Evidence map›Paper›PMID 28246095›Full record

ArticleBone & joint research2017

Explant analysis of the Biomet Magnum/ReCap metal-on-metal hip joint.

S C Scholes, B J Hunt, V M Richardson, D J Langton, E Smith, T J Joyce

Abstract read
In one paragraph

Article in Bone & joint research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

S C ScholesSchool of Mechanical and Systems Engineering, Newcastle University, Claremont Road, Newcastle-upon-Tyne, NE1 7RU, UK susan.scholes@ncl.ac.uk.
B J HuntSchool of Mechanical and Systems Engineering, Newcastle University, Claremont Road, Newcastle-upon-Tyne, NE1 7RU, UK.
V M RichardsonSchool of Mechanical and Systems Engineering, Newcastle University, Claremont Road, Newcastle-upon-Tyne, NE1 7RU, UK.
D J LangtonFreeman Hospital, Newcastle-upon-Tyne, NE7 7DN, UK.
E SmithAvon Orthopaedic Centre, North Bristol NHS Trust, Southmead Hospital, Westbury-on-Trym, Bristol, BS10 5NB, UK.
T J JoyceSchool of Mechanical and Systems Engineering, Newcastle University, Claremont Road, Newcastle-upon-Tyne, NE1 7RU, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe high revision rates of the DePuy Articular Surface Replacement (ASR) and the DePuy ASR XL (the total hip arthroplasty (THA) version) have led to questions over the viability of metal-on-metal (MoM) hip joints. Some designs of MoM hip joint do, however, have reasonable mid-term performance when implanted in appropriate patients. Investigations into the reasons for implant failure are important to offer help with the choice of implants and direction for future implant designs. One way to assess the performance of explanted hip prostheses is to measure the wear (in terms of material loss) on the joint surfaces.

methodsIn this study, a coordinate measuring machine (CMM) was used to measure the wear on five failed cementless Biomet Magnum/ReCap/ Taperloc large head MoM THAs, along with one Biomet ReCap resurfacing joint. Surface roughness measurements were also taken. The reason for revision of these implants was pain and/or adverse reaction to metal debris (ARMD) and/or elevated blood metal ion levels.

resultsThe mean wear rate of the articulating surfaces of the heads and acetabular components of all six joints tested was found to be 6.1 mm

conclusionAlthough the taper wear was relatively low, the wear from the articulating surfaces was sufficient to provide concern and was potentially large enough to have been the cause of failure of these joints. The authors believe that patients implanted with the ReCap system, whether the resurfacing prosthesis or the THA, should be closely monitored.

Indexed as

ArthroplastyFilm ThicknessHipLubricationMetal-on-MetalTaperWear

Identifiers

PMID28246095
PMCPMC5331178

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.