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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.
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 arthroplasty produces an increase in body cobalt and nickel concentration
J Arthroplasty. 2009 Sep;24(6):837-45. Epub 2008 Sep 26.
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
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
A large metal-on-metal total hip prosthesis does not provide additional increases to ROM
Int Orthop. 2011 Dec;35(12):1771-6. Epub 2011 Mar 4
Analysis of metal ion levels and chromosomal damage following MoM vs. MoP THA
Bone Joint J. 2015 Sep;97-B(9):1183-91
Large modular metal-on-metal bearings in routine primary hip replacement
J Bone Joint Surg Br; 2011; 93(12): 1602-1609
Metal release does not translate to increased metal allergy in metal-on-polyethylene THA
Acta Orthop. 2014 Aug;85(4):348-54. doi: 10.3109/17453674.2014.922730. Epub 2014 Jun 16.
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
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
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
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