Skip to main content
SpringerLink
Log in

Metall-auf-Metall-Hüftgelenkersatz

  • Chapter
  • First Online:
Fortschritte in der speziellen Hüftchirurgie

  • 302 Accesses

Zusammenfassung

In den letzten zwei Jahrzehnten hat die Verwendung von Metall/Metall-Gleitpaarungen in der Hüftgelenkendoprothetik (HTEP) aufgrund der geringeren Abriebraten und des attraktiven tribologischen Profils an Popularität gewonnen. MoM-Großkopf-HTEPs haben den Vorteil einer verbesserten Stabilität. Sie wiesen jedoch hohe Pfannenlockerungsraten und unerwünschte Reaktionen auf Metallabrieb (ARMD) mit frühen Implantatausfällen auf. MoM-HTEP der zweiten Generation mit einem Kopf mit kleinem Durchmesser haben anerkanntermaßen ein geringeres Reibungsmoment, eine bessere Metallurgie und eine bessere Kontrolle über das Maßspiel. Diese Gleitpaarung wird im Allgemeinen mit einer geringeren Inzidenz der durch Polyethylenpartikel verursachten Osteolyse in Verbindung gebracht. Jüngste Berichte haben jedoch Bedenken hinsichtlich erhöhter Serum-Metallionenspiegel und ARMD bei MoM-Kleinendoprothesen in der Langzeitbeobachtung geweckt. In dieser Übersichtsarbeit wird die klinische Leistung von MoM-HTEPs in Abhängigkeit von der Femurkopfgröße mit einer Literaturübersicht über die Geschichte und die tribologischen Eigenschaften von MoM-Gleitpaarungen, Abrieb und Korrosion, Metallionenspiegel und ARMD diskutiert.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 89.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Literatur

  1. Wroblewski BM, Siney PD, Fleming PA. Charnley low-frictional torque arthroplasty: follow-up for 30 to 40 years. J Bone Joint Surg Br. 2009;91:447–50.

    Article  CAS  PubMed  Google Scholar 

  2. Anissian HL, Stark A, Gustafson A, Good V, Clarke IC. Metal-on-metal bearing in hip prosthesis generates 100-fold less wear debris than metal-on-polyethylene. Acta Orthop Scand. 1999;70:578–82.

    Article  CAS  PubMed  Google Scholar 

  3. Fisher J, Jin Z, Tipper J, Stone M, Ingham E. Tribology of alternative bearings. Clin Orthop Relat Res. 2006;453:25–34.

    Article  PubMed  Google Scholar 

  4. Langton DJ, Jameson SS, Joyce TJ, Hallab NJ, Natu S, Nargol AV. Early failure of metal-on-metal bearings in hip resurfacing and large-diameter total hip replacement: a consequence of excess wear. J Bone Joint Surg Br. 2010;92:38–46.

    Article  CAS  PubMed  Google Scholar 

  5. Williams DH, Greidanus NV, Masri BA, Duncan CP, Garbuz DS. Prevalence of pseudotumor in asymptomatic patients after metal-on-metal hip arthroplasty. J Bone Joint Surg Am. 2011;93:2164–71.

    Article  PubMed  Google Scholar 

  6. Matharu GS, Nandra RS, Berryman F, Judge A, Pynsent PB, Dunlop DJ. Risk factors for failure of the 36 mm metal-on-metal Pinnacle total hip arthroplasty system: a retrospective single-centre cohort study. Bone Joint J. 2017;99-B:592–600.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Langton DJ et al. Accelerating failure rate of the ASR total hip replacement. J Bone Joint Surg Br. 2011;93:1011–6.

    Article  CAS  PubMed  Google Scholar 

  8. Lombardi AV Jr, Berend KR, Adams JB, Satterwhite KL. Adverse reactions to metal-on-metal are not exclusive to large heads in total hip arthroplasty. Clin Orthop Relat Res. 2016;474:432–40.

    Article  PubMed  Google Scholar 

  9. Reiner T et al. MRI findings in patients after small-head metal-on-metal total hip arthroplasty with a minimum follow-up of 10 years. J Bone Joint Surg Am. 2017;99:1540–6.

    Article  PubMed  Google Scholar 

  10. Wiles P. The surgery of the osteoarthritic hip. Br J Surg. 1958;45:488–97.

    Article  CAS  PubMed  Google Scholar 

  11. McKee GK, Watson-Farrar J. Replacement of arthritic hips by the McKee-Farrar prosthesis. J Bone Joint Surg Br. 1966;48:245–59.

    Article  CAS  PubMed  Google Scholar 

  12. August AC, Aldam CH, Pynsent PB. The McKee-Farrar hip arthroplasty. A long-term study. J Bone Joint Surg Br. 1986;68:520–7.

    Article  CAS  PubMed  Google Scholar 

  13. Bryant MJ, Mollan RA, Nixon JR. Survivorship analysis of the ring hip arthroplasty. J Arthroplast. 1991;6:5–10.

    Article  Google Scholar 

  14. Charnley J. The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg Br. 1972;54:61–76.

    Article  CAS  PubMed  Google Scholar 

  15. Oparaugo PC, Clarke IC, Malchau H, Herberts P. Correlation of wear debris-induced osteolysis and revision with volumetric wear-rates of polyethylene: a survey of 8 reports in the literature. Acta Orthop Scand. 2001;72:22–8.

    Article  CAS  PubMed  Google Scholar 

  16. Wroblewski BM. Osteolysis due to particle wear debris following total hip arthroplasty: the role of high-density polyethylene. Instr Course Lect. 1994;43:289–94.

    CAS  PubMed  Google Scholar 

  17. Jasty M, Bragdon C, Jiranek W, Chandler H, Maloney W, Harris WH. Etiology of osteolysis around porous-coated cementless total hip arthroplasties. Clin Orthop Relat Res. 1994;308:111–26.

    Article  Google Scholar 

  18. Weber BG. Experience with the Metasul total hip bearing system. Clin Orthop Relat Res. 1996;329:69–77.

    Article  Google Scholar 

  19. Schmalzried TP, Szuszczewicz ES, Akizuki KH, Petersen TD, Amstutz HC. Factors correlating with long term survival of McKee-Farrar total hip prostheses. Clin Orthop Relat Res. 1996;329:S48–59.

    Article  Google Scholar 

  20. Clarke MT, Darrah C, Stewart T, Ingham E, Fisher J, Nolan JF. Long-term clinical, radiological and histopathological follow-up of a well-fixed McKee-Farrar metal-on-metal total hip arthroplasty. J Arthroplast. 2005;20:542–6.

    Article  Google Scholar 

  21. Jacobsson SA, Djerf K, Wahlstrom O. Twenty-year results of McKee-Farrar versus Charnley prosthesis. Clin Orthop Relat Res. 1996;329:S60–8.

    Article  Google Scholar 

  22. Amstutz HC et al. Metal-on-metal total hip replacement workshop consensus document. Clin Orthop Relat Res. 1996;329:S297–303.

    Article  Google Scholar 

  23. Triclot P. Metal-on-metal: history, state of the art (2010). Int Orthop. 2011;35:201–6.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Rieker CB et al. Influence of the clearance on in-vitro tribology of large diameter metal-on-metal articulations pertaining to resurfacing hip implants. Orthop Clin North Am. 2005;36(135–42):vii.

    PubMed  Google Scholar 

  25. Zahiri CA et al. Lessons learned from loosening of the McKee-Farrar metal-on-metal total hip replacement. J Arthroplast. 1999;14:326–32.

    Article  CAS  Google Scholar 

  26. Amstutz HC, Grigoris P. Metal on metal bearings in hip arthroplasty. Clin Orthop Relat Res. 1996;329:S11–34.

    Article  Google Scholar 

  27. Hosny HA, Srinivasan SC, Keenan J, Fekry H. Midterm results with Birmingham hip resurfacing/synergy stem modular metal-on-metal total hip arthroplasty. Acta Orthop Belg. 2013;79:386–91.

    PubMed  Google Scholar 

  28. Berton C, Girard J, Krantz N, Migaud H. The Durom large diameter head acetabular component: early results with a large-diameter metal-on-metal bearing. J Bone Joint Surg Br. 2010;92:202–8.

    Article  CAS  PubMed  Google Scholar 

  29. Lombardi AV Jr, Berend KR, Morris MJ, Adams JB, Sneller MA. Large-diameter metal-on-metal total hip arthroplasty: dislocation infrequent but survivorship poor. Clin Orthop Relat Res. 2015;473:509–20.

    Article  PubMed  Google Scholar 

  30. Levy YD, Ezzet KA. Poor short term outcome with a metal-on-metal total hip arthroplasty. J Arthroplast. 2013;28:1212–7.

    Article  Google Scholar 

  31. Konan S, Duncan CP, Masri BS, Garbuz DS. What is the natural history of asymptomatic pseudotumors in metal-on-metal THAs at mid-term follow-up? Clin Orthop Relat Res. 2017;475:433–41.

    Article  PubMed  Google Scholar 

  32. Langton DJ et al. Material loss at the femoral head taper: a comparison study of the Exeter metal-on-polyethylene and contemporary metal-on-metal total hip arthroplasty. Bone Joint J. 2018;100-B:1310–9.

    Article  CAS  PubMed  Google Scholar 

  33. Althuizen MN, van Hooff ML, van den Berg-van Erp SH, van Limbeek J, Nihof MW. Early failures in large head metal-on-metal total hip arthroplasty. Hip Int. 2012;22:641–7.

    Article  PubMed  Google Scholar 

  34. Eswaramoorthy V, Moonot P, Kalairajah Y, Biant LC, Field RE. The Metasul metal-on-metal articulation in primary total hip replacement: clinical and radiological results at ten years. J Bone Joint Surg Br. 2008;90:1278–83.

    Article  CAS  PubMed  Google Scholar 

  35. Moon JK, Kim Y, Hwang KT, Yang JH, Oh YH, Kim YH. Long-term outcomes after metal-on-metal total hip arthroplasty with a 28-mm head: a 17- to 23-year follow-up study of a previous report. J Arthroplast. 2018;33:2165–72.

    Article  Google Scholar 

  36. Randelli F, Banci L, D’Anna A, Visentin O, Randelli G. Cementless Metasul metal-on-metal total hip arthroplasties at 13 years. J Arthroplast. 2012;27:186–92.

    Article  Google Scholar 

  37. Dastane M, Wan Z, Deshmane P, Long WT, Dorr LD. Primary hip arthroplasty with 28-mm Metasul articulation. J Arthroplast. 2011;26:662–4.

    Article  Google Scholar 

  38. Innmann MM et al. Minimum ten-year results of a 28-mm metal-on-metal bearing in cementless total hip arthroplasty in patients fifty years of age and younger. Int Orthop. 2014;38:929–34.

    Article  PubMed  Google Scholar 

  39. Lass R et al. Primary cementless total hip arthroplasty with second-generation metal-on-metal bearings: a concise follow-up, at a minimum of seventeen years, of a previous report. J Bone Joint Surg Am. 2014;96:e37.

    Article  CAS  PubMed  Google Scholar 

  40. Delaunay CP, Putman S, Puliero B, Begin M, Migaud H, Bonnomet F. Cementless total hip arthroplasty with Metasul bearings provides good results in active young patients: a concise follow-up. Clin Orthop Relat Res. 2016;474:2126–33.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Holloway I, Walter WL, Zicat B, Walter WK. Osteolysis with a cementless second generation metal-on-metal cup in total hip replacement. Int Orthop. 2009;33:1537–42.

    Article  PubMed  Google Scholar 

  42. Donell ST et al. Early failure of the Ultima metal-on-metal total hip replacement in the presence of normal plain radiographs. J Bone Joint Surg Br. 2010;92:1501–8.

    Article  CAS  PubMed  Google Scholar 

  43. Rieker CB, Schon R, Kottig P. Development and validation of a second-generation metal-on-metal bearing: laboratory studies and analysis of retrievals. J Arthroplast. 2004;19:S5–11.

    Google Scholar 

  44. Chan FW, Bodyn 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.

    Article  Google Scholar 

  45. McKellop H et al. In vivo wear of three types of metal on metal hip prostheses during two decades of use. Clin Orthop Relat Res. 1996;329:S128–40.

    Article  Google Scholar 

  46. 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 Arthroplast. 1996;11:322–31.

    Article  CAS  Google Scholar 

  47. Sieber HP, Rieker CB, Kottig P. Analysis of 118 second-generation metal-on-metal retrieved hip implants. J Bone Joint Surg Br. 1999;81:46–50.

    Article  CAS  PubMed  Google Scholar 

  48. Rieker C, Kottig P. In vivo tribological performance of 231 metal-on-metal hip articulations. Hip Int. 2002;12:73–6.

    Article  CAS  PubMed  Google Scholar 

  49. Doorn PF, Mirra JM, Campbell PA, Amstutz HC. Tissue reaction to metal on metal total hip prostheses. Clin Orthop Relat Res. 1996;329:S187–205.

    Article  Google Scholar 

  50. Athanasou NA. The pathobiology and pathology of aseptic implant failure. Bone Joint Res. 2016;5:162–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Green TR, Fisher J, Stone M, Wroblewski BM, Ingham E. Polyethylene particles of a ‘critical size’ are necessary for the induction of cytokines by macrophages in vitro. Biomaterials. 1998;19:2297–302.

    Article  CAS  PubMed  Google Scholar 

  52. Cobb AG, Schmalzreid TP. The clinical significance of metal ion release from cobalt-chromium metal-on-metal hip joint arthroplasty. Proc Inst Mech Eng H. 2006;220:385–98.

    Article  CAS  PubMed  Google Scholar 

  53. Mahendra G, Pandit H, Kliskey K, Murray D, Gill HS, Athanasou N. Necrotic and inflammatory changes in metal-on-metal resurfacing hip arthroplasties. Acta Orthop. 2009;80:653–9.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Davies AP, Willert HG, Campbell PA, Learmonth ID, Case CP. An unusual lymphocytic perivascular infiltration in tissues around contemporary metal-on-metal joint replacements. J Bone Joint Surg Am. 2005;87:18–27.

    Article  CAS  PubMed  Google Scholar 

  55. Willert HG 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.

    Article  PubMed  Google Scholar 

  56. Catelas I, Wimmer MA. New insights into wear and biological effects of metal-on-metal bearings. J Bone Joint Surg Am. 2011;93:S76–83.

    Article  Google Scholar 

  57. Jacobs JJ et al. Local and distant products from modularity. Clin Orthop Relat Res. 1995;319:94–105.

    Google Scholar 

  58. Gilbert JL, Buckley CA, Jacobs JJ. In vivo corrosion of modular hip prosthesis components in mixed and similar metal combinations. The effect of crevice, stress, motion, and alloy coupling. J Biomed Mater Res. 1993;27:1533–44.

    Article  CAS  PubMed  Google Scholar 

  59. Del Balso C, Teeter MG, Tan SC, Lanting BA, Howard JL. Taperosis: does head length affect fretting and corrosion in total hip arthroplasty? Bone Joint J. 2015;97-B:911–6.

    Article  PubMed  Google Scholar 

  60. Tan SC, Teeter MG, Del Balso C, Howard JL, Lanting BA. Effect of taper design on trunnionosis in metal-on-polyethylene total hip arthroplasty. J Arthroplast. 2015;30:1269–72.

    Article  Google Scholar 

  61. Dyrkacz RM, Brandt JM, Ojo OA, Turgeon TR, Wyss UP. The influence of head size on corrosion and fretting behaviour at the head-neck interface of artificial hip joints. J Arthroplast. 2013;28:1036–40.

    Article  Google Scholar 

  62. Del Balso C, Teeter MG, Tan SC, Howard JL, Lanting BA. Trunnionosis: does head size affect fretting and corrosion in total hip arthroplasty? J Arthroplast. 2016;31:2332–6.

    Article  Google Scholar 

  63. Matthies AK, Skinner JA, Osmani H, Henckel J, Hart AJ. Pseudotumors are common in well-positioned low-wearing metal-on-metal hips. Clin Orthop Relat Res. 2012;470:1895–906.

    Article  PubMed  Google Scholar 

  64. 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;94:755–61.

    Article  CAS  PubMed  Google Scholar 

  65. Bayley N et al. What are the predictors and prevalence of pseudotumor and elevated metal ions after large-diameter metal-on-metal THA? Clin Orthop Relat Res. 2015;473:477–84.

    Article  PubMed  Google Scholar 

  66. Malviya A et al. What advantage is there to be gained using large modular metal-on-metal bearings in routine primary hip replacement? A preliminary report of a prospective randomised controlled trial. J Bone Joint Surg Br. 2011;93:1602–9.

    Article  CAS  PubMed  Google Scholar 

  67. Sutphen SA, MacLaughlin LH, Madsen AA, Russell JH, McShane MA. Prevalence of pseudotumor in patients after metal-on-metal hip arthroplasty evaluated with metal ion analysis and MARS-MRI. J Arthroplast. 2016;31:260–3.

    Article  Google Scholar 

  68. Garbuz DS, Tanzer M, Greidanus NV, Masri BA, Duncan CP. The John Charnley Award: metal-on-metal hip resurfacing versus large-diameter head metal-on-metal total hip arthroplasty: a randomized clinical trial. Clin Orthop Relat Res. 2010;468:318–25.

    Article  PubMed  Google Scholar 

  69. Hothi HS, Berber R, Whttaker RK, Blunn GW, Skinner JA, Hart AJ. The relationship between cobalt/chromium ratios and the high prevalence of head-stem junction corrosion in metal-on-metal total hip arthroplasty. J Arthroplast. 2016;31:1123–7.

    Article  Google Scholar 

  70. Laaksonen I, Galea VP, Donahue GS, Matuszak SJ, Muratoglu O, Malchau H. The cobalt/chromium ratio provides similar diagnostic value to a low cobalt threshold in predicting adverse local tissue reactions in patients with metal-on-metal hip arthroplasty. J Arthroplast. 2018;33:3020–4.

    Article  Google Scholar 

  71. Moon JK, Kim Y, Hwang KT, Yang JH, Ryu JA, Kim YH. Prevalence and natural course of pseudotumours after small-head metal-on-metal total hip arthroplasty: a minimum 18-year follow-up study of a previous report. Bone Joint J. 2019;101-B:317–24.

    Article  PubMed  Google Scholar 

  72. Bernstein M, Desy NM, Petit A, Zukor DJ, Huk OL, Antoniou J. Long-term follow-up and metal ion trend of patients with metal-on-metal total hip arthroplasty. Int Orthop. 2012;36:1807–12.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Ando W et al. A comparison of the effect of large and small metal-on-metal bearings in total hip arthroplasty on metal ion levels and the incidence of pseudotumour: a five-year follow-up of a previous report. Bone Joint J. 2018;100-B:1018–24.

    Article  CAS  PubMed  Google Scholar 

  74. Chervona Y, Arita A, Costa M. Carcinogenic metals and the epigenome: understanding the effect of nickel, arsenic, and chromium. Metallomics. 2012;4:619–27.

    Article  CAS  PubMed  Google Scholar 

  75. Visuri T, Koskenvuo M. Cancer risk after McKee-Farrar total hip replacement. Orthopedics. 1991;14:137–42.

    Article  CAS  PubMed  Google Scholar 

  76. Swierenga SH, Gilman JP, McLean JR. Cancer risk from inorganics. Cancer Metastasis Rev. 1987;6:113–54.

    Article  CAS  PubMed  Google Scholar 

  77. Mathiesen EB, Ahlbom A, Bermann G, Lindgren JU. Total hip replacement and cancer. A cohort study. J Bone Joint Surg Br. 1995;77:345–50.

    Article  CAS  PubMed  Google Scholar 

  78. Makela KT et al. Risk of cancer with metal-on-metal hip replacements: population based study. BMJ. 2012;345:e4646.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Abteilung für orthopädische Chirurgie, Hanyang University Guri Hospital, Guri-si, Südkorea

    Jun-Ki Moon & Young-Ho Kim

  2. Abteilung für orthopädische Chirurgie, Gyeongsang National University Hospital, Jinju, Südkorea

    Jun-Il Yoo

  3. Abteilung für orthopädische Chirurgie, Hanyang University Seoul Hospital, Seoul, Südkorea

    Yeesuk Kim

Authors
  1. Jun-Ki Moon
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jun-Il Yoo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yeesuk Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Young-Ho Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Abteilung für Orthopädie, Uniklinik RWTH Aachen, Aachen, Deutschland

    Wolf R. Drescher

  2. Abteilung für orthopädische Chirurgie, Seoul National University Bundang Hospital, Seongnam, Korea (Republic of)

    Kyung-Hoi Koo

  3. Orthopaedic Surgery, Hip and Knee Replacement, Hospital of Special Surgery, New York, USA

    Russell E. Windsor

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Der/die Autor(en), exklusiv lizenziert an Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Moon, JK., Yoo, JI., Kim, Y., Kim, YH. (2023). Metall-auf-Metall-Hüftgelenkersatz. In: Drescher, W.R., Koo, KH., Windsor, R.E. (eds) Fortschritte in der speziellen Hüftchirurgie. Springer, Cham. https://doi.org/10.1007/978-3-031-27202-8_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-27202-8_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-27201-1

  • Online ISBN: 978-3-031-27202-8

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation