High risk of elevated metal ion concentrations for patients who undergo metal-on-metal THA .
Metal-on-metal or metal-on-polyethylene for total hip arthroplasty: a meta-analysis of prospective randomized studies
Arch Orthop Trauma Surg. 2011 Nov;131(11):1573-83. doi: 10.1007/s00402-011-1325-2. Epub 2011 Jun 4In this systematic review and meta-analysis, 8 prospective randomized clinical trials examining outcomes of metal-on-polyethylene (MOP) total hip arthroplasty (THA) and metal-on-metal (MOM) THA were evaluated. Complications, reoperation rates, and clinical and radiographic outcomes between MOP-THA and MOM-THA were similar, but patients who underwent MOM-THA had higher serum metal ion concentrations.
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