Nano-analyses of Wear Particles from Metal-on-Metal and Non-Metal-on-Metal Dual Modular Neck Hip Arthroplasty

Abstract Increased failure rates due to metallic wear particle-associated adverse local tissue reactions (ALTR) is a significant clinical problem in resurfacing and total hip arthroplasty. Retrieved periprosthetic tissue of 53 cases with corrosion/conventional metallic wear particles from 285 revisi...

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Veröffentlicht in:Nanomedicine 2017-04, Vol.13 (3), p.1205-1217
Hauptverfasser: Xia, Zhidao, Ricciardi, Benjamin F, Liu, Zhao, von Ruhland, Christopher, Ward, Mike, Lord, Alex, Hughes, Louise, Goldring, Steven R, Purdue, Edward, Murray, David, Perino, Giorgio
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container_end_page 1217
container_issue 3
container_start_page 1205
container_title Nanomedicine
container_volume 13
creator Xia, Zhidao
Ricciardi, Benjamin F
Liu, Zhao
von Ruhland, Christopher
Ward, Mike
Lord, Alex
Hughes, Louise
Goldring, Steven R
Purdue, Edward
Murray, David
Perino, Giorgio
description Abstract Increased failure rates due to metallic wear particle-associated adverse local tissue reactions (ALTR) is a significant clinical problem in resurfacing and total hip arthroplasty. Retrieved periprosthetic tissue of 53 cases with corrosion/conventional metallic wear particles from 285 revision operations for ALTR was selected for nano-analyses. Three major classes of hip implants associated with ALTR, metal-on-metal hip resurfacing arthroplasty (MoM HRA) and large head total hip replacement (MoM LHTHA) and non-metal-on-metal dual modular neck total hip replacement (Non-MoM DMNTHA) were included. The size, shape, distribution, element composition, and crystal structure of the metal particles were analyzed by conventional histological examination and electron microscopy with analytic tools of 2D X-ray energy dispersive spectrometry and X-ray diffraction. Distinct differences in size, shape, and element composition of the metallic particles were detected in each implant class which correlate with the histological features of severity of ALTR and variabilityin implant performance.
doi_str_mv 10.1016/j.nano.2016.11.003
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Retrieved periprosthetic tissue of 53 cases with corrosion/conventional metallic wear particles from 285 revision operations for ALTR was selected for nano-analyses. Three major classes of hip implants associated with ALTR, metal-on-metal hip resurfacing arthroplasty (MoM HRA) and large head total hip replacement (MoM LHTHA) and non-metal-on-metal dual modular neck total hip replacement (Non-MoM DMNTHA) were included. The size, shape, distribution, element composition, and crystal structure of the metal particles were analyzed by conventional histological examination and electron microscopy with analytic tools of 2D X-ray energy dispersive spectrometry and X-ray diffraction. 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subjects Adverse local tissue reaction (ALTR)
Arthroplasty, Replacement, Hip - adverse effects
Corrosion
Female
Hip arthroplasty
Hip Prosthesis - adverse effects
Humans
Internal Medicine
Male
Metal-on-metal hip resurfacing arthroplasty (MoM HRA)
Metal-on-metal large head total hip replacement (MoM LHTHA)
Metals - adverse effects
Middle Aged
Nanoparticles - adverse effects
Nanoparticles - ultrastructure
Non-metal-on-metal dual modular neck total hip replacement (non-MoM DMNTHA)
Prosthesis Design
Prosthesis Failure - adverse effects
title Nano-analyses of Wear Particles from Metal-on-Metal and Non-Metal-on-Metal Dual Modular Neck Hip Arthroplasty
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