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KMID : 0386720080200020098
Journal of the Korean Hip Society
2008 Volume.20 No. 2 p.98 ~ p.103
Total Hip Arthroplasty with Use of Metal-on-Metal Articulation
Sung Yerl-Bo

Park Shin-Seung
Abstract
Purpose: This paper reports the clinical and radiologic consequences in a group of patients who underwent metal on metal total hip arthroplasty based on a follow-up of at least five years.

Materials and Methods: Forty-three cases (41 patients) were enrolled in this study. The patients underwent surgery from June 1995 to March 2002. The mean follow-up period was 93 month. The evaluation focused on the VAS-pain score, WOMAC score and Harris Hip score. Follow-up radiographs were taken at 6 weeks, 3 months, 6 months, and 12 months after surgery.

Results: At the last follow-up, the VAS-pain score, WOMAC score and Harris Hip score improved from 8.1 to 3.1, 76.4 to 13.3, and 42.7 to 90.8, respectively. The X-rays showed no signs of detectable wear. However, some complications were encountered; 3 infections, 1 periprosthetic femoral fracture, 1 pelvic osteolysis and 1 dislocation.

Conclusion: The results appear quite satisfactory considering the wear resistance, pain and function after surgery irrespective of age. However, a long-term follow-up will be needed to obtain reliable information on the influence of metal particles on the human body.
KEYWORD
Metal on metal, Total hip arthroplasty
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