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 |
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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. |
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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. 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.</description><identifier>ISSN: 1549-9634</identifier><identifier>EISSN: 1549-9642</identifier><identifier>DOI: 10.1016/j.nano.2016.11.003</identifier><identifier>PMID: 27888094</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Nanomedicine, 2017-04, Vol.13 (3), p.1205-1217</ispartof><rights>2016 The Authors</rights><rights>Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3703-626a968f7f2e3550e1f9866f5e6a725ef853ad40ce3f7022983da2332e5e5c813</citedby><cites>FETCH-LOGICAL-c3703-626a968f7f2e3550e1f9866f5e6a725ef853ad40ce3f7022983da2332e5e5c813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.nano.2016.11.003$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27888094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xia, Zhidao</creatorcontrib><creatorcontrib>Ricciardi, Benjamin F</creatorcontrib><creatorcontrib>Liu, Zhao</creatorcontrib><creatorcontrib>von Ruhland, Christopher</creatorcontrib><creatorcontrib>Ward, Mike</creatorcontrib><creatorcontrib>Lord, Alex</creatorcontrib><creatorcontrib>Hughes, Louise</creatorcontrib><creatorcontrib>Goldring, Steven R</creatorcontrib><creatorcontrib>Purdue, Edward</creatorcontrib><creatorcontrib>Murray, David</creatorcontrib><creatorcontrib>Perino, Giorgio</creatorcontrib><title>Nano-analyses of Wear Particles from Metal-on-Metal and Non-Metal-on-Metal Dual Modular Neck Hip Arthroplasty</title><title>Nanomedicine</title><addtitle>Nanomedicine</addtitle><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.</description><subject>Adverse local tissue reaction (ALTR)</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Corrosion</subject><subject>Female</subject><subject>Hip arthroplasty</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Metal-on-metal hip resurfacing arthroplasty (MoM HRA)</subject><subject>Metal-on-metal large head total hip replacement (MoM LHTHA)</subject><subject>Metals - adverse effects</subject><subject>Middle Aged</subject><subject>Nanoparticles - adverse effects</subject><subject>Nanoparticles - ultrastructure</subject><subject>Non-metal-on-metal dual modular neck total hip replacement (non-MoM DMNTHA)</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure - adverse effects</subject><issn>1549-9634</issn><issn>1549-9642</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1r3DAUFKWl-Wj_QA_Bx17s6sOSJQiBkDZJIdkW2tKjUOUnoo1sbSQ7sP8-cjZJoYdepNFjZtCbQegDwQ3BRHxaN6MZY0MLbghpMGav0D7hraqVaOnrF8zaPXSQ87oQOozVW7RHOyklVu0-GlbFojajCdsMuYqu-g0mVd9NmrwNZeJSHKprmEyo41g_gsqMfbV6fv0df57LcR37ORSHFdjb6tJvqtM03aS4CSZP23fojTMhw_un-xD9Ov_y8-yyvvp28fXs9Kq25YesFlQYJaTrHAXGOQbilBTCcRCmoxyc5Mz0LbbAXIcpVZL1hjJGgQO3krBD9HHnu0nxboY86cFnCyGYEeKcNZFtixlpO1WodEe1KeacwOlN8oNJW02wXmLWa73ErJeYNSG6pFhER0_-858B-hfJc66FcLwjQNny3kPS2XoYLfQ-gZ10H_3__U_-kdvgR29NuIUt5HWcU2ms7KEz1Vj_WIpeeiaCYaI4ZQ_av6IT</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Xia, Zhidao</creator><creator>Ricciardi, Benjamin F</creator><creator>Liu, Zhao</creator><creator>von Ruhland, Christopher</creator><creator>Ward, Mike</creator><creator>Lord, Alex</creator><creator>Hughes, Louise</creator><creator>Goldring, Steven R</creator><creator>Purdue, Edward</creator><creator>Murray, David</creator><creator>Perino, Giorgio</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><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>20170401</creationdate><title>Nano-analyses of Wear Particles from Metal-on-Metal and Non-Metal-on-Metal Dual Modular Neck Hip Arthroplasty</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3703-626a968f7f2e3550e1f9866f5e6a725ef853ad40ce3f7022983da2332e5e5c813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adverse local tissue reaction (ALTR)</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Corrosion</topic><topic>Female</topic><topic>Hip arthroplasty</topic><topic>Hip Prosthesis - adverse effects</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Metal-on-metal hip resurfacing arthroplasty (MoM HRA)</topic><topic>Metal-on-metal large head total hip replacement (MoM LHTHA)</topic><topic>Metals - adverse effects</topic><topic>Middle Aged</topic><topic>Nanoparticles - adverse effects</topic><topic>Nanoparticles - ultrastructure</topic><topic>Non-metal-on-metal dual modular neck total hip replacement (non-MoM DMNTHA)</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xia, Zhidao</creatorcontrib><creatorcontrib>Ricciardi, Benjamin F</creatorcontrib><creatorcontrib>Liu, Zhao</creatorcontrib><creatorcontrib>von Ruhland, Christopher</creatorcontrib><creatorcontrib>Ward, Mike</creatorcontrib><creatorcontrib>Lord, Alex</creatorcontrib><creatorcontrib>Hughes, Louise</creatorcontrib><creatorcontrib>Goldring, Steven R</creatorcontrib><creatorcontrib>Purdue, Edward</creatorcontrib><creatorcontrib>Murray, David</creatorcontrib><creatorcontrib>Perino, Giorgio</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><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>Nanomedicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xia, Zhidao</au><au>Ricciardi, Benjamin F</au><au>Liu, Zhao</au><au>von Ruhland, Christopher</au><au>Ward, Mike</au><au>Lord, Alex</au><au>Hughes, Louise</au><au>Goldring, Steven R</au><au>Purdue, Edward</au><au>Murray, David</au><au>Perino, Giorgio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nano-analyses of Wear Particles from Metal-on-Metal and Non-Metal-on-Metal Dual Modular Neck Hip Arthroplasty</atitle><jtitle>Nanomedicine</jtitle><addtitle>Nanomedicine</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>13</volume><issue>3</issue><spage>1205</spage><epage>1217</epage><pages>1205-1217</pages><issn>1549-9634</issn><eissn>1549-9642</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27888094</pmid><doi>10.1016/j.nano.2016.11.003</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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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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