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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 1/2016

01-03-2016 | Hip: Metal-on-Metal (J Cooper, Section Editor)

Diagnosis of adverse local tissue reactions following metal-on-metal hip arthroplasty

Authors: Brian P. Chalmers, Kevin I. Perry, Michael J. Taunton, Tad M. Mabry, Matthew P. Abdel

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2016

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Abstract

Metal-on-metal (MOM) bearing surfaces in hip arthroplasty have distinct advantages that led to the increase in popularity in North America in the early 2000s. However, with their increased use, concerns such as local cytotoxicity and hypersensitivity reactions leading to soft tissue damage and cystic mass formation (known collectively as adverse local tissue reactions (ALTR)) became apparent. The clinical presentation of ALTR is highly variable. The diagnosis of ALTR in MOM articulations in hip arthroplasty can be challenging and a combination of clinical presentation, physical examination, implant track record, component positioning, serum metal ion levels, cross-sectional imaging, histopathologic analysis, and consideration of alternative diagnoses are essential.
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Metadata
Title
Diagnosis of adverse local tissue reactions following metal-on-metal hip arthroplasty
Authors
Brian P. Chalmers
Kevin I. Perry
Michael J. Taunton
Tad M. Mabry
Matthew P. Abdel
Publication date
01-03-2016
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 1/2016
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-016-9321-3

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