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J. Funct. Biomater. 2015, 6(3), 486-499; doi:10.3390/jfb6030486

Metal-on-Metal Hip Arthroplasty: A Review of Adverse Reactions and Patient Management

1,* , 2,†
and
2,†
1
Melbourne Medical School, University of Melbourne, Melbourne, Victoria 3052, Australia
2
Department of Orthopaedics, Western Health, Melbourne, Victoria 3011, Australia
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editor: Rajshree Mootanah
Received: 13 May 2015 / Revised: 12 June 2015 / Accepted: 18 June 2015 / Published: 26 June 2015
(This article belongs to the Special Issue Advances in the Tribology of Artificial Hip and Knee Joints)
View Full-Text   |   Download PDF [223 KB, uploaded 26 June 2015]

Abstract

Recent alarming joint registry data highlighting increased revision rates has prompted further research into the area of metal-on-metal hip replacements and resurfacings. This review article examines the latest literature on the topic of adverse reactions to metal debris and summarises the most up-to-date guidelines on patient management. Adverse reactions to metal debris can cause significant damage to soft tissue and bone if not diagnosed early. Furthermore, not every patient with an adverse reaction to metal debris will be symptomatic. As such, clinicians must remain vigilant when assessing and investigating these patients in order to detect failing implants and initiate appropriate management. View Full-Text
Keywords: metal-on-metal; hip arthroplasty; hip replacement; hip resurfacing; adverse reactions; patient management; pseudotumour; aseptic lymphocyte-dominated vasculitis-associated lesion (ALVAL); revision surgery metal-on-metal; hip arthroplasty; hip replacement; hip resurfacing; adverse reactions; patient management; pseudotumour; aseptic lymphocyte-dominated vasculitis-associated lesion (ALVAL); revision surgery
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

Drummond, J.; Tran, P.; Fary, C. Metal-on-Metal Hip Arthroplasty: A Review of Adverse Reactions and Patient Management. J. Funct. Biomater. 2015, 6, 486-499.

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