ArticleClinical orthopaedics and related research2014
High rate of infection after aseptic revision of failed metal-on-metal total hip arthroplasty.
Article in Clinical orthopaedics and related research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.
- Ten-year survival of ceramic-on-ceramic total hip arthroplasty in patients younger than 60 years: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- There Are No Differences in Short- to Mid-term Survivorship Among Total Hip-bearing Surface Options: A Network Meta-analysis.Clinical orthopaedics and related research · 2015Pooled it
- Secondary Infection of Adverse Local Tissue Reaction Leading to Amputation in a Patient With a Modular Knee Endoprosthesis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- The Long-Term Survivorship and Cause of Failure of Metal-on-Metal Total Hip Arthroplasty.Antibiotics (Basel, Switzerland) · 2025Article
- Article
- Long-Term Outcome of Metal-on-Metal Total Hip Arthroplasty with Modular Neck Stem.Journal of clinical medicine · 2024Article
- Survivability of Titanium Implant Materials: In Vitro Simulated Inflammatory and Infectious Environment.Annals of biomedical engineering · 2023Article
- Trunnionosis in Metal-on-Polyethylene Total Hip Arthroplasty With Periprosthetic Infection: A Case Report.Cureus · 2023Article
- Long-term Follow-up on Revisions of a Recalled Large Head Metal-on-metal Hip Prosthesis: A Single Surgeon Series.Arthroplasty today · 2023Article
- Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction.Arthroplasty today · 2022Article
- Outcome of revision surgery for adverse local tissue reactions in patients with recalled total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2022Article
- Atypical Presentation of Periprosthetic Joint Infection With Pseudotumor With a Modular-Neck Stem Implant.Cureus · 2022Article
- Diagnosis and management of infected arthroplasty.SICOT-J · 2021Article
- Complications and re-revisions after revisions of 528 metal-on-metal hips because of adverse reaction to metal debris.Acta orthopaedica · 2020Article
- Cobalt and Chromium Ion Release in Metal-on-Polyethylene and Ceramic-on-Polyethylene THA: A Simulator Study With Cellular and Microbiological Correlations.The Journal of arthroplasty · 2020Article
- Retrieval Analysis of Modern Knee Tumor Megaendoprosthesis Shows Considerable Volumetric Metal Wear Generated at the Rotating Hinge.Materials (Basel, Switzerland) · 2020Article
- Is cemented revision total hip arthroplasty a reasonable treatment option in an elderly population?Orthopedic reviews · 2019Article
- Simultaneous combined retroperitoneal and posterior hip approach for the treatment of iliopsoas abscess with extension to a metal-on-metal prosthetic hip joint.Arthroplasty today · 2019Article
- Revisions of Modular Metal-on-metal THA Have a High Risk of Early Complications.Clinical orthopaedics and related research · 2019Article
- The Infection Rate of Metal-on-Metal Total Hip Replacement Is Higher When Compared to Other Bearing Surfaces as Documented by the Australian Orthopaedic Association National Joint Replacement Registry.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2018Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence suggests some metal-on-metal (MOM) THAs have higher rates of failure and subsequent revision than other bearing surfaces. However, there are few studies demonstrating how these patients fare after revision. QUESTIONS/PURPOSES: We asked: (1) What is the short-term survivorship of revision THA in patients whose index THAs employed MOM bearings? (2) What are the causes of failure of revision THA in these patients (ie, what are the indications for repeat revision)? (3) What are the most common complications after revisions of MOM THAs?
methodsWe identified 37 patients (24 women, 13 men; mean age, 55 years; 37 hips) revised for aseptic failure of primary stemmed MOM THAs. Reasons for revision included pain with loose components (n = 19), adverse reaction to metal debris (n = 8), periprosthetic fracture (n = 4), impingement (n = 3), dislocation (n = 2), and pain of unknown origin (n = 1). Minimum followup was 24 months (mean, 33 months; range, 24-81 months) postrevision, but 11 were not seen in the last 2 years as our routine followup is at 2 and 5 years. Clinical histories were reviewed for reasons for failure of the MOM THAs and complications associated with revision surgery.
resultsSurvivorship free from further revision for any cause was 95% at 24 months and 92% at latest followup (24-81 months). There were three repeat revisions, all for periprosthetic infection, and all were treated with two-stage reimplantation. No other complications were observed.
conclusionsWe observed a higher-than-expected rate of infection after revision of MOM THAs. The infection rate was higher in this report than in an earlier series looking at revision THAs for other indications at our institution. As revision of MOM THA becomes more common, it will be important to continue monitoring postrevision outcomes and providing treatment strategies to mitigate complications for these patients.
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