The literature article entitled, "femoral offset found not to affect metal ion levels in metal-on-metal total hip arthroplasty" written by eoghan pomeroy, fergal macnamara, evelyn murphy, niall mcgoldrick, anant mahapatra, and nasir awan published by irish journal of medical science published online on 7 may 2018 was reviewed.The article's main purpose was to investigate the relationship between femoral offset and wear by measuring circulating metal ion levels in mom (metal-on-metal) in tha (total hip arthroplasty.Data was compiled from 95 patients (68 males and 27 females) with mean age of 64.9 years at time of surgery and all were implanted with depuy asr xl system implanted between december 2005 and august 2010.Femoral stem was not identified.The article does not report if any of the patients were revised or experienced any adverse symptoms.The article only reports the findings were elevated ion levels (attributed to bearing wear).The article did not report any statistically significant correlation between femoral offset groups and chromium ion levels.Depuy products: asr xl head, asr xl cup, asr xl sleeve (augment).Adverse events: elevated ion levels attributed to bearing wear.
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Product complaint # : (b)(4).Investigation summary: no device associated with this report was received for examination.A worldwide lot specific complaint database search, or device history record (dhr) review was not possible because the required lot code(s) was not provided.Based on previous investigations this complication of joint replacement is unlikely to have been the result of a device failing to meet required specifications.The information received will be retained for potential series investigations if triggered by trend analysis, post market surveillance, or other events within the quality system.Corrective action was not indicated.
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