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Cip, J; Bach, C; Widemschek, M; Luegmair, M; Martin, A.
Revision of Articular Surface Replacement (ASR) Total Hip Arthroplasty: Correlation of Perioperative Data and Early Post-Revision Outcome Results.
J Arthroplasty. 2015; 30(9): 1607-1617.
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Autor/innen der Med Uni Graz:
Cip Johannes
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Abstract:
The articular surface replacement (ASR) total hip arthroplasty (THA) showed accelerated failure rates due to adverse-reaction to metal debris (ARMD). Literature correlating preoperative with intraoperative revision findings respectively post-revision outcome results are rare. 30 of 99 available ASR THA were revised due to ARMD. Mean post-revision follow-up term was 2.3 years. In part, preoperative data did not correlate with intraoperative revision findings. ARMD was even found in asymptomatic patients with non-elevated ion levels. Postoperative pain and metal ions decreased significantly (P ≤ 0.016). Cobalt decreased faster than chrome. Patients with intraoperative pseudotumors, osteolysis or bilateral THA did not have higher pre- or postoperative ion values (P ≥ 0.053). Females showed higher postoperative chrome levels (P=0.031). One major post-revision complication (femoral nerve palsy) and one re-revision (late onset infection) occurred. Copyright © 2015 Elsevier Inc. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Arthroplasty, Replacement, Hip - instrumentation
Arthroplasty, Replacement, Hip - methods
Cartilage Diseases -
Chromium - chemistry
Cobalt - chemistry
Female -
Femoral Nerve - injuries
Femoral Nerve - pathology
Hip Prosthesis -
Humans -
Male -
Metals -
Middle Aged -
Osteolysis -
Pain, Postoperative - prevention & control
Postoperative Period -
Prosthesis Design -
Prosthesis Failure -
Range of Motion, Articular -
Reoperation - instrumentation
Reoperation - methods
Treatment Outcome -
Young Adult -

Find related publications in this database (Keywords)
articular surface replacement
ASR
total hip arthroplasty
revision
outcome
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