Metal-on-Metal Bearings: A Clinical Practicum

Metal-on-Metal Bearings: A Clinical Practicum

Hardback

Edited by Lynne C. Jones, Edited by Warren O. Haggard, Edited by A. Seth Greenwald

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  • Publisher: Springer-Verlag New York Inc.
  • Format: Hardback | 220 pages
  • Dimensions: 152mm x 234mm x 18mm | 544g
  • Publication date: 13 November 2013
  • Publication City/Country: New York, NY
  • ISBN 10: 1461489989
  • ISBN 13: 9781461489986
  • Edition: 1
  • Edition statement: 2014 ed.
  • Illustrations note: 20 black & white illustrations, 26 colour illustrations, 11 black & white tables, biography
  • Sales rank: 1,392,161

Product description

This book addresses the background and significance of the factors potentially influencing the clinical and biological outcomes of metal-on-metal hip implants. Metal-on-metal bearings were introduced and evaluated as an alternative to other bearing couples, particularly metal-on-polyethylene, due to their enhanced wear resistance as determined in laboratory testing. Initially, reports of short-term clinical outcomes were favorable and an increasing number of metal-on-metal prostheses were implanted. Subsequently, isolated case findings describing adverse tissue responses around the articulation became the harbinger of an increasing number of reports describing pseudotumors and other significant lymphocytic-based responses associated with metal-on-metal prostheses. Questions have been raised as to whether this is an implant, design, or patient-specific response. The reasons why some patients have a negative biological response and pathology while others do not remain to be determined, but tens of thousands of patients in the US, the UK, and around the world are considered to be at risk. Leading researchers and clinicians describe the issues related to the nature of the biological and pathological responses and the protocols that should be followed to determine if an adverse response is occurring. This book is essential reading for researchers, engineers, and orthopaedic surgeons who are involved in the design, evaluation, and implantation of metal-on-metal prostheses.

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Back cover copy

This book addresses the background and significance of the factors potentially influencing the clinical and biological outcomes of metal-on-metal hip implants.Metal-on-metal bearings were introduced and evaluated as an alternative to other bearing couples, particularly metal-on-polyethylene, due to their enhanced wear resistance as determined in laboratory testing.Initially, reports of short-term clinical outcomes were favorable and an increasing number of metal-on-metal prostheses were implanted. Subsequently, isolated case findings describing adverse tissue responses around the articulation became the harbinger of an increasing number of reports describing pseudotumors and other significant lymphocytic-based responses associated with metal-on-metal prostheses. Questions have been raised as to whether this is an implant, design, or patient-specific response. The reasons why some patients have a negative biological response and pathology while others do not remain to be determined, but tens of thousands of patients in the US, the UK, and around the world are considered to be at risk. Leading researchers and clinicians describe the issues related to the nature of the biological and pathological responses and the protocols that should be followed to determine if an adverse response is occurring. This book is essential reading for researchers, engineers, and orthopaedic surgeons who are involved in the design, evaluation, and implantation of metal-on-metal prostheses.Presents an historical overview of the use of metal-on-metal articulationsCollects for the first time the information necessary to assess clinically and biologically relevant patient outcomes Addresses the practical questions that are being raised by surgeons, researchers, and engineers Features contributions by acknowledged leaders in their fieldsDescribes what the clinician needs to know in order to practice evidence-based medicineProjects directions for clinical, biological, and biomechanical research efforts"

Table of contents

Preface Part I: Introduction Chapter 1: Introduction Chapter 2: Bearing Surfaces for Joint Replacement: New Materials or New Problems? Part II: Clinical Chapter 3: Outcome Studies for Metal-on-Metal Bearings: What Evidence-Based Medicine Tells Us Chapter 4: Metal Reactivity: Its Influence on Primary and Revision Outcomes Chapter 5: Are metal ion levels a trigger for surgical intervention? Chapter 6: Metal Sensitivity: Is it possible to Determine Clinically? Part III: Biology Chapter 7: Wound healing, chronic inflammation, and immune responses Chapter 8: Benign Responses to Orthopaedic Implants: Really? Chapter 9: What does the Histology Tell Us? Part IV: Biomechanics Chapter 10: Why metal-on-metal -what laboratory tests have shown us Chapter 11: What do the Retrievals really tell us? Future Directions Index