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Failure modes of 433 metal-on-metal hip implants: how, why, and wear
Authors:Ebramzadeh Edward  Campbell Patricia A  Takamura Karren M  Lu Zhen  Sangiorgio Sophia N  Kalma Jeremy J  De Smet Koen A  Amstutz Harlan C
Affiliation:a J. Vernon Luck Orthopaedic Research Center, Los Angeles Orthopaedic Hospital, University of California, Los Angeles, 2400 South Flower Street, Los Angeles, CA 90007, USA
b ANCA Medical Center, Ghent 9000, Belgium
c Joint Replacement Institute, St Vincent Medical Center, 2200 West Third Street Suite 400, Los Angeles, CA 90057, USA
Abstract:
Metal-on-metal total hip replacements (THRs) and hip resurfacings are coming under increasing scrutiny in light of concerns that they fail because of high wear and elevated metal ions. The aim of this study was to investigate the modes of failure in a collection of 433 metal-on-metal THRs and hip resurfacings and to examine the correlations between the reasons for revision and a range of patient and implant variables considered relevant to implant wear.
Keywords:Implant retrieval   Hip resurfacing   Metal-on-metal   Loosening   Wear   Failure   Revision
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