Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 9, 1143-1151.
doi: 10.1302/0301-620X.90B9.20785  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow FrenchSpanishGermanItalianRomanianPolishRussianCzechGreek
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (12)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Langton, D. J.
Right arrow Articles by Nargol, A. V. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Langton, D. J.
Right arrow Articles by Nargol, A. V. F.

The effect of component size and orientation on the concentrations of metal ions after resurfacing arthroplasty of the hip

D. J. Langton, MRCS, Orthopaedic Research Register1; S. S. Jameson, MRCS, Specialist Registrar, Trauma and Orthopaedics1; T. J. Joyce, MSc, PhD, MA, BEng, Lecturer in Bioengineering2; J. Webb, MRCS, Specialist Registrar, Trauma and Orthopaedics1; and A. V. F. Nargol, FRCS(Tr & Orth), Consultant Orthopaedic Surgeon1

1 Joint Replacement Unit, University Hospital of North Tees, Hardwick, Stockton-on-Tees TS19 8PE, UK.
2 Newcastle University, Claremont Road, Newcastle upon Tyne NE1 7RU, UK.

Correspondence should be sent to Mr D. J. Langton; e-mail: djlangton22{at}doctors.org.uk

Increased concentrations of metal ions after metal-on-metal resurfacing arthroplasty of the hip remain a concern. Although there has been no proven link to long-term health problems or early prosthetic failure, variables associated with high metal ion concentrations should be identified and, if possible, corrected. Our study provides data on metal ion levels from a series of 76 consecutive patients (76 hips) after resurfacing arthroplasty with the Articular Surface Replacement. Chromium and cobalt ion concentrations in the whole blood of patients with smaller (≤ 51 mm) femoral components were significantly higher than in those with the larger (≥ 53 mm) components (p < 0.01). Ion concentrations in the former group were significantly related to the inclination (p = 0.01) and anteversion (p = 0.01) of the acetabular component. The same relationships were not significant in the patients with larger femoral components (p = 0.61 and p = 0.49, respectively). Accurate positioning of the acetabular component intra-operatively is essential in order to reduce the concentration of metal ions in the blood after hip resurfacing arthroplasty with the Articular Surface Replacement implant.




This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
S. S. Jameson, D. J. Langton, and A. V. F. Nargol
Articular Surface Replacement of the hip: a prospective single-surgeon series
J Bone Joint Surg Br, January 1, 2010; 92-B(1): 28 - 37.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
D. J. Langton, S. S. Jameson, T. J. Joyce, N. J. Hallab, S. Natu, and A. V. F. Nargol
Early failure of metal-on-metal bearings in hip resurfacing and large-diameter total hip replacement: A CONSEQUENCE OF EXCESS WEAR
J Bone Joint Surg Br, January 1, 2010; 92-B(1): 38 - 46.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
S. Glyn-Jones, H. Pandit, Y.-M. Kwon, H. Doll, H. S. Gill, and D. W. Murray
Risk factors for inflammatory pseudotumour formation following hip resurfacing
J Bone Joint Surg Br, December 1, 2009; 91-B(12): 1566 - 1574.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
D. J. Langton, A. P. Sprowson, T. J. Joyce, M. Reed, I. Carluke, P. Partington, and A. V. F. Nargol
Blood metal ion concentrations after hip resurfacing arthroplasty: A COMPARATIVE STUDY OF ARTICULAR SURFACE REPLACEMENT AND BIRMINGHAM HIP RESURFACING ARTHROPLASTIES
J Bone Joint Surg Br, October 1, 2009; 91-B(10): 1287 - 1295.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
G. H. Isaac, C. Brockett, A. Breckon, D. van der Jagt, S. Williams, C. Hardaker, J. Fisher, and A. Schepers
Ceramic-on-metal bearings in total hip replacement: WHOLE BLOOD METAL ION LEVELS AND ANALYSIS OF RETRIEVED COMPONENTS
J Bone Joint Surg Br, September 1, 2009; 91-B(9): 1134 - 1141.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
G. Grammatopolous, H. Pandit, Y.-M. Kwon, R. Gundle, P. McLardy-Smith, D. J. Beard, D. W. Murray, and H. S. Gill
Hip resurfacings revised for inflammatory pseudotumour have a poor outcome
J Bone Joint Surg Br, August 1, 2009; 91-B(8): 1019 - 1024.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
B. Ollivere, C. Darrah, T. Barker, J. Nolan, and M. J. Porteous
Early clinical failure of the Birmingham metal-on-metal hip resurfacing is associated with metallosis and soft-tissue necrosis
J Bone Joint Surg Br, August 1, 2009; 91-B(8): 1025 - 1030.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
A. J. Hart, S. Sabah, J. Henckel, A. Lewis, J. Cobb, B. Sampson, A. Mitchell, and J. A. Skinner
The painful metal-on-metal hip resurfacing
J Bone Joint Surg Br, June 1, 2009; 91-B(6): 738 - 744.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
J. Daniel, H. Ziaee, C. Pradhan, and D. J. W. McMinn
Six-year results of a prospective study of metal ion levels in young patients with metal-on-metal hip resurfacings
J Bone Joint Surg Br, February 1, 2009; 91-B(2): 176 - 179.
[Abstract] [Full Text] [PDF]


(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General