Intermediate-term trends in serum levels of metal ions after hip resurfacing arthroplasty

The potential risks associated with hip resurfacing arthroplasty (HRA) are controversial and underestimated. The aim of this study was to explore intermediate-term trends for the levels of cobalt (Co), chromium (Cr), and molybdenum (Mo) ions after HRA. Forty patients who underwent HRA from October 2...

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Veröffentlicht in:Journal of orthopaedic surgery and research 2015-12, Vol.10 (188), p.188-188, Article 188
Hauptverfasser: Jiang, Wenxue, Wan, Yanlin, Cui, Peng, Ning, Xianjia
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container_title Journal of orthopaedic surgery and research
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creator Jiang, Wenxue
Wan, Yanlin
Cui, Peng
Ning, Xianjia
description The potential risks associated with hip resurfacing arthroplasty (HRA) are controversial and underestimated. The aim of this study was to explore intermediate-term trends for the levels of cobalt (Co), chromium (Cr), and molybdenum (Mo) ions after HRA. Forty patients who underwent HRA from October 2005 to December 2010 were recruited to this study. The serum levels of metal ions were examined preoperatively and 3, 12, 24, and 60 months after surgery. Trends and differences in levels of metal ions with respect to sex, operated side, and body mass index (BMI) were analyzed. There were no significant differences in levels of Cr, Co, and Mo at each time point with respect to sex, operated side, and BMI (p > 0.05). The postoperative levels of Cr, Co, and Mo ions were significantly higher than the preoperative levels across sex, operated side, and BMI groups. Postoperative levels of Cr, Co, and Mo peaked at 12, 24, and 60 months, respectively. Cr levels peaked earlier (at 12 months) in the overweight (BMI ≥25 kg/m(2)) group compared to the normal-weight group (BMI
doi_str_mv 10.1186/s13018-015-0335-0
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The aim of this study was to explore intermediate-term trends for the levels of cobalt (Co), chromium (Cr), and molybdenum (Mo) ions after HRA. Forty patients who underwent HRA from October 2005 to December 2010 were recruited to this study. The serum levels of metal ions were examined preoperatively and 3, 12, 24, and 60 months after surgery. Trends and differences in levels of metal ions with respect to sex, operated side, and body mass index (BMI) were analyzed. There were no significant differences in levels of Cr, Co, and Mo at each time point with respect to sex, operated side, and BMI (p &gt; 0.05). The postoperative levels of Cr, Co, and Mo ions were significantly higher than the preoperative levels across sex, operated side, and BMI groups. Postoperative levels of Cr, Co, and Mo peaked at 12, 24, and 60 months, respectively. Cr levels peaked earlier (at 12 months) in the overweight (BMI ≥25 kg/m(2)) group compared to the normal-weight group (BMI &lt;25 kg/m(2)), Co levels (at 12 months) peaked in women compared to men, and Mo levels (at 3 months) peaked in the bilateral HRA group compared to the unilateral HRA group. Serum levels of Cr, Co, and Mo increased significantly after HRA. Cr levels peaked earlier in the overweight patients, Co levels peaked in women, and Mo levels peaked in patients who underwent bilateral HRA. However, there were no significant differences with respect to sex, operated side, and BMI.</description><identifier>ISSN: 1749-799X</identifier><identifier>EISSN: 1749-799X</identifier><identifier>DOI: 10.1186/s13018-015-0335-0</identifier><identifier>PMID: 26698115</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Analysis ; Arthroplasty, Replacement, Hip - trends ; Biomarkers - blood ; Body mass index ; Chromium - blood ; Cobalt - blood ; Female ; Follow-Up Studies ; Hip Prosthesis - trends ; Humans ; Ions ; Male ; Metal ions ; Metals - blood ; Middle Aged ; Molybdenum - blood ; Orthopedics ; Postoperative Care - trends</subject><ispartof>Journal of orthopaedic surgery and research, 2015-12, Vol.10 (188), p.188-188, Article 188</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2015</rights><rights>Jiang et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c564t-a243e24e6104838cc20f30f5db3a43cd0b66d769681959e5850a22bb2e7d0ce33</citedby><cites>FETCH-LOGICAL-c564t-a243e24e6104838cc20f30f5db3a43cd0b66d769681959e5850a22bb2e7d0ce33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4690317/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4690317/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26698115$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Wenxue</creatorcontrib><creatorcontrib>Wan, Yanlin</creatorcontrib><creatorcontrib>Cui, Peng</creatorcontrib><creatorcontrib>Ning, Xianjia</creatorcontrib><title>Intermediate-term trends in serum levels of metal ions after hip resurfacing arthroplasty</title><title>Journal of orthopaedic surgery and research</title><addtitle>J Orthop Surg Res</addtitle><description>The potential risks associated with hip resurfacing arthroplasty (HRA) are controversial and underestimated. The aim of this study was to explore intermediate-term trends for the levels of cobalt (Co), chromium (Cr), and molybdenum (Mo) ions after HRA. Forty patients who underwent HRA from October 2005 to December 2010 were recruited to this study. The serum levels of metal ions were examined preoperatively and 3, 12, 24, and 60 months after surgery. Trends and differences in levels of metal ions with respect to sex, operated side, and body mass index (BMI) were analyzed. There were no significant differences in levels of Cr, Co, and Mo at each time point with respect to sex, operated side, and BMI (p &gt; 0.05). The postoperative levels of Cr, Co, and Mo ions were significantly higher than the preoperative levels across sex, operated side, and BMI groups. Postoperative levels of Cr, Co, and Mo peaked at 12, 24, and 60 months, respectively. 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The aim of this study was to explore intermediate-term trends for the levels of cobalt (Co), chromium (Cr), and molybdenum (Mo) ions after HRA. Forty patients who underwent HRA from October 2005 to December 2010 were recruited to this study. The serum levels of metal ions were examined preoperatively and 3, 12, 24, and 60 months after surgery. Trends and differences in levels of metal ions with respect to sex, operated side, and body mass index (BMI) were analyzed. There were no significant differences in levels of Cr, Co, and Mo at each time point with respect to sex, operated side, and BMI (p &gt; 0.05). The postoperative levels of Cr, Co, and Mo ions were significantly higher than the preoperative levels across sex, operated side, and BMI groups. Postoperative levels of Cr, Co, and Mo peaked at 12, 24, and 60 months, respectively. Cr levels peaked earlier (at 12 months) in the overweight (BMI ≥25 kg/m(2)) group compared to the normal-weight group (BMI &lt;25 kg/m(2)), Co levels (at 12 months) peaked in women compared to men, and Mo levels (at 3 months) peaked in the bilateral HRA group compared to the unilateral HRA group. Serum levels of Cr, Co, and Mo increased significantly after HRA. Cr levels peaked earlier in the overweight patients, Co levels peaked in women, and Mo levels peaked in patients who underwent bilateral HRA. However, there were no significant differences with respect to sex, operated side, and BMI.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26698115</pmid><doi>10.1186/s13018-015-0335-0</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Analysis
Arthroplasty, Replacement, Hip - trends
Biomarkers - blood
Body mass index
Chromium - blood
Cobalt - blood
Female
Follow-Up Studies
Hip Prosthesis - trends
Humans
Ions
Male
Metal ions
Metals - blood
Middle Aged
Molybdenum - blood
Orthopedics
Postoperative Care - trends
title Intermediate-term trends in serum levels of metal ions after hip resurfacing arthroplasty
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