Revision of Articular Surface Replacement (ASR) Total Hip Arthroplasty: Correlation of Perioperative Data and Early Post-Revision Outcome Results
Abstract The articular surface replacement (ASR) total hip arthroplasty (THA) showed accelerated failure rates due to adverse-reaction to metal debris (ARMD). Literature correlating preoperative with intraoperative revision findings respectively post-revision outcome results are rare. 30 of 99 avail...
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| Veröffentlicht in: | The Journal of arthroplasty 2015-09, Vol.30 (9), p.1607-1617 |
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| container_title | The Journal of arthroplasty |
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| creator | Cip, Johannes, MD Bach, Christian, MD Widemschek, Mark, MD Luegmair, Matthias, MD, MSc Martin, Arno, MD, MSc |
| description | Abstract The articular surface replacement (ASR) total hip arthroplasty (THA) showed accelerated failure rates due to adverse-reaction to metal debris (ARMD). Literature correlating preoperative with intraoperative revision findings respectively post-revision outcome results are rare. 30 of 99 available ASR THA were revised due to ARMD. Mean post-revision follow-up term was 2.3 years. In part, preoperative data did not correlate with intraoperative revision findings. ARMD was even found in asymptomatic patients with non-elevated ion levels. Postoperative pain and metal ions decreased significantly ( P ≤0.016). Cobalt decreased faster than chrome. Patients with intraoperative pseudotumors, osteolysis or bilateral THA did not have higher pre- or postoperative ion values ( P ≥0.053). Females showed higher postoperative chrome levels ( P =0.031). One major post-revision complication (femoral nerve palsy) and one re-revision (late onset infection) occurred. |
| doi_str_mv | 10.1016/j.arth.2015.04.010 |
| format | Article |
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Literature correlating preoperative with intraoperative revision findings respectively post-revision outcome results are rare. 30 of 99 available ASR THA were revised due to ARMD. Mean post-revision follow-up term was 2.3 years. In part, preoperative data did not correlate with intraoperative revision findings. ARMD was even found in asymptomatic patients with non-elevated ion levels. Postoperative pain and metal ions decreased significantly ( P ≤0.016). Cobalt decreased faster than chrome. Patients with intraoperative pseudotumors, osteolysis or bilateral THA did not have higher pre- or postoperative ion values ( P ≥0.053). Females showed higher postoperative chrome levels ( P =0.031). One major post-revision complication (femoral nerve palsy) and one re-revision (late onset infection) occurred.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2015.04.010</identifier><identifier>PMID: 25956526</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Arthroplasty, Replacement, Hip - instrumentation ; Arthroplasty, Replacement, Hip - methods ; articular surface replacement ; ASR ; Cartilage Diseases ; Chromium - chemistry ; Cobalt - chemistry ; Female ; Femoral Nerve - injuries ; Femoral Nerve - pathology ; Hip Prosthesis ; Humans ; Male ; Metals ; Middle Aged ; Orthopedics ; Osteolysis ; outcome ; Pain, Postoperative - prevention & control ; Postoperative Period ; Prosthesis Design ; Prosthesis Failure ; Range of Motion, Articular ; Reoperation - instrumentation ; Reoperation - methods ; revision ; total hip arthroplasty ; Treatment Outcome ; Young Adult</subject><ispartof>The Journal of arthroplasty, 2015-09, Vol.30 (9), p.1607-1617</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-25cb8bcc05f378bb14697bd90b1fcf0aed9d4072762a1999358ec6874f5386e53</citedby><cites>FETCH-LOGICAL-c411t-25cb8bcc05f378bb14697bd90b1fcf0aed9d4072762a1999358ec6874f5386e53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2015.04.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25956526$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cip, Johannes, MD</creatorcontrib><creatorcontrib>Bach, Christian, MD</creatorcontrib><creatorcontrib>Widemschek, Mark, MD</creatorcontrib><creatorcontrib>Luegmair, Matthias, MD, MSc</creatorcontrib><creatorcontrib>Martin, Arno, MD, MSc</creatorcontrib><title>Revision of Articular Surface Replacement (ASR) Total Hip Arthroplasty: Correlation of Perioperative Data and Early Post-Revision Outcome Results</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract The articular surface replacement (ASR) total hip arthroplasty (THA) showed accelerated failure rates due to adverse-reaction to metal debris (ARMD). Literature correlating preoperative with intraoperative revision findings respectively post-revision outcome results are rare. 30 of 99 available ASR THA were revised due to ARMD. Mean post-revision follow-up term was 2.3 years. In part, preoperative data did not correlate with intraoperative revision findings. ARMD was even found in asymptomatic patients with non-elevated ion levels. Postoperative pain and metal ions decreased significantly ( P ≤0.016). Cobalt decreased faster than chrome. Patients with intraoperative pseudotumors, osteolysis or bilateral THA did not have higher pre- or postoperative ion values ( P ≥0.053). Females showed higher postoperative chrome levels ( P =0.031). One major post-revision complication (femoral nerve palsy) and one re-revision (late onset infection) occurred.</description><subject>Adult</subject><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>articular surface replacement</subject><subject>ASR</subject><subject>Cartilage Diseases</subject><subject>Chromium - chemistry</subject><subject>Cobalt - chemistry</subject><subject>Female</subject><subject>Femoral Nerve - injuries</subject><subject>Femoral Nerve - pathology</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Metals</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteolysis</subject><subject>outcome</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Postoperative Period</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Range of Motion, Articular</subject><subject>Reoperation - instrumentation</subject><subject>Reoperation - methods</subject><subject>revision</subject><subject>total hip arthroplasty</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uk1v1DAQjRCILoU_wAH5WA4JYyfOB0JIq6VQpEqtdsvZcpyJ6sWJg-2stD-Df4yjXXrgwGmkmffeaN6bJHlLIaNAyw_7TLrwmDGgPIMiAwrPkhXlOUvrAsrnyQrqOk95AflF8sr7PQClnBcvkwvGG15yVq6S31s8aK_tSGxP1i5oNRvpyG52vVRItjiZWAccA7la77bvyYMN0pAbPS3oR2fj3IfjR7KxzqGR4Sx1j07bCV1sHJB8kUESOXbkWjpzJPfWh_Rp8d0clB2WXX42wb9OXvTSeHxzrpfJj6_XD5ub9Pbu2_fN-jZVBaUhZVy1dasU8D6v6ralRdlUbddAS3vVg8Su6QqoWFUySZumyXmNqqyroud5XSLPL5Ork-7k7K8ZfRCD9gqNkSPa2QtaRbdyHl2KUHaCKme9d9iLyelBuqOgIJYoxF4sUYglCgGFiFFE0ruz_twO2D1R_nofAZ9OAIxXHjQ64ZXGUWGnHaogOqv_r__5H7oyetRKmp94RL-3sxujf4IKzwSI3fIMyy9QDsAqzvI_GHSwlQ</recordid><startdate>20150901</startdate><enddate>20150901</enddate><creator>Cip, Johannes, MD</creator><creator>Bach, Christian, MD</creator><creator>Widemschek, Mark, MD</creator><creator>Luegmair, Matthias, MD, MSc</creator><creator>Martin, Arno, MD, MSc</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150901</creationdate><title>Revision of Articular Surface Replacement (ASR) Total Hip Arthroplasty: Correlation of Perioperative Data and Early Post-Revision Outcome Results</title><author>Cip, Johannes, MD ; Bach, Christian, MD ; Widemschek, Mark, MD ; Luegmair, Matthias, MD, MSc ; Martin, Arno, MD, MSc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-25cb8bcc05f378bb14697bd90b1fcf0aed9d4072762a1999358ec6874f5386e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>articular surface replacement</topic><topic>ASR</topic><topic>Cartilage Diseases</topic><topic>Chromium - chemistry</topic><topic>Cobalt - chemistry</topic><topic>Female</topic><topic>Femoral Nerve - injuries</topic><topic>Femoral Nerve - pathology</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Metals</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteolysis</topic><topic>outcome</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Postoperative Period</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Range of Motion, Articular</topic><topic>Reoperation - instrumentation</topic><topic>Reoperation - methods</topic><topic>revision</topic><topic>total hip arthroplasty</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cip, Johannes, MD</creatorcontrib><creatorcontrib>Bach, Christian, MD</creatorcontrib><creatorcontrib>Widemschek, Mark, MD</creatorcontrib><creatorcontrib>Luegmair, Matthias, MD, MSc</creatorcontrib><creatorcontrib>Martin, Arno, MD, MSc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cip, Johannes, MD</au><au>Bach, Christian, MD</au><au>Widemschek, Mark, MD</au><au>Luegmair, Matthias, MD, MSc</au><au>Martin, Arno, MD, MSc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Revision of Articular Surface Replacement (ASR) Total Hip Arthroplasty: Correlation of Perioperative Data and Early Post-Revision Outcome Results</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2015-09-01</date><risdate>2015</risdate><volume>30</volume><issue>9</issue><spage>1607</spage><epage>1617</epage><pages>1607-1617</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract The articular surface replacement (ASR) total hip arthroplasty (THA) showed accelerated failure rates due to adverse-reaction to metal debris (ARMD). Literature correlating preoperative with intraoperative revision findings respectively post-revision outcome results are rare. 30 of 99 available ASR THA were revised due to ARMD. Mean post-revision follow-up term was 2.3 years. In part, preoperative data did not correlate with intraoperative revision findings. ARMD was even found in asymptomatic patients with non-elevated ion levels. Postoperative pain and metal ions decreased significantly ( P ≤0.016). Cobalt decreased faster than chrome. Patients with intraoperative pseudotumors, osteolysis or bilateral THA did not have higher pre- or postoperative ion values ( P ≥0.053). Females showed higher postoperative chrome levels ( P =0.031). One major post-revision complication (femoral nerve palsy) and one re-revision (late onset infection) occurred.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25956526</pmid><doi>10.1016/j.arth.2015.04.010</doi><tpages>11</tpages></addata></record> |
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| subjects | Adult Arthroplasty, Replacement, Hip - instrumentation Arthroplasty, Replacement, Hip - methods articular surface replacement ASR Cartilage Diseases Chromium - chemistry Cobalt - chemistry Female Femoral Nerve - injuries Femoral Nerve - pathology Hip Prosthesis Humans Male Metals Middle Aged Orthopedics Osteolysis outcome Pain, Postoperative - prevention & control Postoperative Period Prosthesis Design Prosthesis Failure Range of Motion, Articular Reoperation - instrumentation Reoperation - methods revision total hip arthroplasty Treatment Outcome Young Adult |
| title | Revision of Articular Surface Replacement (ASR) Total Hip Arthroplasty: Correlation of Perioperative Data and Early Post-Revision Outcome Results |
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