Skip to main content
SpringerLink
Log in

Revision of Metal on Metal THA

  • Chapter
  • First Online:
The Adult Hip - Master Case Series and Techniques

  • 1009 Accesses

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

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Bolognesi MP, Ledford CK. Metal-on-metal total hip arthroplasty: patient evaluation and treatment. J Am Acad Orthop Surg. 2015;23(12):724–31.

    Article  PubMed  Google Scholar 

  2. Haddad FS, Thakrar RR, Hart AJ, Skinner JA, Nargol AV, Nolan JF, Gill HS, Murray DW, Blom AW, Case CP. Metal-on-metal bearings: the evidence so far. J Bone Joint Surg Br. 2011;93:572–9.

    Article  CAS  PubMed  Google Scholar 

  3. Neumann DR, Thaler C, Hitzl W, Huber M, Hofstädter T, Dorn U. Long-term results of a contemporary metal-on-metal total hip arthroplasty: a 10-year follow-up study. J Arthroplast. 2010;25:700–70.

    Article  Google Scholar 

  4. Engh CA, Ho H, Engh CA. Metal-on-metal hip arthroplasty: does early clinical outcome justify the chance of an adverse local tissue reaction? Clin Orthop Relat Res. 2010;468:406–12.

    Article  PubMed  Google Scholar 

  5. Barrett WP, Kindsfater KA, Lesko JP. Large-diameter modular metal-on-metal total hip arthroplasty: incidence of revision for adverse reaction to metallic debris. J Arthroplast. 2012;27(6):976–83.

    Article  Google Scholar 

  6. Smith AJ, Dieppe P, Vernon K, Porter M, Blom AW, on behalf of the 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;379:1199–20.

    Article  PubMed  Google Scholar 

  7. Korovessis P, Petsinis G, Repanti M, Repantis T. Metallosis after contemporary metal-on-metal total hip arthroplasty. Five to nine year follow-up. J Bone Joint Surg Am. 2006;88:1183–91.

    Article  CAS  PubMed  Google Scholar 

  8. Bolland BJ, Culliford DJ, Langton DJ, Millington JPS, Arden NK, Latham JM. High failure rates with a large-diameter hybrid metal-on-metal total hip replacement: clinical, radiological and retrieval analysis. J Bone Joint Surg Br. 2011;93:608–15.

    Article  CAS  PubMed  Google Scholar 

  9. Langton DJ, Jameson SS, Joyce TJ, Gandhi JN, Sidaginamale R, Mereddy P, Lord J, Nargol AVF. Accelerating failure rate of the ASR total hip replacement. J Bone Joint Surg Br. 2011;93:1011–6.

    Article  CAS  PubMed  Google Scholar 

  10. Varnum C, Pedersen AB, Mäkelä K, Eskelinen A, Havelin LI, Furnes O, Kärrholm J, Garellick G, Overgaard S. Increased risk of revision of cementless stemmed total hip arthroplasty with metal-on-metal bearings. Acta Orthop. 2015;86(4):491–7. https://doi.org/10.3109/17453674.2015.1023132.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Milosev I, Kovac S, Trebse R, Levasic V, Pisot V. Comparison of ten-year survivorship of hip prostheses with use of conventional polyethylene, metal-on-metal, or ceramic-on-ceramic bearings. J Bone Joint Surg Am. 2012;94:1756–63.

    Article  PubMed  Google Scholar 

  12. Pijls BG, Meessen JMTA, Schoones JW, Fiocco M, van der Heide HJL, Sedrakyan A, Nelissen RGHH. Increased mortality in metal-on-metal versus non-metal-on-metal primary total hip arthroplasty at 10 years and longer followup: a systematic review and meta-analysis. PLoS One. 2016;11(6):e0156051. https://doi.org/10.1371/journal.pone.0156051.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  13. Lee YK, Yoon BH, Choi YS, Jo WL, Ha YC, Koo KH. Metal on metal or ceramic on ceramic for cementless total hip arthroplasty: a meta-analysis. J Arthroplast. 2016;31(11):2637–2645.e1. https://doi.org/10.1016/j.arth.2016.04.01.

    Article  Google Scholar 

  14. Berber R, Skinner JA, Hart AJ. Management of metal-on-metal hip implant patients: who, when and how to revise? World J Orthop. 2016;7(5):272–9.

    Article  PubMed  PubMed Central  Google Scholar 

  15. 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 tissues and isolated particles. J Biomed Mater Res. 1998;42:103–11.

    Article  CAS  PubMed  Google Scholar 

  16. 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;85:2168–73.

    Article  PubMed  Google Scholar 

  17. Griffin JW, D’Apuzzo M, Browne JA. Management of failed metal-on-metal total hip arthroplasty. World J Orthop. 2012;3(6):70–4.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Lohmann CH, Schwartz Z, Köster G, Jahn U, Buchhorn GH, MacDougall MJ, Casasola D, Liu Y, Sylvia VL, Dean DD, Boyan BD. Phagocytosis of wear debris by osteoblasts affects differentiation and local factor production in a manner dependent on particle composition. Biomaterials. 2000;21:551–61.

    Article  CAS  PubMed  Google Scholar 

  19. Merritt K, Brown SA. Release of hexavalent chromium from corrosion of stainless steel and cobalt-chromium alloys. J Biomed Mater Res. 1995;29:627–33.

    Article  CAS  PubMed  Google Scholar 

  20. Prentice JR, Clark MJ, Hoggard N, Morton AC, Tooth C, Paley MN, Stockley I, Hadjivassiliou M, Wilkinson JM. Metal-on-metal hip prostheses and systemic health: a cross-sectional association study 8 years after implantation. PLoS One. 2013;8:e66186.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Campbell P, Ebramzadeh E, Nelson S, Takamura K, De Smet K, Amstutz HC. Histological features of pseudotumor-like tissues from metal-on-metal hips. Clin Orthop Relat Res. 2010;468:2321–7.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Bosker BH, Ettema HB, Boomsma MF, Kollen BJ, Maas M, Verheyen CCPM. 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 

  23. Pandit H, Glyn-Jones S, Mclardy-Smith P, Gundle R, Whitwell D, Gibbons CLM, Ostlere S, Athanasou N, Gill HS, Murray DW. Pseudotumours associated with metal-on-metal hip resurfacings. J Bone Joint Surg Br. 2008;90:847–51.

    Article  CAS  PubMed  Google Scholar 

  24. Wyles CC, Van Demark RE III, Sierra RJ, Trousdale RT. High rate of infection after aseptic revision of failed metal-on-metal total hip arthroplasty. Clin Orthop Relat Res. 2014;472:509–16.

    Article  Google Scholar 

  25. Paukkeri E-L, Korhonen R, Hämäläinen M, Pesu M, Eskelinen A, Moilanen T, Moilanen E. The inflammatory phenotype in failed metal-on-metal hip arthroplasty correlates with blood metal concentrations. PLoS One. 2016;11(5):e0155121. https://doi.org/10.1371/journal.pone.0155121.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  26. Canadian Hip Resurfacing Study Group. A survey on the prevalence of pseudotumors with metal-on-metal hip resurfacing in Canadian academic centers. J Bone Joint Surg Am. 2011;93(Suppl 2):118–21.

    Article  Google Scholar 

  27. 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 

  28. Kwon YM, Thomas P, Summer B, Pandit H, Taylor A, Beard D, Murray DW, Gill HS. Lymphocyte proliferation responses in patients with pseudotumors following metal-on-metal hip resurfacing arthroplasty. J Orthop Res. 2010;28(4):444–50.

    PubMed  CAS  Google Scholar 

  29. Almousa SA, Greidanus NV, Masri BA, Duncan CP, Garbuz DS. The natural history of inflammatory pseudotumors in asymptomatic patients after metal-on-metal hip arthroplasty. Clin Orthop Relat Res. 2013;471:3814–21.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Ebreo D, Bell PJ, Arshad H, Donell ST, Toms A, Nolan JF. Serial magnetic resonance imaging of metal-on-metal total hip replacements. Follow-up of a cohort of 28 mm Ultima TPS THRs. Bone Joint J. 2013;95-B:1035–9.

    Article  CAS  PubMed  Google Scholar 

  31. van der Weegen W, Brakel K, Horn RJ, Hoekstra HJ, Sijbesma T, Pilot P, Nelissen RG. Asymptomatic pseudotumours after metal-on-metal hip resurfacing show little change within one year. Bone Joint J. 2013;95-B:1626–31.

    Article  PubMed  Google Scholar 

  32. Berber R, Khoo M, Cook E, Guppy A, Hua J, Miles J, Carrington R, Skinner J, Hart A. Muscle atrophy and metal-on-metal hip implants: a serial MRI study of 74 hips. Acta Orthop. 2015;86:351–7.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Liddle AD, Satchithananda K, Henckel J, et al. Revision of metal-on-metal hip arthroplasty in a tertiary center: a prospective study of 39 hips with between 1 and 4 years of follow-up. Acta Orthop. 2013;84(3):237.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Kwon YM, Lombardi AV, Jacobs JJ, Fehring TK, Lewis CG, Cabanela ME. Risk stratification algorithm for management of patients with metal-on-metal hip arthroplasty: consensus statement of the American Association of Hip and Knee Surgeons, the American Academy of Orthopaedic Surgeons, and the hip society. J Bone Joint Surg Am. 2014;96:e4.

    Article  PubMed  Google Scholar 

  35. Epstein M, Emri I, Hartemann P, Hoet P, Leitgeb N, Martinez L, Proykova A, Rizzo L, Rodriguez-Farre E, Rushton L, Rydzynski K, Samaras T, Testai E, Vermeire T, Case C, Dekant W, De Jong W, Gunther K, Hensten A, Morlock M, Stea S, Van Der Straeten C, Verheyen C. The safety of Metal-on-Metal joint replacements with a particular focus on hip implants. 2014. http://ec.europa.eu/health/scientific_committees/emerging/docs/scenihr_o_042.pdf.

  36. Hannemann F, Hartmann A, Schmitt J, Lützner J, Seidler A, Campbell P, Delaunay CP, Drexler H, Ettema HB, García-Cimbrelo E, Huberti H, Knahr K, Kunze J, Langton DJ, Lauer W, Learmonth I, Lohmann CH, Morlock M, Wimmer MA, Zagra L, Günther KP. European multidisciplinary consensus statement on the use and monitoring of metal-on-metal bearings for total hip replacement and hip resurfacing. Orthop Traumatol Surg Res. 2013;99:263–71.

    Article  CAS  PubMed  Google Scholar 

  37. Ludgate S, Haque F, Cacou C. Medical device alert: all metal-on-metal (MoM) hip replacements. 2012. http://www.mhra.gov.uk/home/groups/dtsbs/documents/medicaldevicealert/con155767.pdf.

  38. Browne JA, Polga DJ, Sierra RJ, Trousdale RT, Cabanela ME. Failure of larger-diameter metal-on-metal total hip arthroplasty resulting from anterior iliopsoas impingement. J Arthroplast. 2011;26:978.e5–8.

    Google Scholar 

  39. Emmanuel AR, Bergin KM, Kelly GE, et al. The effect of acetabular inclination on metal ion levels following metal-on-metal hip arthroplasty. J Arthroplast. 2014;29(1):186.

    Article  Google Scholar 

  40. Desy NM, Bergeron SG, Petit A, Huk OL, Antoniou J. Surgical variables influence metal ion levels after hip resurfacing. Clin Orthop Relat Res. 2011;469:1635–1641.13.

    Article  PubMed  Google Scholar 

  41. Hart AJ, Skinner JA, Henckel J, Sampson B, Gordon F. Insufficient acetabular version increases blood metal ion levels after metal-on-metal hip resurfacing. Clin Orthop Relat Res. 2011;469:2590–7.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Siddiqui IA, Sabah SA, Satchithananda K, Lim AK, Cro S, Henckel J, Skinner JA, Hart AJ. A comparison of the diagnostic accuracy of MARS MRI and ultrasound of the painful metal-on-metal hip arthroplasty. Acta Orthop. 2014;85:375–82.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Garbuz DS, Hargreaves BA, Duncan CP, Masri BA, Wilson DR, Forster BB. The John Charnley award: diagnostic accuracy of MRI versus ultrasound for detecting pseudotumors in asymptomatic metal-on-metal THA. Clin Orthop Relat Res. 2014;472:417–23.

    Article  PubMed  Google Scholar 

  44. Berber R, Henckel J, Khoo M, Wan S, Hua J, Skinner J, Hart A. Clinical usefulness of SPECT-CT in patients with an unexplained pain in metal on metal (MOM) total hip arthroplasty. J Arthroplast. 2015;30:687–94.

    Article  Google Scholar 

  45. Daniel J, Ziaee H, Pradhan C, McMinn DJ. Six-year results of a prospective study of metal ion levels in young patients with metal-on-metal hip resurfacings. J Bone Joint Surg Br. 2009;91:176–9.

    Article  CAS  PubMed  Google Scholar 

  46. Ball ST, Severns D, Linn M, Meyer RS, Swenson FC. What happens to serum metal ion levels after a metal-on-metal bearing is removed? J Arthroplast. 2013;28:53–5.

    Article  Google Scholar 

  47. Hart AJ, Sabah SA, Bandi AS, Maggiore P, Tarassoli P, Sampson B, A Skinner J. Sensitivity and specificity of blood cobalt and chromium metal ions for predicting failure of metal-on-metal hip replacement. J Bone Joint Surg Br. 2011;93:1308–131.

    Article  CAS  PubMed  Google Scholar 

  48. Matthies AK, Henckel J, Cro S, Suarez A, Noble PC, Skinner J, Hart AJ. Predicting wear and blood metal ion levels in metal-on-metal hip resurfacing. J Orthop Res. 2014;32:167–74.

    Article  CAS  PubMed  Google Scholar 

  49. Hart AJ, Sabah SA, Sampson B, Skinner JA, Powell JJ, Palla L, Pajamäki KJ, Puolakka T, Reito A, Eskelinen A. Surveillance of patients with metal-on-metal hip resurfacing and total hip prostheses: a prospective cohort study to investigate the relationship between blood metal ion levels and implant failure. J Bone Joint Surg Am. 2014;96:1091–9.

    Article  CAS  PubMed  Google Scholar 

  50. Kwon YM, Ostlere SJ, McLardy-Smith P, Athanasou NA, Gill HS, Murray DW. “asymptomatic” pseudotumors after metal-on-metal hip resurfacing arthroplasty: prevalence and metal ion study. J Arthroplast. 2011;26:511–8.

    Article  Google Scholar 

  51. Grammatopolous G, Pandit H, Kwon Y-M, Gundle R, McLardySmith P, Beard DJ, Murray DW, Gill HS. Hip resurfacings revised for inflammatory pseudotumour have a poor outcome. J Bone Joint Surg Br. 2009;91:1019–24.

    Article  PubMed  Google Scholar 

  52. Randelli F, Banci L, Favilla S, Maglione D, Aliprandi A. Radiographically undetectable periprosthetic osteolysis with ASR implants: the implication of blood metal ions. J Arthroplast. 2013;28:1259–64.

    Article  Google Scholar 

  53. Campbell P, Shimmin A, Walter L, Solomon M. Metal sensitivity as a cause of groin pain in metal-on-metal hip resurfacing. J Arthroplast. 2008;23:1080–5.

    Article  Google Scholar 

  54. Munro JT, Masri BA, Duncan CP, Garbuz DS. High complication rate after revision of large-head metal-on-metal total hip arthroplasty. Clin Orthop Relat Res. 2014;472:523–8.

    Article  PubMed  Google Scholar 

  55. Judd KT, Noiseux N. Concomitant infection and local metal reaction in patients undergoing revision of metal on metal total hip arthroplasty. Iowa Orthop J. 2011;31:59–63.

    PubMed  PubMed Central  Google Scholar 

  56. Liow MHL, Dimitriou D, Tsai T-Y, Kwon Y-M. Preoperative risk factors associated with poor outcomes of revision surgery for “Pseudotumors” in patients with metal-on-metal hip arthroplasty. J Arthroplast. 2016;31(12):2835–42.

    Article  Google Scholar 

  57. Rahman WA, Amen T, Hetaimish BM, Safir OA, Kuzyk PR, Gross AE. Outcome of revision total hip arthroplasty in management of failed metal-on-metal hip arthroplasty. J Arthroplast. 2016;31(11):2559–63.

    Article  Google Scholar 

  58. Snir N, Park BK, Garofolo G, Marwin SE. Revision of failed hip resurfacing and large metal-on-metal total hip arthroplasty using dual-mobility components. Orthopedics. 2015;38(6):369–74. https://doi.org/10.3928/01477447-20150603-04.

    Article  PubMed  Google Scholar 

  59. Rajpura A, Porter ML, Gambhir AK, Freemont AJ, Board TN. Clinical experience of revision of metal on metal hip arthroplasty for aseptic lymphocyte dominated vasculitis associated lesions (ALVAL). Hip Int. 2011;21:43–51.

    Article  PubMed  Google Scholar 

  60. Penrose CT, Seyler TM, Wellman SS, Bolognesi MP, Lachiewicz PF. Complications are not increased with acetabular revision of metal-on-metal total hip arthroplasty. Clin Orthop Relat Res. 2016;474(10):2134–42. https://doi.org/10.1007/s11999-016-4793-4.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Zagra L, Maccario C, Mondini A, Bianchi L. Treatment of failures related to articulation material in THA. A comprehensive algorithm of surgical options and open questions. Hip Int. 2014;24(Suppl 10):S48–57. https://doi.org/10.5301/hipint.5000170.

    Article  PubMed  Google Scholar 

  62. Lainiala O, Reito A, Elo P, Pajamäki J, Puolakka T, Eskelinen A. Revision of metal-on-metal hip prostheses results in marked reduction of blood cobalt and chromium ion concentrations. Clin Orthop Relat Res. 2015;473(7):2305–13. https://doi.org/10.1007/s11999-015-4156-6.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Academic Orthopaedic Unit, Aristotle University Medical School, Thessaloniki, Greece

    Eustathios Kenanidis M.D., Ph.D., M.Sc.

  2. Academic Orthopaedic Unit, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.

  3. Hip Department, Istituto Ortopedico Galeazzi IRCCS, Milan, Italy

    Luigi Zagra M.D. & Eleonora Caboni M.D.

Authors
  1. Eustathios Kenanidis M.D., Ph.D., M.Sc.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Luigi Zagra M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Eleonora Caboni M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S. or Luigi Zagra .

Editor information

Editors and Affiliations

  1. Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kenanidis, E., Tsiridis, E., Zagra, L., Caboni, E. (2018). Revision of Metal on Metal THA. In: Tsiridis, E. (eds) The Adult Hip - Master Case Series and Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-64177-5_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-64177-5_30

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64175-1

  • Online ISBN: 978-3-319-64177-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation