TKA: Similar revision rates and outcomes for all-polyethylene and metal-backed components

Clin Orthop Relat Res. 2012 Dec;470(12):3549-59. doi: 10.1007/s11999-012-2582-2. Epub 2012 Sep 13

Potentially lower migration with all-poly vs metal-backed tibia component in total knee arthroplasty

Acta Orthop. 2018 Aug;89(4):412-417. doi: 10.1080/17453674.2018.1464317

All-polyethylene and modular metal-backed tibial component clinically - equivalent choices

J Arthroplasty. 2011 Dec;26(8):1165-9. Epub 2011 Mar 16.

Durability and function similar between all-polyethylene and metal-backed tibial component

J Bone Joint Surg Am. 2011 Oct 5;93(19):1790-8. doi: 10.2106/JBJS.J.01303

TKR: No difference between all-polyethylene and metal-backed tibial implants

J Bone Joint Surg Br. 2006 Dec;88(12):1596-602

TKA: All-polyethylene and metal-back tibial components result in successful outcomes

Acta Orthop. 2011 Oct;82(5):589-95. Epub 2011 Sep 6

AAOS: Metal ion release substantially increased with metal on metal articulation in THA

36mm metal-on-metal THA increases metal ion & erythrocyte cobalt levels vs 28mm bearing

J Bone Joint Surg Am. 2014 Mar 19;96(6):448-55. doi: 10.2106/JBJS.M.00164.

COA: Lower rate of aseptic loosening with modular tibial plateau implant in UKA

Systemic cobalt release after metal-on-metal total hip arthroplasty: 5 year follow-up

J Bone Joint Surg Am. 2003 Nov;85-A(11):2168-73

Large modular metal-on-metal bearings in routine primary hip replacement

J Bone Joint Surg Br; 2011; 93(12): 1602-1609

COA: Increased metal ion levels with metal compared to polyethylene inserts in THA

Comparison of revision rate and metal ion release in ceramic-on-metal & metal-on-metal THA

Clin Orthop Relat Res. 2016 Feb;474(2):447-55

Increased mortality with metal-on-metal total hip arthroplasty over long-term follow-up

PLoS One. 2016 Jun 13;11(6):e0156051. doi: 10.1371/journal.pone.0156051. eCollection 2016

THA: 3-fold complication rate with Metal-on-Metal bearings

J Arthroplasty. 2012 Dec;27(10):1844-9. doi: 10.1016/j.arth.2012.05.023. Epub 2012 Jul 6

COA 2015: More revision & metal ions with large head metal-on-metal vs hip resurfacing THA

High risk of elevated metal ion concentrations for patients who undergo metal-on-metal THA

Arch Orthop Trauma Surg. 2011 Nov;131(11):1573-83. doi: 10.1007/s00402-011-1325-2. Epub 2011 Jun 4

Metal-on-metal THA increases HLA DR+CD8+ T-cells & correlates with immunological reactions

Acta Orthop. 2011 Feb;82(1):6-12. Epub 2010 Dec 29

Metal-on-metal arthroplasty produces an increase in body cobalt and nickel concentration

J Arthroplasty. 2009 Sep;24(6):837-45. Epub 2008 Sep 26.

NZOA 2013: Metal-on-metal and ceramic-on-metal surface bearings in THA