We aimed to assess the early outcome following revision arthroplasty for failed metal-on-metal (MoM) total hip replacements (THR) due to adverse reaction to metal debris (ARMD).
We reviewed 106 consecutive revision arthroplasties. Case notes and radiological investigations were reviewed to assess the complications. Oxford Hip Score (OHS) and Euroqol (EQ-5D-3L) scores were used to assess the functional outcome and improvement of quality of life.
At a mean follow-up of 20 months (12-48 months), the mean OHS was 28.7. Pain improved in 61% patients. A majority of patients were in level 2 for all the EQ-5D-3L dimensions. The overall complication rate was 16%. Survivorship free from further revision for any cause was 94.3% at 48 months. There was no correlation between pre-revision blood metal ions and the final outcome.
Revision surgery for failed MoM hip replacement due to ARMD is associated with a relatively higher rate of complications and risk of chronic pain. There is poor correlation between serum metal ions and development of ARMD and outcome following revision surgery.
Hip Int 2017; 27(3): 235 - 240
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsHafiz J. Iqbal, Waheeb A.K. Al-Azzani, Esther Jackson-Taylor, Elizabeth Clatworthy, Alun John
- • Accepted on 19/08/2016
- • Available online on 03/02/2017
- • Published in print on 12/05/2017
This article is available as full text PDF.
- Iqbal, Hafiz J. [PubMed] [Google Scholar] , * Corresponding Author (firstname.lastname@example.org)
- Al-Azzani, Waheeb A.K. [PubMed] [Google Scholar]
- Jackson-Taylor, Esther [PubMed] [Google Scholar]
- Clatworthy, Elizabeth [PubMed] [Google Scholar]
- John, Alun [PubMed] [Google Scholar]
University Hospital of Wales, Cardiff - UK