmed/28461912
http://dx.doi.org/10.1302/2058-5241.1.160014
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author van Lingen, Christiaan P.
Zagra, Luigi M.
Ettema, Harmen B.
Verheyen, Cees C.
author_facet van Lingen, Christiaan P.
Zagra, Luigi M.
Ettema, Harmen B.
Verheyen, Cees C.
author_sort van Lingen, Christiaan P.
collection PubMed
description Large-head metal-on-metal (MoM) bearings were re-popularised in the late 1990s with the introduction of modern hip resurfacing (HR), followed closely by large metal head total hip arthroplasty (THA). A worldwide increase in the use of MoM hip arthroplasty subsequently saw a sharp decline, due to serious complications. MoM was rapidly adopted in the early 2000s until medical device alerts were issued by government regulatory agencies and national and international organisations, leading to post-marketing surveillance and discontinuation of these implants. Guidelines for MoM hip implant follow-up differ considerably between regulatory authorities worldwide; this can in part be attributed to missing or conflicting evidence. The authors consider that the use of large-head MoM THA should be discontinued. MoM HR should be approached with caution and, when considered, should be used only in patients who meet all of the recommended selection criteria, which limits its indications considerably. The phased introduction of new prostheses should be mandatory in future. Close monitoring of outcomes and long-term follow-up is also necessary for the introduction of new prostheses. Cite this article: van Lingen CP, Zagra LM, Ettema HB, Verheyen CC. Sequelae of large-head metal-on-metal hip arthroplasties: current status and future prospects. EFORT Open Rev 2016;1:345-353. DOI: 10.1302/2058-5241.1.160014.
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spelling pubmed-53675242017-05-01 Sequelae of large-head metal-on-metal hip arthroplasties: Current status and future prospects van Lingen, Christiaan P. Zagra, Luigi M. Ettema, Harmen B. Verheyen, Cees C. EFORT Open Rev Hip Large-head metal-on-metal (MoM) bearings were re-popularised in the late 1990s with the introduction of modern hip resurfacing (HR), followed closely by large metal head total hip arthroplasty (THA). A worldwide increase in the use of MoM hip arthroplasty subsequently saw a sharp decline, due to serious complications. MoM was rapidly adopted in the early 2000s until medical device alerts were issued by government regulatory agencies and national and international organisations, leading to post-marketing surveillance and discontinuation of these implants. Guidelines for MoM hip implant follow-up differ considerably between regulatory authorities worldwide; this can in part be attributed to missing or conflicting evidence. The authors consider that the use of large-head MoM THA should be discontinued. MoM HR should be approached with caution and, when considered, should be used only in patients who meet all of the recommended selection criteria, which limits its indications considerably. The phased introduction of new prostheses should be mandatory in future. Close monitoring of outcomes and long-term follow-up is also necessary for the introduction of new prostheses. Cite this article: van Lingen CP, Zagra LM, Ettema HB, Verheyen CC. Sequelae of large-head metal-on-metal hip arthroplasties: current status and future prospects. EFORT Open Rev 2016;1:345-353. DOI: 10.1302/2058-5241.1.160014. British Editorial Society of Bone and Joint Surgery 2016-10-05 /pmc/articles/PMC5367524/ /pubmed/28461912 http://dx.doi.org/10.1302/2058-5241.1.160014 Text en © 2016 The author(s) http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Hip
van Lingen, Christiaan P.
Zagra, Luigi M.
Ettema, Harmen B.
Verheyen, Cees C.
Sequelae of large-head metal-on-metal hip arthroplasties: Current status and future prospects
title Sequelae of large-head metal-on-metal hip arthroplasties: Current status and future prospects
title_full Sequelae of large-head metal-on-metal hip arthroplasties: Current status and future prospects
title_fullStr Sequelae of large-head metal-on-metal hip arthroplasties: Current status and future prospects
title_full_unstemmed Sequelae of large-head metal-on-metal hip arthroplasties: Current status and future prospects
title_short Sequelae of large-head metal-on-metal hip arthroplasties: Current status and future prospects
title_sort sequelae of large-head metal-on-metal hip arthroplasties: current status and future prospects
topic Hip
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367524/
https://www.ncbi.nlm.nih.gov/pubmed/28461912
http://dx.doi.org/10.1302/2058-5241.1.160014
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