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J. Funct. Biomater. 2015, 6(2), 318-327; doi:10.3390/jfb6020318

Complications Related to Metal-on-Metal Articulation in Trapeziometacarpal Joint Total Joint Arthroplasty

University Clinic for Hand, Hip and Knee Surgery, Regional Hospital Holstebro, Aarhus University, Lægårdvej 12, DK-7500 Holstebro, Denmark
These authors contributed equally to this work.
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Author to whom correspondence should be addressed.
Academic Editor: Rajshree Mootanah
Received: 21 April 2015 / Accepted: 18 May 2015 / Published: 25 May 2015
(This article belongs to the Special Issue Advances in the Tribology of Artificial Hip and Knee Joints)
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Abstract

Adverse reactions to metal-on-metal (MoM) prostheses are well known from total hip joint resurfacing arthroplasty with elevated serum chrome or cobalt, pain and pseudo tumor formation. It may, however, also be seen after total joint replacement of the trapeziometacarpal joint using MoM articulation, and we present two cases of failure of MoM prostheses due to elevated metal-serum levels in one case and pseudo tumor formation in another case. Furthermore, we suggest a diagnostic algorithm for joint pain after MoM trapeziometacarpal joint replacement based on published experiences from MoM hip prostheses and adverse reactions to metal. View Full-Text
Keywords: metal-on-metal articulation; trapeziometacarpal joint osteoarthritis; trapeziometacarpal joint total joint arthroplasty; metal hypersensitivity; pseudo tumor metal-on-metal articulation; trapeziometacarpal joint osteoarthritis; trapeziometacarpal joint total joint arthroplasty; metal hypersensitivity; pseudo tumor
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Frølich, C.; Hansen, T.B. Complications Related to Metal-on-Metal Articulation in Trapeziometacarpal Joint Total Joint Arthroplasty. J. Funct. Biomater. 2015, 6, 318-327.

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