Metal-on-metal Articulation of Total Hip Replacement

Suk Ku Han

doi:10.5371/hp.2013.25.4.245

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Han: Metal-on-metal Articulation of Total Hip Replacement

Review Article

Hip & Pelvis 2013; 25(4): 245-253.

Published online: 31 December 2013

DOI: https://doi.org/10.5371/hp.2013.25.4.245

Metal-on-metal Articulation of Total Hip Replacement

Suk Ku Han, MD

Department of Orthopaedic Surgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Address reprint request to Suk Ku Han, MD. Department of Orthopaedic Surgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, 180 Wangsan-ro, Dongdaemun-gu, Seoul 130-709, Korea. TEL: +82-2-961-4503, FAX: +82-2-965-1456, hnsukku@catholic.ac.kr

Received 21 October 2013 Revised 3 December 2013 Accepted 3 December 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Metal-on-metal (MoM) total hip replacement (THR) and hip resurfacing have an advantage of low wear rate and greater stability by larger head size and different characteristics of wear mechanism, tribology, lubrication or generating wear debris compared to conventional metal-on-polyethylene THR. Although the mid- or long term clinical reports of second generation MoM THR were excellent, concerns about local and systemic effect by metal particles or metal ions were remained. Recently, reports have emerged of abnormal soft-tissue reactions to metal particles or metal ions and some hip resurfacing implants were expelled from the market due to high revision rate. This article includes the history of MoM THR, tribology, the biologic effect of metal particles and ions, the clinical results of MoM THR and the issues regarding the problems associated with hip resurfacing.

Keywords: Total hip replacement, Metal-on-metal articulation, Metal particles, Metal ions

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