ReviewJournal of clinical orthopaedics and trauma
Revision total hip arthroplasty for metal-on-metal failure.
Review in Journal of clinical orthopaedics and trauma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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.
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Who cites it
12 citing papers in PubMed, 27 citations in OpenAlex.
- Mix and match strategies in revision total hip arthroplasty: a review of techniques and outcomes.Archives of orthopaedic and trauma surgery · 2026Review
- Long-term cancer risk after metal-on-metal hip arthroplasty: a Finnish population-based study with a mean follow-up of 12.8 years.BMJ open · 2026Article
- Infected pseudotumor following metal-on-metal total hip arthroplasty: a case report with diagnostic challenges and implications for surveillance guidelines.AME case reports · 2026Article
- MRI-based radiomic analysis of soft tissue reactions near total hip arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Article
- Anterior Subluxation of a Metal-on-Metal Total Hip Arthroplasty Resulting in Erosion and Metal Debris.Case reports in orthopedics · 2025Article
- Influence of Physical Activity and Cup Orientation on Metal Ion Release and Oxidative Stress in Metal-on-Metal and Ceramic-on-Metal Total Hip Arthroplasty.Journal of clinical medicine · 2024Article
- Long-term clinical outcomes of the Biomet M2a-38: a retrospective review of 335 total hip arthroplasty cases.Journal of orthopaedic surgery and research · 2023Article
- Do cobalt and chromium blood metal ion levels normalize after revision of failed metal-on-metal total hip replacements?Archives of orthopaedic and trauma surgery · 2023Article
- Femoral Stems With Porous Lattice Structures: A Review.Frontiers in bioengineering and biotechnology · 2021Review
- N-Acetyl-Cysteine Reduces Blood Chromium and Cobalt Levels in Metal-on-Metal Hip Arthroplasty.Arthroplasty today · 2020Article
- Revision arthroplasty in 2020.Journal of clinical orthopaedics and traumaArticle
- Surgical management of hip prosthetic failure in metallosis: A case series and literature review.Journal of orthopaedicsReview
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 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Metal-on-metal (MoM) arthroplasty systems became popular in the early-2000s due to presumed advantages of improved wear characteristics and superior stability. However, subsequent reports of abnormal soft-tissue reactions to MoM implants and national registry data reporting high failure rates raised concerns. Early outcomes of revision total hip arthroplasty (THA) for adverse reaction to metal debris (ARMD) were poor, leading to development of surveillance programs and a trend towards early revision surgery. Patients with MoM arthroplasties require surveillance, comprehensive history and physical examination, imaging with ultrasound or magnetic resonance imaging (MRI), and laboratory evaluation including metal ion levels. Operative strategies for revision THA vary from exchange of modular components to extensive debridement and reconstruction with revision components. Surgeons should be aware of the increased risks of dislocation and infection following revision THA for ARMD. However, there is growing evidence that early revision surgery prior to extensive soft tissue destruction results in improved outcomes and decreased re-operation rates. It is estimated that >1 million MoM articulations have been implanted, with a large proportion still in situ. It is imperative to understand the aetiology, presentation, and management strategies for these patients to optimise their clinical outcomes.
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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.