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Archives of Orthopaedic and Trauma Surgery

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01-01-2012 | Hip Arthroplasty

Cushion bearings versus large diameter head metal-on-metal bearings in total hip arthroplasty: a short-term metal ion study

Authors: Antonio Moroni, Emanuele Nocco, Martha Hoque, Elena Diremigio, Dario Buffoli, Francesco Cantù, Simona Catalani, Pietro Apostoli

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2012

Abstract

Introduction

Metal-on-metal total hip arthroplasty (MOM THA) has the advantage of replicating the femoral head size, but the postoperative elevation of serum metal ion levels is a cause for concern. Metal-on-polycarbonate-urethane is a new cushion bearing featuring a large diameter metal head coupled with a polycarbonate-urethane liner.

Aim

The aim of this study was to assess and compare serum cobalt (Co) and chromium (Cr) levels in a group of 15 patients treated with a cushion bearing THA system (Group A) and a group of 15 patients treated with a MOM THA system (Group B) at short-term. At a mean follow-up of 27.3 months (18–35 months), in Group A the median Cr and Co serum levels were significantly lower than in Group B, measuring 0.24 μg/L (0.1–2.1 μg/L) and 0.6 μg/L (0.29–2.3 μg/L) compared to 1.3 μg/L (0.1–9 μg/L, p < 0.001) and 2.9 μg/L (0.85–13.8 μg/L, p < 0.001) respectively.

Results

All patients demonstrated an excellent clinical result, as shown by the Harris and Oxford hip scores. The cushion bearing THA studied in this paper showed clinical outcomes similar to the MOM THA bearing, with the advantage of no significant metal ion elevation in the serum.

Conclusion

These findings warrant the continued clinical study of compliant bearing options.

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Title: Cushion bearings versus large diameter head metal-on-metal bearings in total hip arthroplasty: a short-term metal ion study
Authors: Antonio Moroni
Emanuele Nocco
Martha Hoque
Elena Diremigio
Dario Buffoli
Francesco Cantù
Simona Catalani
Pietro Apostoli
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 1/2012
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-011-1364-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cushion bearings versus large diameter head metal-on-metal bearings in total hip arthroplasty: a short-term metal ion study

Abstract

Introduction

Aim

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Aim

Results

Conclusion

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