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Clinical and Radiological Results Following Revision Surgery of Metal-on-Metal Articulation in Total Hip Arthroplasty

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Tribology in Total Hip and Knee Arthroplasty

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Abstract

In the 1950s, metal-on-metal (MoM) articulations started being used in total hip arthroplasty (THA). Poor clinical results due to loosening and mechanical failure led to the discontinuation of MoM and the use of metal-on-polyethylene (MoP) and ceramic-on-polyethylene (CoP) articulating partners. Both MoP and CoP had high failure rates due to osteolysis and bone destruction induced by wear particles. In the 1980s, the second generation of MoM, with improved materials, design factors, and manufacturing technique, was introduced. Today there are many different MoM designs with various metallurgies available. These differences have led to variable clinical performance.

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Authors and Affiliations

  1. Department of Orthopedic, Orthopedic Hospital Vienna Speising GmbH, Speisinger Strasse 109, Vienna, 1130, Austria

    Peter Radakovits & Karl Knahr

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  1. Peter Radakovits
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  2. Karl Knahr
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Correspondence to Peter Radakovits .

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Editors and Affiliations

  1. Orthopaedic Department, Orthopaedic Hospital Vienna-Speising, Vienna, Austria

    Karl Knahr

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© 2014 EFORT

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Radakovits, P., Knahr, K. (2014). Clinical and Radiological Results Following Revision Surgery of Metal-on-Metal Articulation in Total Hip Arthroplasty. In: Knahr, K. (eds) Tribology in Total Hip and Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45266-6_15

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  • DOI: https://doi.org/10.1007/978-3-642-45266-6_15

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-45265-9

  • Online ISBN: 978-3-642-45266-6

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