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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.
Doi: 10.1016/j.arth.2015.04.010
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PubMed
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- Leading authors Med Uni Graz
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Cip Johannes
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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)
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Adult -
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Arthroplasty, Replacement, Hip - instrumentation
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Arthroplasty, Replacement, Hip - methods
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Cartilage Diseases -
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Chromium - chemistry
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Cobalt - chemistry
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Female -
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Femoral Nerve - injuries
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Femoral Nerve - pathology
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Hip Prosthesis -
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Humans -
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Male -
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Metals -
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Middle Aged -
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Osteolysis -
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Pain, Postoperative - prevention & control
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Postoperative Period -
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Prosthesis Design -
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Prosthesis Failure -
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Range of Motion, Articular -
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Reoperation - instrumentation
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Reoperation - methods
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Treatment Outcome -
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Young Adult -
- Find related publications in this database (Keywords)
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articular surface replacement
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ASR
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total hip arthroplasty
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revision
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outcome