ArticleInternational orthopaedics2019
The influence of bearing surfaces on periprosthetic hip infections: analysis of thirty nine thousand, two hundred and six cementless total hip arthroplasties.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 26 citations in OpenAlex.
- Excessive Implant Wear Reaction Mimicking Malignant Tumors: A Rare Orthopedic Case Report.Journal of clinical medicine · 2025Article
- Pseudotumor from ceramic-on-ceramic total hip arthroplasty.International journal of surgery case reports · 2024Article
- Global mapping of institutional and hospital-based (Level II-IV) arthroplasty registries: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Article
- Adverse Tissue Reactions and Metal Ion Behavior After Small-Head Metasul Hip Arthroplasty: A Long-Term Follow-Up Study.Orthopaedic surgery · 2022Article
- The influence of bearing surfaces on revisions due to dislocations in total hip arthroplasty.Journal of materials science. Materials in medicine · 2021Article
- Ceramic-on-Ceramic Bearing in Total Hip Arthroplasty Reduces the Risk for Revision for Periprosthetic Joint Infection Compared to Ceramic-on-Polyethylene: A Matched Analysis of 118,753 Cementless THA Based on the German Arthroplasty Registry.Journal of clinical medicine · 2021Article
- Metal on metal hip arthroplasty surveillance at a tertiary centre: design, patients' adherence, and cost analysis.International orthopaedics · 2020Article
- Prevention of infection in primary THA and TKA.EFORT open reviews · 2020Review
- Mixed ceramic combinations in primary total hip arthroplasty achieved reassuring mid-to-longterm outcomes.Journal of materials science. Materials in medicine · 2020Article
- Improved diagnostic accuracy with the classification tree method for diagnosing low-grade periprosthetic joint infections by quantitative measurement of synovial fluid alpha-defensin and C-reactive protein.International orthopaedics · 2020Article
- Two-stage hip revision arthroplasty for periprosthetic joint infection without the use of spacer or cemented implants.International orthopaedics · 2019Article
- Registry study on failure incidence in 1,127 revised hip implants with stem trunnion re-use after 10 years of follow-up: limited influence of an adapter sleeve.Acta orthopaedica · 2019Article
- Effects of vitamin E incorporation in polyethylene on oxidative degradation, wear rates, immune response, and infections in total joint arthroplasty: a review of the current literature.International orthopaedics · 2019Review
- Pleomorphic clinical spectrum of metallosis in total hip arthroplasty.International orthopaedics · 2019Article
- The history of Italian Orthopaedics.International orthopaedics · 2019Article
- Surgical management of hip prosthetic failure in metallosis: A case series and literature review.Journal of orthopaedicsReview
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePeriprosthetic hip infection (PHI) is a devastating complication. The association between PHI and bearing surfaces as well as patient-related factors has been recently investigated, with contradictive outcomes. The dataset of Emilia-Romagna region Registry for Orthopaedic Prosthetic Implants (RIPO) has been assessed to investigate, if the bearing choice influenced the risk of septic loosening occurrence.
methodsRIPO data about 39,206 cementless total hip arthroplasties (THA), collected since 2003, were analysed. Age, gender, BMI, diabetes and bearing surfaces were evaluated. The end point of the study was the revision of at least a single component due to sepsis.
resultsAdjusted and unadjusted survival rates showed that ceramic-on-ceramic (COC) implants had the lower incidence of PHIs, whereas metal-on-metal (MOM) THAs were significantly more prone to infection. In MOM cohort, stemmed implants were involved in 28 out of 30 cases. Among the demographical features and comorbid conditions, only diabetes statistically influenced the rate of sepsis.
conclusionsBearing surfaces influenced the rate of PHI; in particular, stemmed MOM implants were at higher risk, probably due to metal debris consequent to taperosis. Despite the preliminary results, stemmed MOM THAs should be used with care, and diabetic patients should be warned about increased septic risks.
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