ArticleInternational orthopaedics2014
Repeated metal ion measurements in patients with high risk metal-on-metal hip replacement.
Article in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 41 citations in OpenAlex.
- The Inflammatory Phenotype in Failed Metal-On-Metal Hip Arthroplasty Correlates with Blood Metal Concentrations.PloS one · 2016Trial
- Midterm results of the Birmingham hip resurfacing: a single-surgeon series.Archives of orthopaedic and trauma surgery · 2023Article
- How much does a Medical and Healthcare Products Regulatory Agency medical device alert for metal-on-metal hip arthroplasty patients really cost?Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2022Article
- Median 10-year whole blood metal ion levels and clinical outcome of ReCap-M2a-Magnum metal-on-metal total hip arthroplasty.Acta orthopaedica · 2022Article
- Predictive factors affecting long-term survivorship of ASR metal-on-metal total hip arthroplasty.SICOT-J · 2021Article
- No association between blood count levels and whole-blood cobalt and chromium levels in 1,900 patients with metal-on-metal hip arthroplasty.Acta orthopaedica · 2020Article
- Metal Ion Release, Clinical and Radiological Outcomes in Large Diameter Metal-on-Metal Total Hip Arthroplasty at Long-Term Follow-Up.Diagnostics (Basel, Switzerland) · 2020Article
- Repeated cobalt and chromium ion measurements in patients with bilateral large-diameter head metal-on-metal ReCap-M2A-Magnum total hip replacement.Acta orthopaedica · 2020Article
- Repeated cobalt and chromium ion measurements in patients with large-diameter head metal-on-metal ReCap-M2A-Magnum total hip replacement.Acta orthopaedica · 2019Article
- Implant failure in bilateral metal-on-metal hip resurfacing arthroplasties: a clinical and pathological study.Journal of materials science. Materials in medicine · 2018Article
- What is appropriate surveillance for metal-on-metal hip arthroplasty patients?Acta orthopaedica · 2018Article
- Article
- Correlation of serum metal ion levels with pathological changes of ARMD in failed metal-on-metal-hip-resurfacing arthroplasties.Archives of orthopaedic and trauma surgery · 2017Article
- Metal-on-metal total hip arthroplasty: risk factors for pseudotumours and clinical systematic evaluation.International orthopaedics · 2017Review
- Influence of implant design on blood metal ion concentrations in metal-on-metal total hip replacement patients.International orthopaedics · 2015Article
- Reply to comments on Reito et al.: Repeated metal ion measurements in patients with high risk metal-on-metal hip replacement.International orthopaedics · 2015Article
- Follow-up guidance for metal-on-metal hip replacement patients should be updated.International orthopaedics · 2015Article
- Management Guidelines for Metal-on-metal Hip Resurfacing Arthroplasty: A Strategy on Followup.Indian journal of orthopaedicsArticle
- 11-Year outcomes in patients with metal-on-metal ASR hip arthroplasty.Journal of orthopaedicsArticle
- Comparing 1-year and 10-year whole blood metal ion results following Birmingham hip resurfacing for osteoarthritis.Canadian journal of surgery. Journal canadien de chirurgieArticle
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5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeConventional follow-up methods are not sufficient to identify adverse soft tissue reactions in patients with metal-on-metal hip replacements. The national guidelines regarding metal ion measurements are debatable. The aims of our study were to investigate (1) if there is a clinically significant change in whole blood (WB) cobalt (Co) or chrome (Cr) levels in repeated WB assessment in patients operated on with ASR hip replacements, and (2) what proportion of patients has WB Co or Cr level below the previously established safe upper limits (SUL) in the repeated WB metal ion assessment.
methodsWe identified all patients (n = 254) with unilateral ASR implants who had second blood sample taken eight to 16 months after the first.
resultsWB Co and Cr levels remained below SUL and within their initial values during a mean one-year measurement interval in the majority of patients with a high risk HR device. In contrast to this, 50 % of patients with THRs had metal ion levels exceeding the SUL in the first measurement. WB Co values significantly increased over the measurement interval in the THR group.
conclusionIn patients with a high risk HR, repeated metal ion measurement did not provide useful information for clinical decision-making. In patients with a LD MoM THR repeated measurements revealed a large number of patients with metal ion levels exceeding SUL and might thus be clinically beneficial.
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