In the current study, HSS researchers, who did not have any ties to hip implant manufacturers, examined 46 retrieved metal-on-metal total hip replacements from 44 patients. The most common revision diagnoses were wear-related clinical concerns including osteolysis and adverse soft tissue reactions (16), loosening (11), instability (8) and infection (5). The researchers used scanning electron microscopy to determine the ways the hips were damaged, called damage modes. They found that 98 percent of the cups of the implant and 93 percent of the heads showed moderate to severe scratching. Moderate to severe pitting was found in 43 percent of the cups and 67 percent of the heads. They identified areas near the cups and heads that had completely lost their sheen.
"This study represents one of the largest collections of retrieved metal-on-metal implants," said Douglas Padgett, M.D., chief of the Adult Reconstruction and Joint Replacement Division and chief of the Hip Service at Hospital for Special Surgery. "There appears to be unique damage patterns which to date have not been identified. A follow-on analysis using high resolution laser profiling to quantify damage is in process which may yield further clues."
The patterns and similarities of the damage modes will shed light on the mechanisms behind the damage. "The goal with these hard metal-on-metal bea
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| Contact: Phyllis Fisher phyllis.fisher@gmail.com 212-606-1724 Hospital for Special Surgery Source:Eurekalert |