For over 40 years, the metal-on-polyethylene bearing has dominated the field of total hip replacement. Problems of wear, osteolysis (dissolution of bone), and ultimately failure of prostheses have led to the development of alternative bearing surfaces. Metal-on-metal hip resurfacing has taken current orthopaedic surgery almost by storm. However, metal ion release following metal-on-metal hip resurfacing remains a major cause for concern. This article looks into the development and examines problems and issues surrounding metal-on-metal resurfacing arthroplasty.
FischerL. P.PlanchampW.FischerB.ChauvinF.The first total hip prosthesis (1890–1960)History Sci. Medicine, 2000, 34, 51–70.
2.
Smith-PetersenM. N.Evolution of mould arthroplasty of the hipJ. Bone Jt Surg., 1948, 30, 59–70.
3.
HowseJ.Semi-captive cups for hip replacement In Joint replacement (Eds CoombsR.GristinaA.HungerfordD.), 1990, p. 135 (Orthotext, London).
4.
JudetR.JudetJ.Technique and results with acrylic femoral head prosthesisJ. Bone Jt Surg., 1952, 34A, 173–179.
5.
MooreA. T.The self-locking metal hip prosthesisJ. Bone Jt Surg., 1957, 39, 811–820.
6.
ThompsonF. R.Two-and-half-years experience with a Vitallium hip prosthesisJ. Bone Jt Surg., 1954, 36A, 489–499.
7.
HaboushE. J.Arthroplasty of the hip based on biomechanics, photo-elasticity, fast-setting dental acrylic, and other considerationsBull. Hosp. Joint Dis., 1953, 14, 242–277.
8.
CharnleyJ.Arthroplasty of the hip - a new operationLancet, 1961, 1, 1129–1133.
9.
McKeeG. K.Development of total prosthetic replacement of the hipClin. Orthop., 1970, 72, 85–98.
10.
CharnleyJ.Low friction arthroplasty of the hip: theory and practice, 1979 (Springer-Verlag, Berlin).
11.
RingP. A.Press-fit prosthesis clinical experience In Osteo-arthritis and the young adult hip (Eds FreemanM. A. R.ReynoldsD. A.), 1989, pp. 220–232 (Churchill Livingstone, Edinburgh).
12.
AugustA. C.AldamC. H.PysentP. B.The McKee-Farrar hip arthroplastyJ. Bone Jt Surg., 1986, 68B, 520–527.
13.
JacobssonS. A.DjerfK.WahlströmO.20-year results of McKee-Farrar versus Charnley prosthesisClin. Orthop., 1996, 329S, 60–67.
DorrL. D.KaneT. J.IIIConatyJ. P.Longterm results of cemented total hip arthroplasty in patients 45 years old or younger: A 16-year followup studyJ. Arthroplasty, 1994, 9, 453–456.
16.
JoshiA. N. B.PorterM. L.TrailI. A.HuntL. P.Long-term results of Charnley low-friction arthroplasty in young patientsJ. Bone Jt Surg., 1993, 75B, 616–623.
17.
DowdyP. A.RorabeckC. H.BourneR. B.Uncemented total hip arthroplasty in patients 50 years of age or youngerJ. Arthroplasty, 1997, 12, 853–862.
18.
MalchauH.HerbertsP.Swedish national hip arthroplasty register, 1996 (Department of Orthopaedics, University of Göteborg, Göteborg, Sweden).
19.
D'SouzaS. R.SadiqS.NewA. M. R.Northmoore-BallM. D.Proximal femoral osteotomies - the primary operation for young adults who have osteoarthritis of the hipJ. Bone Jt Surg., 1998, 80A, 1428–1438.
20.
JingushiS.SugiokaY.NoguchiY.MiuraH.IwamotoY.Transtrochanteric valgus osteotomy for the treatment of osteoarthritis of the hip secondary to acetabular dysplasiaJ. Bone Jt Surg., 2002, 84B, 535–539.
21.
MalcolmA. J.Cemented and hydroxyapatite coated hip implants In Biological, material and mechanical considerations of joint replacement (Ed. MorreyB. F.), 1993 (Raven Press, New York).
22.
HernandezJ. R.KeatingE. M.FarisP. M.MedingJ. B.RitterM. A.Polyethylene wear in uncemented acetabular componentsJ. Bone Jt Surg., 1994, 76B, 263–266.
23.
ThannerJ.KarrholmJ.MalchauH.HerbertsP.Poor outcome of the PCA and Harris-Galante hip prostheses. Randomised study of 171 arthroplasties with 9-year follow-upActa Orthop. Scand., 1999, 70, 155–162.
24.
McKellopH. A.CampbellP.ParkS. H.The origin of submicron polyethylene wear debris in total hip arthroplastyClin. Orthop., 1995, 311, 3.
25.
EnghC. A.McGovernT. F.BobynJ. D.HarrisW. H.A quantitative evaluation of periprosthetic bone remodelling after cementless total hip arthroplastyJ. Bone Jt Surg., 1992, 74, 1009–1020.
26.
KiratliB. J.HeinerJ. P.McBeathA. A.Femoral bone mineral density changes in THA patients with up to seven-year follow-up determinationsTrans. Orthop. Res. Soc., 1992, 17, 238.
27.
FreemanM. A. R.CameronH. U.BrownG. C.Cemented double-cup arthroplasty of the hip. A 5-year experience with the ICLH prosthesisClin. Orthop., 1978, 134, 45–48.
28.
FuruyaK.TsuchiyaH.KawachiS.Socket cup arthroplastyClin. Orthop., 1978, 134, 41–44.
29.
WagnerH.Surface replacement arthroplasty of the hipClin. Orthop., 1978, 134, 102–130.
30.
AmstutzH. C.Graff-RadfordA.GreenT.ClarkeI. C.Tharies surface replacements. A review of the first 100 casesClin. Orthop., 1978, 134, 87–101.
31.
HowieD. W.CornishB. L.Vernon-RobertsB.Resurfacing hip arthroplasty; classification of loosening and the role of prosthesis wear particlesClin. Orthop., 1990, 225, 144–159.
32.
FreemanM. A.BradleyG. W.ICLH surface replacement of the hip: An analysis of the first 10 yearsJ. Bone Jt Surg., 1983, 65B, 405–461.
33.
De SmetK. A.PattynC.VerdonckR.Early results of a primary Birmingham hip resurfacing using a hybrid metal-on-metal coupleHip Int., 2002, 12, 158–162.
34.
DanielJ.PynsentP. B.McMinnD. J. W.Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritisJ. Bone Jt Surg., 2004, 86B, 177–184.
35.
TreacyR. B. C.McBrydeC. W.PynsentP. B.Birmingham hip resurfacing arthroplasty. A minimum follow-up of five yearsJ. Bone Jt Surg., 2005, 87B, 167–170.
36.
FenderD.HarperW. M.GreggP. J.Outcome of Charnley total hip replacement across a single health region in EnglandJ. Bone Jt Surg., 1999, 81B, 577–581.
37.
WhiteR. E.JrFornessT. J.AllmannJ. K.JunickD. W.Effect of posterior capsular repair on early dislocation in primary total hip replacementClin. Orthop., 2001, 393, 163–167.
38.
VicarA. J.CulemallC. R.A comparison of the anterolateral, transtrochanteric and posterior surgical approaches in primary total hip arthroplastyClin. Orthop., 1984, 188, 153–159.
39.
McMinnD.TreacyR.LinK.PynsentP.Metal-on-metal surface replacement of the hip. Experience of the McMinn prosthesisClin. Orthop., 1996, 329S, 89–98.
40.
AmstutzH. C.BeauléP. E.DoreyF. J.Le DuffM. J.CampbellP. A.GruenT. A.Metal-on-metal hybrid surface arthroplasty: Two to six-year follow-up studyJ. Bone Jt Surg., 2004, 86A, 28–39.
41.
National Institute of Clinical Excellence, Guidance on the selection of prostheses for primary total hip replacementNICE technology appraisal guidance, No. 2, April 2000 (National Institute of Clinical Excellence, London).
42.
KishidaY.SuganN.NishiiT.MikiH.YamaguchiK.YoshikawaH.Preservation of bone mineral density of the femur after surface replacement of the hipJ. Bone Jt Surg., 2004, 86B, 185–189.
43.
Glyn-JonesS.GillH. S.McLardy-SmithP.MurrayD. W.Roentgen stereophotogrammetric analysis of the Birmingham hip resurfacing arthroplastyJ. Bone Jt Surg., 2004, 86B, 172–176.
44.
BlackJ.Does corrosion matter?J. Bone Jt Surg., 1988, 70B, 517–520.
45.
Albores-SaavedraJ.VuitchF.DelgadoR.WileyE.HaglerH.Sinus histiocytosis of pelvic lymph nodes after hip replacement. A histiocytic proliferation induced by cobalt-chromium and titaniumAm. J. Surg. Pathology, 1994, 18, 83–90.
46.
CaseC. P.LingkumerV. G.Widespread dissemination of metal debris from implantsJ. Bone Jt Surg., 1994, 76B, 701–712.
47.
JacobsJ. J.SkiporA. K.DoornP. E.CampbellP.SchmalzriedT. P.BlackJ.AmstutzH. C.Cobalt and chromium concentrations in patients with metal on metal total hip replacementsClin. Orthop., 1996, 329, S255-S263.
48.
BroadnerW.BitzanP.MeisingerV.KaiderA.Gottsaunder-WolfF.KotzR.Elevated serum cobalt with metal-on-metal articulating surfacesJ. Bone Jt Surg., 1997, 79B, 316–322.
49.
ClarkeM. T.LeeP. T. H.AroraA.VillarR. N.Levels of metal ions after small- and large-diameter metal-on-metal hip arthroplastyJ. Bone Jt Surg., 2003, 85B, 913–917.
50.
BowsherJ. C.HussainA.WilliamsP.NevelosJ.SheltonJ. C.Effect of ion implantation on the tribology of metal-on-metal hip prosthesesJ. Arthroplasty, 2004, 8, Suppl. 3, 107–111.
51.
Reddyet al. Medium-term serum cobalt and chromium levels in patients with metal-on-metal resurfacing. In Proceedings of American Academy of Orthopaedic Surgeons Meeting, 2003.
52.
MathiesenE. B.AhlbomA.BermannG.LindgrenJ. O.Total hip replacement and cancer: A cohort studyJ. Bone Jt. Surg., 1995, 77B, 345–350.
53.
VisuriT.PukkalaE.PaavolainenP.RiskaE. B.Cancer risk after metal-on-metal and polyethylene-on-metal total hip arthroplastyClin. Orthop., 1996, 329S, 280–289.
54.
TharaniR.SchmalzreidT.The risk of cancer following total hip and knee arthroplastyJ. Bone Jt Surg., 2001, 28A, 774–780.
55.
PilgerA.SchafferA.RudigerH. W.OsterodeW.Urinary 8-hydroxydeoxyguanosine and sister chromatid exchanges in patients with total hip replacementsJ. Toxicological Environ. Health, 2002, 65, 655–664.
56.
CaseC. P.Chromosomal changes after surgery for joint replacementJ. Bone Jt Surg., 2001, 83B, 1093–1095.
57.
CoenN.KadhimM. A.WrightE. G.CaseC. P.MothersillC. E.Particulate debris from a titanium metal prosthesis induces genomic instability in primary human fibroblast cellsBr. J. Cancer, 2003, 88, 548–552.
58.
JonesD. A. Cobalt toxicity after McKee hip arthroplasty.J. Bone Jt Surg., 1975, 57B, 289.
59.
BasketterD. A.Briatico VangosaG.KaestnerW.LallyC.BontinckW. J.Nickel cobalt and chromium in consumer products: A role in allergic contact dermatitisContact Dermatitis, 1993, 28, 15–25.
60.
LalorP.RevelP. A.FreemanM. A. R.Sensitivity to titaniumJ. Bone Jt Surg., 1991, 73B, 25–28.
61.
WillertH. G.BuchhornG. H.FayyaziA.FlurryR.WindlerM.KosterG.LohmannC. H.Metal-on-metal bearings and hypersensitivity in patients with artificial hip joints. A clinical and his-tomorphological studyJ. Bone Jt Surg., 2005, 87A, 28–36.
62.
ShettyV. D.VillarR. N.Further opinion on metal ion levels after metal-on-metal proximal femoral replacements: A 30-year follow-upJ. Bone Jt Surg., 87B, 628., http://www.jbjs.org.uk/cgi/content/full/87-B/5/628/DCI (accessed 19 July 2005).
63.
VillarR.Resurfacing arthroplasty of the hip. Editorial. J. Bone Jt Surg., 2004, 86B, 157–158.
