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Irish Journal of Medical Science (1971 -)

Published in:

01-02-2019 | Original Article

Femoral offset found not to affect metal ion levels in metal-on-metal total hip arthroplasty

Authors: Eoghan Pomeroy, Fergal Macnamara, Evelyn Murphy, Niall McGoldrick, Anant Mahapatra, Nasir Awan

Published in: Irish Journal of Medical Science (1971 -) | Issue 1/2019

Abstract

Background

Failure to restore femoral offset in metal on polyethylene total hip arthroplasty (THA) causes polyethylene wear and aseptic loosening. To our knowledge, no study to date has investigated the relationship between femoral offset and wear in metal-on-metal (MOM) THA.

Aims

In this study, we investigated the relationship between femoral offset and wear by measuring circulating metal ion levels in MOM THA.

Methods

In this retrospective study, we identified patients who had undergone MOM THA with the ASR XL system (DePuy International Ltd., Leeds, UK). Femoral offset was measured using anteroposterior radiographs, and circulating metal ion levels (cobalt and chromium) were recorded.

Results

In total, 95 patients were included (68 males and 27 females). The mean age at the time of surgery was 64.9. Mean time from surgery to blood sampling was 15.4 months. No statistically significant relationship was found between femoral offset and cobalt (p = 0.313) or chromium (p = 0.401) ions.

Conclusion

It is known that failure to restore femoral offset during THA can lead to high rates of wear in metal-on-polyethylene articulations. In our study, no statistically significant relationship was found between femoral offset and serum cobalt or chromium ions. This study adds to the information available to surgeons regarding factors that increase wear in metal-on-metal total hip arthroplasty.

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Title: Femoral offset found not to affect metal ion levels in metal-on-metal total hip arthroplasty
Authors: Eoghan Pomeroy
Fergal Macnamara
Evelyn Murphy
Niall McGoldrick
Anant Mahapatra
Nasir Awan
Publication date: 01-02-2019
Publisher: Springer London
Published in: Irish Journal of Medical Science (1971 -) / Issue 1/2019
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI: https://doi.org/10.1007/s11845-018-1808-z

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Femoral offset found not to affect metal ion levels in metal-on-metal total hip arthroplasty

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Conclusion

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