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International Orthopaedics
Published in: International Orthopaedics 1/2019

01-01-2019 | Original Paper

Revision of ASR hip arthroplasty: analysis of two hundred and ninety six recalled patients at seven years

Authors: Giovanni Benelli, Merildo Maritato, Pierpaolo Cerulli Mariani, Francesco Sasso

Published in: International Orthopaedics | Issue 1/2019

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Abstract

Purpose

The aim of this study is to present an algorithm for the evaluation of both symptomatic and asymptomatic patients.

Methods

From November 2004 to May 2010, there were performed 296 operations: 245 total hip arthroplasty and 51 resurfacing arthroplasty with the ASR DePuy system. In April 2010, there was the first Medical Device Alert regarding all MoM hip replacements in the UK and in August 2010, DePuy recall started worldwide. In March 2012, we started our recall. All patients were invited to undergo clinical investigation, X-ray evaluations, and blood chrome and cobalt level determination. For a short period of time, there were performed second level exams and subsequently, we carried out MARS MRI hip study to all symptomatic patients and there was evidence of ALVAL lesions.

Results

To the patients with ALVAL lesions were proposed surgical hip revision while the others frequent follow-up controls. One hundred patients underwent hip surgical revision.

Conclusions

We recommend constant MoM THA patients monitoring and early revision if necessary.
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Metadata
Title
Revision of ASR hip arthroplasty: analysis of two hundred and ninety six recalled patients at seven years
Authors
Giovanni Benelli
Merildo Maritato
Pierpaolo Cerulli Mariani
Francesco Sasso
Publication date
01-01-2019
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 1/2019
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-4128-z

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