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Metal-on-metal hip resurfacing: a critical review

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

In this article, a concise review of the current literature on metal-on-metal hip resurfacing (MoMHR) is given. In contrast to conventional total hip arthroplasty, older age, female sex and small femoral head sizes predispose to failure. Neck fracture and metal wear-related complications account for the most frequent reasons for re-operations. Although the long-term consequences of metal ion release remain unknown, the increasing prevalence of soft tissue related problems with potentially devastating functional consequences in this younger patient group are of concern. Outcome after revision for metal wear related failure of MoMHR is poor. In our opinion, patients with this device should be managed in dedicated centers with facilities for data collection and monitoring. The majority of proposed advantages of MoMHR cannot be supported by the published evidence.

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The authors declare that they have no conflict of interest and have not received any outside funding or grants.

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  1. Department of Orthopaedic Surgery, The Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, EH16 4SA, UK

    Gavin J. Macpherson & Steffen J. Breusch

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  1. Gavin J. Macpherson
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  2. Steffen J. Breusch
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Correspondence to Steffen J. Breusch.

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Macpherson, G.J., Breusch, S.J. Metal-on-metal hip resurfacing: a critical review. Arch Orthop Trauma Surg 131, 101–110 (2011). https://doi.org/10.1007/s00402-010-1153-9

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