Journal List > Hip Pelvis > v.25(4) > 1081992

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

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.

References

1. Ring PA. Replacement of the hip joint. Ann R Coll Surg Engl. 1971; 48:344–355.
2. Amstutz HC, Grigoris P. Metal on metal bearings in hip arthroplasty. Clin Orthop Relat Res. 1996; 329 Suppl. S11–S34.
crossref
3. Schey JA. Systems view of optimizing metal on metal bearings. Clin Orthop Relat Res. 1996; 329 Suppl. S115–S127.
crossref
4. Sieber HP, Rieker CB, Köttig P. Analysis of 118 second-generation metal-on-metal retrieved hip implants. J Bone Joint Surg Br. 1999; 81:46–50.
crossref
5. Silva M, Heisel C, Schmalzried TP. Metal-on-metal total hip replacement. Clin Orthop Relat Res. 2005; (430):53–61.
crossref
6. Schmidt M, Weber H, Schön R. Cobalt chromium molybdenumn metal combination for modular hip prostheses. Clin Orthop Relat Res. 1996; 329 Suppl. S35–S47.
7. Kothari M, Bartel DL, Brooker JF. Surface geometry of retrieved McKee-Farrar total hip replacements. Clin Orthop Relat Res. 1996; 329 Suppl. S141–S147.
crossref
8. Smith SL, Dowson D, Goldsmith AA. The effect of femoral head diameter upon lubrication and wear of metal-on-metal total hip replacements. Proc Inst Mech Eng H. 2001; 215:161–170.
crossref
9. Medley JB, Chan FW, Krygier JJ, Bobyn JD. Comparison of alloys and designs in a hip simulator study of metal on metal implants. Clin Orthop Relat Res. 1996; 329 Suppl. S148–S159.
crossref
10. Chan FW, Bobyn JD, Medley JB, Krygier JJ, Tanzer M. The Otto Aufranc Award. Wear and lubrication of metal-on-metal hip implants. Clin Orthop Relat Res. 1999; (369):10–24.
11. Schmalzried TP, Peters PC, Maurer BT, Bragdon CR, Harris WH. Long-duration metal-on-metal total hip arthroplasties with low wear of the articulating surfaces. J Arthroplasty. 1996; 11:322–331.
crossref
12. Doorn PF, Campbell PA, Worrall J, Benya PD, McKellop HA, Amstutz HC. Metal wear particle characterization from metal on metal total hip replacements: transmission electron microscopy study of periprosthetic tissue and isolated particles. J Biomed Mater Res. 1998; 42:103–111.
crossref
13. Maloney WJ, Smith RL, Schmalzried TP, Chiba J, Huene D, Rubash H. Isolation and characterization of wear particles generated in patients who have had failure of a hip arthroplasty without cement. J Bone Joint Surg Am. 1995; 77:1301–1310.
crossref
14. Hart AJ, Quinn PD, Sampson B, et al. The chemical form of metallic debris in tissues surrounding metal-on-metal hips with unexplained failure. Acta Biomater. 2010; 6:4439–4446.
crossref
15. Gill IP, Webb J, Sloan K, Beaver RJ. Corrosion at the neck-stem junction as a cause of metal ion release and pseudotumour formation. J Bone Joint Surg Br. 2012; 94:895–900.
crossref
16. Brodner W, Bitzan P, Meisinger V, Kaider A, Gottsauner-Wolf F, Kotz R. Elevated serum cobalt with metal-on-metal articulating surfaces. J Bone Joint Surg Br. 1997; 79:316–321.
crossref
17. Brodner W, Bitzan P, Meisinger V, Kaider A, Gottsauner-Wolf F, Kotz R. Serum cobalt levels after metal-on-metal total hip arthroplasty. J Bone Joint Surg Am. 2003; 85-A:2168–2173.
crossref
18. Clarke MT, Lee PT, Arora A, Villar RN. Levels of metal irons after small- and large-diameter metal-on-metal hip arthroplasty. J Bone Joint Surg Br. 2003; 85:913–917.
19. Jin ZM, Dowson D, Fisher J. Analysis of fluid film lubrication in artificial hip joint replacements with surfaces of high elastic modulus. Proc Inst Mech Eng H. 1997; 211:247–256.
crossref
20. Montero-Ocampo C, Rodriguez AS. Effect of carbon content on the resistance to localized corrosion of as-cast cobalt-based alloys in an aqueous chloride solution. J Biomed Mater Res. 1995; 29:441–453.
crossref
21. Brodner W, Grohs JG, Bancher-Todesca D, et al. Does the placenta inhibit the passage of chromium and cobalt after metal-on-metal total hip arthroplasty? J Arthroplasty. 2004; 19:102–106.
crossref
22. Basketter DA, Briatico-Vangosa G, Kaestner W, Lally C, Bontinck WJ. Nickel, cobalt, and chromium in consumer products: a role in allergic contact dermatitis. Contact Dermatitis. 1993; 28:15–25.
crossref
23. Hallab N, Merritt K, Jacobs JJ. Metal sensitivity in patients with orthopaedic implants. J Bone Joint Surg Am. 2001; 83-A:428–436.
crossref
24. Milosev I, Trebse R, Kovac S, Cör A, Pisot V. Survivorship and retrieval analysis of Sikomet metal-on-metal total hip replacements at a mean of seven years. J Bone Joint Surg Am. 2006; 88:1173–1182.
crossref
25. Willert HG, Buchhorn GH, Fayyazi A, et al. Metal-on-metal bearings and hypersensitivity in patients with artificial hip joints. A clinical and histomorphological study. J Bone Joint Surg Am. 2005; 87:28–36.
crossref
26. Park YS, Moon YW, Lim SJ, Yang JM, Ahn G, Choi YL. Early osteolysis following second-generation metal-on-metal hip replacement. J Bone Joint Surg Am. 2005; 87:1515–1521.
crossref
27. Heath JC, Freeman MA, Swanson SA. Carcinogenic properties of wear particles from prostheses made in cobalt-chromium alloy. Lancet. 1971; 1:564–566.
crossref
28. Tharani R, Dorey FJ, Schmalzried TP. The risk of cancer following total hip or knee arthroplasty. J Bone Joint Surg Am. 2001; 83-A:774–780.
crossref
29. Mathiesen EB, Ahlbom A, Bermann G, Lindgren JU. Total hip replacement and cancer. A cohort study. J Bone Joint Surg Br. 1995; 77:345–350.
crossref
30. Langkamer VG, Case CP, Collins C, et al. Tumors around implants. J Arthroplasty. 1977; 12:812–818.
crossref
31. Gillespie WJ, Frampton CM, Henderson RJ, Ryan PM. The incidence of cancer following total hip replacement. J Bone Joint Surg Br. 1988; 70:539–542.
crossref
32. Visuri TI, Pukkala E, Pulkkinen P, Paavolainen P. Cancer incidence and causes of death among total hip replacement patients: a review based on Nordic cohorts with a special emphasis on metal-on-metal bearings. Proc Inst Mech Eng H. 2006; 220:399–407.
crossref
33. Weber BG. Experience with the Metasul total hip bearing system. Clin Orthop Relat Res. 1996; 329 Suppl. S69–S77.
crossref
34. Dorr LD, Wan Z, Longjohn DB, Dubois B, Murken R. Total hip arthroplasty with use of the Metasul metal-on-metal articulation. J Bone Joint Surg Am. 2000; 82:789–798.
crossref
35. Iida H, Kaneda E, Takada H, Uchida K, Kawanabe K, Nakamura T. Metallosis due to impingement between the socket and the femoral neck in a metal-on-metal bearing total hip prosthesis. A case report. J Bone Joint Surg Am. 1999; 81:400–403.
crossref
36. Beaulé PE, Campbell P, Mirra J, Hooper JC, Schmalzried TP. Osteolysis in a cementless, second generation metal-on-metal hip replacement. Clin Orthop Relat Res. 2001; (386):159–165.
37. Antony FC, Holden CA. Metal allergy resurfaces in failed hip endoprostheses. Contact Dermatitis. 2003; 48:49–50.
crossref
38. Kim SY, Kyung HS, Ihn JC, Cho MR, Koo KH, Kim CY. Cementless Metasul metal-on-metal total hip arthroplasty in patients less than fifty years old. J Bone Joint Surg Am. 2004; 86-A:2475–2481.
crossref
39. Kim YH. Metal-on-metal articulation in total hip arthroplasty. J Korean Hip Soc. 2007; 19:355–362.
40. Bosker BH, Ettema HB, Boomsma MF, Kollen BJ, Maas M, Verheyen CC. High incidence of pseudotumour formation after large-diameter metal-on-metal total hip replacement: a prospective cohort study. J Bone Joint Surg Br. 2012; 94:755–761.
41. Beaulé PE, Dorey FJ, Le Duff M, Gruen T, Amstutz HC. Risk factors affecting outcome of metal-on-metal surface arthroplasty of the hip. Clin Orthop Relat Res. 2004; (418):87–93.
42. Pollard TC, Baker RP, Eastaugh-Waring SJ, Bannister GC. Treatment of the young active patient with osteoarthritis of the hip. A five- to seven-year comparision of hybrid total hip arthroplasty and metal-on-metal resurfacing. J Bone Joint Surg Br. 2006; 88:592–600.
43. Amstutz H, Campbell PA, Le Duff M. Fracture of the neck of the femur after surface arthroplasty of the hip. J Bone Joint Surg Am. 2004; 86-A:1874–1877.
crossref
44. Korovessis P, Petsinis G, Repanti M, Repantis T. Metallosis after contemporary metal-on-metal hip resurfacing. Five to nine-year follow-up. J Bone Joint Surg Am. 2006; 88:1183–1191.
45. Pandit H, Glyn-Jones S, McLardy-Smith P, et al. Pseudotumours associated with metal-on-metal hip resurfacing. J Bone Joint Surg Br. 2008; 90:847–851.
46. Shimmin AJ, Back D. Femoral neck fractures following Birmingham hip resurfacing: a national review of 50 cases. J Bone Joint Surg Br. 2005; 87:463–464.
47. Amstutz HC, Le Duff MJ, Campbell PA, Wisk LE, Takamura KM. Complications after metal-on-metal hip resurfacing arthroplasty. Orthop Clin North Am. 2011; 42:207–230. viii
crossref
48. Smith AJ, Dieppe P, Vernon K, Porter M, Blom AW. National Joint Registry of England and Wales. Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales. Lancet. 2012; 379:1199–1204.
crossref
49. Glyn-Jones S, Pandit H, Kwon YM, Doll H, Gill HS, Murray DW. Risk factors for inflammatory pseudotumour formation following hip resurfacing. J Bone Joint Surg Br. 2009; 91:1566–1574.
crossref
50. Murray DW, Grammatopoulos G, Pandit H, Gundie R, Gill HS, McLardy-Smith P. The ten-year survival of the Birmingham hip resurfacing: an independent series. J Bone Joint Surg Br. 2012; 94:1180–1186.
51. Haddad FS, Thakrar RR, Hart AJ, et al. Metal-on-metal bearings: the evidence so far. J Bone Joint Surg Br. 2011; 93:572–579.
52. Angadji A, Royle M, Collins SN, Shelton JC. Influence of cup orientation on the wear performance of metal-on-metal hip replacements. Proc Inst Mech Eng H. 2009; 223:449–457.
crossref
53. De Haan R, Pattyn C, Gill HS, Murray DW, Campbell PA, De Smet K. Correlation between inclination of the acetabular component and metal ion levels in metal-on-metal hip resurfacing replacement. J Bone Joint Surg Br. 2008; 90:1291–1297.
crossref
54. Hart AJ, Buddhdev P, Winship P, Faria N, Powell JJ, Skinner JA. Cup inclination angle greater than 50 degrees increase whole blood concentration of cobalt and chromium ions after metal-on-metal hip resurfacing. Hip Int. 2008; 18:212–219.
crossref
55. de Steiger RN, Hang JR, Miller LN, Graves SE, Davidson DC. Five-year results of the ASR XL Acetabular System and the ASR Hip Resurfacing System: an analysis from the Australian Orthopaedic Association National Joint Replacement Registry. J Bone Joint Surg Am. 2011; 93:2287–2293.
crossref
56. Medical Device Alert. All metal-on-metal (MoM) hip replacements (MDA/2012/036). cited 2013 Oct 22. Available from: http//www.mhra.gov.uk/home/groups/dtsbs/documents/medicaldevicesalert/con155767.pdf.
57. Tucker K, Gregg P, Kay P, et al. Monitoring the introduction and performance of a joint replacement: the United Kingdom metal-on-metal alert. J Bone Joint Surg Am. 2011; 93:Suppl 3. 37–42.
crossref
TOOLS
Similar articles