ArticleInternational orthopaedics2014
Outcome of Birmingham hip resurfacing at ten years: role of routine whole blood metal ion measurements in screening for pseudotumours.
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 19 papers, 1 of them a synthesis 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.
The trial behind it
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
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Pooled it
- Metasul vs Cerasul bearings: a prospective, randomized study at a mean eighteen years.International orthopaedics · 2020Trial
- What is the long-term survivorship, complication profile, and patient reported outcomes after Birmingham hip resurfacing?Journal of orthopaedics · 2024Review
- Metal ion levels after metal-on-metal hip resurfacing: A single-center longitudinal study of Chinese patients.Acta orthopaedica et traumatologica turcica · 2024Article
- Midterm results of the Birmingham hip resurfacing: a single-surgeon series.Archives of orthopaedic and trauma surgery · 2023Article
- Article
- Long - term survivorship and clinical results of the navigated withdrawn ASR ™.Journal of orthopaedics · 2018Article
- Long-term results of Birmingham hip resurfacing arthroplasty in Asian patients.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2018Article
- Article
- Article
- Comparison of metal ion levels in patients with hip resurfacing versus total hip arthroplasty.Journal of orthopaedics · 2017Article
- Blood Metal Ion Thresholds to Identify Patients with Metal-on-Metal Hip Implants at Risk of Adverse Reactions to Metal Debris: An External Multicenter Validation Study of Birmingham Hip Resurfacing and Corail-Pinnacle Implants.The Journal of bone and joint surgery. American volume · 2017Article
- [Detection and influence factor of serum metal ions concentration level after resurfacing arthroplasty of the hip].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2017Article
- Survivorship and clinical outcome of Birmingham hip resurfacing: a minimum ten years' follow-up.International orthopaedics · 2016Article
- Diagnostic utility of joint fluid metal ion measurement for histopathological findings in metal-on-metal hip replacements.BMC musculoskeletal disorders · 2015Article
- The future role of metal-on-metal hip resurfacing.International orthopaedics · 2015Review
- Reply to comments on Reito et al.: Repeated metal ion measurements in patients with high risk metal-on-metal hip replacement.International orthopaedics · 2015Article
- Long-Term Outcomes of Birmingham Hip Resurfacing Arthroplasty: A Systematic Review of Independent Series with At Least 10 Years of Follow-up.JB & JS open accessArticle
- 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
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEmerging concern has arisen because of recent papers reporting a high prevalence of pseudotumours (PTs), even in patients with surface arthroplasties with a good clinical track record. The aim of our study was to establish the ten year survivorship of Birmingham hip resurfacing (BHR), to investigate whole blood (WB) metal ion levels and prevalence of adverse reactions to metal debris (ARMeD) and to determine the association of blood metal ion levels and symptoms with ARMeD in patients operated on with BHR at our institution.
methodsBetween May 2001 and May 2004, 261 consecutive BHRs were implanted in 219 patients. All living, nonrevised patients underwent a systematic screening programme consisting of clinical examination, WB cobalt and chromium measurements and targeted cross-sectional imaging.
resultsThe ten year survival for the entire cohort was 91% (89-93%), with any revision as the endpoint. Prevalence of ARMeD was 6.9% in male and 8.8% in female patients. Symptomatic patients with elevated metal ion levels evinced highest prevalence (63%) of PTs compared with asymptomatic patients with elevated metal ion levels (42%) and symptomatic patients with nonelevated metal ions (11%).
conclusionsContradicting the current international guidelines, our results suggest that it seems beneficial to combine routine metal ion measurement with clinical assessment, even in patients with well-functioning BHRs. Further follow-up will reveal whether new PTs will develop in these patients and BHR survivorship in the longer term.
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