ArticleActa orthopaedica2017
Heart failure after conventional metal-on-metal hip replacements.
Article in Acta orthopaedica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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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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Who cites it
15 citing papers in PubMed, 35 citations in OpenAlex.
- Long-Term Risk of Heart Failure in Total Joint Arthroplasty: A Population-Based Cohort Study.The Journal of arthroplasty · 2025Article
- Blood metal concentrations and cardiac structure and function in total joint arthroplasty patients.World journal of orthopedics · 2024Article
- Head, acetabular liner composition, and rate of revision and wear in total hip arthroplasty: a Bayesian network meta-analysis.Scientific reports · 2023Article
- Wear debris in metal-on-metal bearings and modular junctions : What have we learned from the last decades?Orthopadie (Heidelberg, Germany) · 2023Review
- Cobalt-induced cardiomyopathy - do circulating cobalt levels matter?Bone & joint research · 2021Article
- Cobalt cardiomyopathy in hip arthroplasty.Arthroplasty today · 2019Article
- An Overview of Food and Drug Administration Medical Device Legislation and Interplay with Current Medical Practices.Cureus · 2019Review
- Letter to the Editor: Is There a Cardiotoxicity Associated With Metallic Head Hip Prostheses? A Cohort Study in the French National Health Insurance Databases.Clinical orthopaedics and related research · 2018Article
- CORR Insights®: Is There a Cardiotoxicity Associated With Metallic Head Hip Prostheses? A Cohort Study in the French National Health Insurance Databases.Clinical orthopaedics and related research · 2018Article
- Is There a Cardiotoxicity Associated With Metallic Head Hip Prostheses? A Cohort Study in the French National Health Insurance Databases.Clinical orthopaedics and related research · 2018Article
- Revision surgery of metal-on-metal hip arthroplasties for adverse reactions to metal debris.Acta orthopaedica · 2018Article
- The risk of cardiac failure following metal-on-metal hip arthroplasty.The bone & joint journal · 2018Article
- Assessing for Cardiotoxicity from Metal-on-Metal Hip Implants with Advanced Multimodality Imaging Techniques.The Journal of bone and joint surgery. American volume · 2017Article
- High blood metal ion levels in 19 of 22 patients with metal-on-metal hinge knee replacements.Acta orthopaedica · 2017Article
- Metal on metal hip resurfacing arthroplasty: Where are we now?Journal of orthopaedicsReview
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - It is unclear whether metal particles and ions produced by mechanical wear and corrosion of hip prostheses with metal-on-metal (MoM) bearings have systemic adverse effects on health. We compared the risk of heart failure in patients with conventional MoM total hip arthroplasty (THA) and in those with metal-on-polyethylene (MoP) THA. Patients and methods - We conducted a retrospective cohort study using data from the Australian Government Department of Veterans' Affairs health claims database on patients who received conventional THA for osteoarthritis between 2004 and 2012. The MoM THAs were classified into groups: Articular Surface Replacement (ASR) XL Acetabular System, other large-head (LH) (> 32 mm) MoM, and small-head (SH) (≤ 32 mm) MoM. The primary outcome was hospitalization for heart failure after THA. Results - 4,019 patients with no history of heart failure were included (56% women). Men with an ASR XL THA had a higher rate of hospitalization for heart failure than men with MoP THA (hazard ratio (HR) = 3.2, 95% CI: 1.6-6.5). No statistically significant difference in the rate of heart failure was found with the other LH MoM or SH MoM compared to MoP in men. There was no statistically significant difference in heart failure rate between exposure groups in women. Interpretation - An association between ASR XL and hospitalization for heart failure was found in men. While causality between ASR XL and heart failure could not be established in this study, it highlights an urgent need for further studies to investigate the possibility of systemic effects associated with MoM THA.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.