Long-Term Clinical, Radiological and Histopathological Follow-Up of a Well-Fixed McKee-Farrar Metal-on-Metal Total Hip Arthroplasty
Metal-on-metal is one potential bearing option for total hip arthroplasty (THA). Proponents of the bearing have suggested that if the tribology is optimal, volumetric wear may occur at levels at least one order of magnitude lower than metal-on-polyethylene bearings. We present a unique postmortem ca...
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Veröffentlicht in: | The Journal of arthroplasty 2005-06, Vol.20 (4), p.542-546 |
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creator | Clarke, Michael T. Darrah, Clare Stewart, Todd Ingham, Eileen Fisher, John Nolan, John F. |
description | Metal-on-metal is one potential bearing option for total hip arthroplasty (THA). Proponents of the bearing have suggested that if the tribology is optimal, volumetric wear may occur at levels at least one order of magnitude lower than metal-on-polyethylene bearings. We present a unique postmortem case of a well fixed, metal-on-metal, McKee-Farrar total hip arthroplasty implanted 30 years previously that was clinically asymptomatic in life. Clinical and radiological examination is supplemented by tribological examination of the bearing and histopathological examination of the cement-bone interface. |
doi_str_mv | 10.1016/j.arth.2004.09.063 |
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Proponents of the bearing have suggested that if the tribology is optimal, volumetric wear may occur at levels at least one order of magnitude lower than metal-on-polyethylene bearings. We present a unique postmortem case of a well fixed, metal-on-metal, McKee-Farrar total hip arthroplasty implanted 30 years previously that was clinically asymptomatic in life. 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Clinical and radiological examination is supplemented by tribological examination of the bearing and histopathological examination of the cement-bone interface.</description><subject>Arthroplasty, Replacement, Hip - instrumentation</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>metal-on-metal</subject><subject>Middle Aged</subject><subject>Prosthesis Design</subject><subject>total hip arthroplasty</subject><subject>tribology</subject><subject>wear debris</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1vEzEQhi0EoqHwBzggnzjhxd6190PiUkWEVE2FhFJxtCb2uHXkrBd7A_TMH2eXRHDjMl9659XMQ8hrwQvBRf1-X0AaH4qSc1nwruB19YQshKpK1kpePyUL3rYVU5JXF-RFznvOhVBKPicXohal7Bq5IL82sb9nW0wHugy-9wbCO_oFrI8h3s8dhd7Stc9jHGB8-DtdxRDiD3Y30Ogo0K8YAlv5n2jprblBZCtICRK9xRECiz37U9BtnOPaD_RqujzFIUAeH1-SZw5CxlfnfEnuVh-3yzXbfP50vbzaMCNLPjLFFW8aYWUNLRgJIG0nrXTOds1uehuls63btcoA2k441xne7gCUAuNQ7apL8vbkO6T47Yh51AefzXQ59BiPWdetKpuGi0lYnoQmxZwTOj0kf4D0qAXXM3q91zN6PaPXvNMT-mnpzdn9uDug_bdyZj0JPpwEOP343WPS2XjsDVqf0IzaRv8__985A5c9</recordid><startdate>20050601</startdate><enddate>20050601</enddate><creator>Clarke, Michael T.</creator><creator>Darrah, Clare</creator><creator>Stewart, Todd</creator><creator>Ingham, Eileen</creator><creator>Fisher, John</creator><creator>Nolan, John F.</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>20050601</creationdate><title>Long-Term Clinical, Radiological and Histopathological Follow-Up of a Well-Fixed McKee-Farrar Metal-on-Metal Total Hip Arthroplasty</title><author>Clarke, Michael T. ; Darrah, Clare ; Stewart, Todd ; Ingham, Eileen ; Fisher, John ; Nolan, John F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-5050771d46a8ac4aa4d94d4ffd97b153e4fd8fb85caed91ff9c08baa55acfe5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Arthroplasty, Replacement, Hip - instrumentation</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>metal-on-metal</topic><topic>Middle Aged</topic><topic>Prosthesis Design</topic><topic>total hip arthroplasty</topic><topic>tribology</topic><topic>wear debris</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clarke, Michael T.</creatorcontrib><creatorcontrib>Darrah, Clare</creatorcontrib><creatorcontrib>Stewart, Todd</creatorcontrib><creatorcontrib>Ingham, Eileen</creatorcontrib><creatorcontrib>Fisher, John</creatorcontrib><creatorcontrib>Nolan, John F.</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>Clarke, Michael T.</au><au>Darrah, Clare</au><au>Stewart, Todd</au><au>Ingham, Eileen</au><au>Fisher, John</au><au>Nolan, John F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Clinical, Radiological and Histopathological Follow-Up of a Well-Fixed McKee-Farrar Metal-on-Metal Total Hip Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2005-06-01</date><risdate>2005</risdate><volume>20</volume><issue>4</issue><spage>542</spage><epage>546</epage><pages>542-546</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Metal-on-metal is one potential bearing option for total hip arthroplasty (THA). 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subjects | Arthroplasty, Replacement, Hip - instrumentation Hip Prosthesis Humans Male metal-on-metal Middle Aged Prosthesis Design total hip arthroplasty tribology wear debris |
title | Long-Term Clinical, Radiological and Histopathological Follow-Up of a Well-Fixed McKee-Farrar Metal-on-Metal Total Hip Arthroplasty |
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