ReviewInternational orthopaedics2017
Metal-on-metal total hip arthroplasty: risk factors for pseudotumours and clinical systematic evaluation.
Review in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- Threaded cup in total hip arthroplasty: a systematic review of long-term survivorship.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Risk factors for revision of Birmingham Hip Resurfacing arthroplasty. A single-center study with a median 13-year follow-up.Journal of orthopaedics · 2025Article
- Long-term results of hemi-resurfacing and metal-on-metal hip resurfacing for osteonecrosis of the femoral head.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2024Article
- When Is a Two-Stage Surgical Procedure Indicated in the Treatment of Pseudotumors of the Hip? A Retrospective Study of 21 Cases and a Review of the Literature.Journal of clinical medicine · 2024Article
- Case report: Formation and recurrence of inflammatory pseudotumor after metal-on-metal hip arthroplasty.Frontiers in medicine · 2024Article
- Wear debris in metal-on-metal bearings and modular junctions : What have we learned from the last decades?Orthopadie (Heidelberg, Germany) · 2023Review
- Femoral Stem Dislocation Caused by Trunnionosis Along with Adverse Local Tissue Reaction: A Case Report and a New Technique of Head to Cone Cementing.The archives of bone and joint surgery · 2022Article
- Suspicion of Recurrent Osteosarcoma in a Patient with Pseudotumour Adjacent To the Endoprosthesis.Journal of ultrasonography · 2022Article
- Use of Customized 3D-Printed Titanium Augment With Tantalum Trabecular Cup for Large Acetabular Bone Defects in Revision Total Hip Arthroplasty: A Midterm Follow-Up Study.Frontiers in bioengineering and biotechnology · 2022Article
- Revision Total Hip Arthroplasty due to Catastrophic Osteolysis Caused by Massive Chronic Expanding Hematoma.Arthroplasty today · 2021Article
- Fretting-corrosion in hip taper modular junctions: The influence of topography and pH levels - An in-vitro study.Journal of the mechanical behavior of biomedical materials · 2021Article
- Osteolysis: A Literature Review of Basic Science and Potential Computer-Based Image Processing Detection Methods.Computational intelligence and neuroscience · 2021Review
- Value of multidetector computed tomography for the differentiation of delayed aseptic and septic complications after total hip arthroplasty.Skeletal radiology · 2020Article
- Biological Monitoring of Metal Ions Released from Hip Prostheses.International journal of environmental research and public health · 2020Article
- Periprosthetic Osteolysis: Mechanisms, Prevention and Treatment.Journal of clinical medicine · 2019Review
- CORR Insights®: Revisions of Modular Metal-on-metal THA Have a High Risk of Early Complications.Clinical orthopaedics and related research · 2019Article
- Revision of ASR hip arthroplasty: analysis of two hundred and ninety six recalled patients at seven years.International orthopaedics · 2019Article
- Pleomorphic clinical spectrum of metallosis in total hip arthroplasty.International orthopaedics · 2019Article
- Total hip arthroplasty: Survival and modes of failure.EFORT open reviews · 2018Article
- Potential presence of metals in patients treated with metal-metal coupling prostheses for hip arthroplasty at 7 and 10 years of follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The potential advantages of contemporary MoM THA implants include less volumetric wear with subsequent reduction of polyethylene wear-induced osteolysis and greater component stability with use of large-diameter femoral heads. However, there have been concerns regarding significantly elevated revision rates in MoM THA due to MoM-related complications such as adverse local tissue reaction (pseudotumour) formation. The increased failure rate in MoM hip arthroplasty is associated with the generation of biologically active, nanometer sized metal particles from the MoM bearing surfaces and taper junctions, which result in the development of a localized, adverse periprosthetic soft tissue response. The focus of this article is to provide an update on (1) implant, surgical and patient factors associated with adverse local tissue reactions (pseudotumours) and (2) the clinical systematic evaluation and management of patients with MoM hip arthroplasty based on the currently available evidence. There should be a low threshold to conduct a systematic clinical evaluation of patients with MoM hip arthroplasty as early recognition and diagnosis will allow the initiation of prompt and appropriate treatment. As a symptomatic MoM total hip arthroplasty may have intrinsic and extrinsic causes, patients should be evaluated systematically, utilizing risk stratification algorithms. Although specialized laboratory tests such as metal ion levels and cross sectional imaging modalities such as MARS MRI can be used to facilitate clinical decision making, over-reliance on any single investigative tool in the clinical decision-making process should be avoided. Further research is required to obtain a better understanding of implant and patient risk factors associated with tribocorrosion in MoM total hip arthroplasty.
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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.