An article ¿cumulative revision rate is higher in metal on metal tha than in metal on polyethylene tha: analysis of survival in a community registry¿ by der-chen t.
Huang reports on whether higher-cost mom tha implants were superior to moxp tha implants in terms of implant survival and whether survival differed between the depuy asr mom implant and other mom tha implants.
It also analyses if revision for dislocation was more common in moxp or mom thas.
Total 2404 patients (mom thas-1118 and moxp thas-1286); who underwent hip and knee arthroplasties from 1999 to 2001 were included in the study.
Of the 1118 mom thas (mean age = 62 years, 535 male and 583 females), 423 used asr (depuy) implants, 692 used pinnacle (depuy) implants, and there were three other mom devices.
73 out of 1118 cases underwent to revision surgery due to dislocation, periprosthetic fracture, failure of bone ingrowth, aseptic loosening, infection, pain, metal hypersensitivity, pseudotumors, metallosis and other (unknown) reasons.
Location of fracture is not specified.
Incidence of pseudotumor related to metallic debris was also documented by the operative surgeons.
Asr implant was found to be associated with above reported adverse events.
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