Navigation Links
You have your MoM's ions

Hip replacement patients with metal-on-metal (MoM) implants (both the socket and hip ball are metal) pass metal ions to their infants during pregnancy, according to a new study presented today at the 2010 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). Data showed there is a correlation between cobalt and chromium levels in the mother and those in her infant at the time of delivery.

"Although the affects of metal ions in maternal and fetal subjects are unknown, the fact that the placenta is not a complete barrier to the transport of these metals is noteworthy," said Joshua J. Jacobs, MD, Professor and Chairman of Orthopaedic Surgery at Rush University Medical Center in Chicago. "As metal-on-metal implants increase in popularity and use, especially among young, active patients, women of child-bearing age and their doctors should be aware of these findings when considering their hip replacement implant options."

Researchers evaluated three patients who had either a unilateral (only on one hip) MoM primary total hip arthroplasty or unilateral MoM hip resurfacing joint replacement and no other metal implant in the body. The implant group's metal ion levels were compared within the group, between mothers and their infants, and to those of a Control Group comprising seven women of child-bearing age (mean age of about 32 years) who did not have any metal implants and their infants.

For all subjects, maternal and umbilical cord blood was obtained at the time of delivery and tested for blood serum concentrations of titanium, nickel, cobalt and chromium using inductively coupled plasma mass spectrometry (ICP-MS), a highly sensitive technique that can detect trace amounts of metals in biological samples.

The data found:

  • Mothers with MoM implants and their offspring had elevated Chromium and cobalt levels compared to the cohort without metal implants.
  • A correlation existed between maternal and infant cobalt and chromium levels in the Implant Group, while the Control Group showed no correlation.
  • Offspring of women with MoM implants had about half the levels of cobalt in their bloodstream as their mothers and approximately 15 percent of their mother's chromium levels, while there was no significant difference among ion levels between mothers and infants in the Control Group.
  • There was no statistically significant differences in levels of titanium or nickel among any of the cohorts.

Dr. Jacobs noted that because the cobalt and chromium levels of the infants did not increase to those of their mothers, the data suggests the placenta does modulate the transfer of metal ions to the fetus.

"The next step is to find out what, if any affect metal ions have on fetal or infant development," he said. "The best way to do that would be through the establishment of a national joint registry by which clinicians could input and access long-term data."

He added that, in the meantime, medical device companies are feverishly working to develop new technologies that will reduce the release of ions through improvements in wear and corrosion properties of metal implants. "Any advancements in this area will directly benefit patients," he said.


Contact: Kristina K. Findlay
American Academy of Orthopaedic Surgeons

Related medicine news :

1. Children of depressed moms do better when dad is involved, SLU researcher finds
2. Monkey Moms Use Baby Talk, Too
3. Stressed-Out Moms Carry Babies on the Right
4. Mothers Know Best: NFL Moms Team With Eddie George to Showcase a Better Way to a Healthier Lifestyle
5. March of Dimes, Experts for Moms and Babies, Launches Podcast
6. Abbott Again Honored as Top Company for Working Moms
7. Stop eating for two: obese moms-to-be should gain less weight than currently recommended
8. Brands Tackle the Childhood Obesity Issue During M2Moms(TM) - The Marketing-To-Moms Conference
9. Pink Power Moms Unite in Atlanta for Day of Pampering and Recognition
10. Jane Fonda and Bright Starts(TM) Celebrates Pink Power Moms at Susan G. Komen for the Cure Pink Tie Ball
11. Kaiser Permanente/Harvard Medical School study links lack of sleep to weight gain for new moms
Post Your Comments:
(Date:6/24/2016)... ... ... A recent article published June 14 on E Online details ... to state that individuals are now more comfortable seeking to undergo not only the ... and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians (BHP) notes ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is World Sickle Cell ... pain and the benefits of holistic treatments, Serenity Recovery Center of Marne, ... Cell Disease. , Sickle Cell Disease (SCD) is a disorder of the red blood ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... Conference and Scientific Sessions in Dallas that it will receive two significant new ... the grants came as PHA marked its 25th anniversary by recognizing patients, medical ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda Cheng, an ... Dr. Cheng has extensive experience with all areas of orthodontics, including robotic Suresmile ... orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. It can ...
(Date:6/24/2016)... ... ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for ... $12 an hour by 2020 and then adjusting it yearly to increase at the same ... wage, assure the wage floor does not erode again, and make future increases more predictable. ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... a startling report released today, National Safety Council research ... proven plan to eliminate prescription opioid overdoses. Prescription Nation ... tackling the worst drug crisis in recorded U.S. history, assigned a ... , New Mexico , Tennessee ... failing states, three – Michigan , ...
(Date:6/23/2016)... , June 23, 2016 Bracket , a ... its next generation clinical outcomes platform, Bracket eCOA (SM) ... on June 26 – 30, 2016 in Philadelphia ... electronic Clinical Outcome Assessment product of its kind to fully ... Bracket eCOA 6.0 is a flexible platform for ...
(Date:6/23/2016)...  Guerbet announced today that it has been named ... . One of 12 suppliers to receive ... support of Premier members through exceptional local customer service ... to lower costs. ... outstanding customer service from Premier," says Massimo Carrara ...
Breaking Medicine Technology: