Metal-on-Metal Total Hip Arthroplasty: Current Recommendations and Lessons Learned

Authors

  • Jonathan Liu Texas A&M HSC
  • Dr. Alister Hart Royal National Orthopaedic Hospital
  • Brendan Holderread Texas A&M College of Medicine
  • Dr. Terry Clyburn Houston Methodist Hospital

DOI:

https://doi.org/10.15438/rr.11.1.282

Keywords:

metal-on-metal, total hip arthroplasty, clinical management, literature review, lessons learned

Abstract

Metal-on-metal (MoM) hip arthroplasty was re-popularized in the 1990s to resolve osteolysis and wear associated with metal-on-polyethylene products. Despite early success, registries began reporting high failure rates due to adverse reactions to metal debris (ARMD), manifesting as pseudotumors, hip effusions and osteolysis. Evaluation includes clinical exam, advanced imaging, and blood metal ions and infectious markers. This review provides physicians with an evidence-based update on the 1) clinical workup and management of patients with existing MoM implants, 2) risk and prognostic factors associated with suboptimal results and 3) the precipitating events and lessons learned applicable to future orthopedic prosthesis.

Author Biographies

Dr. Alister Hart, Royal National Orthopaedic Hospital

Department of Orthopedic Surgery, Adult Reconstruction

Dr. Terry Clyburn, Houston Methodist Hospital

Department of Orthopedics, Adult Reconstruction

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Published

2021-10-12

How to Cite

Liu, J., Hart, A., Holderread, B., & Clyburn, T. . (2021). Metal-on-Metal Total Hip Arthroplasty: Current Recommendations and Lessons Learned. Reconstructive Review, 11(1). https://doi.org/10.15438/rr.11.1.282

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Section

Review