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Fa-Binefa M, Rojas-Sayol R, Peiró A, Trullols L, Machado P, Gracia I. Metal Ion Release in Cancer Patients Following Megaprosthesis Salvage Surgery. J Arthroplasty 2024; 39:2336-2340. [PMID: 38640965 DOI: 10.1016/j.arth.2024.04.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 04/08/2024] [Accepted: 04/10/2024] [Indexed: 04/21/2024] Open
Abstract
BACKGROUND Megaprostheses contain many more modular components than conventional total hip and knee arthroplasty, which may lead to higher serum levels of metal ions. The aim of this study was to determine serum concentrations of titanium, chromium, and cobalt ions in cancer patients after limb salvage surgery with a megaprosthesis. METHODS A retrospective, descriptive cohort analysis consisting of patients who underwent cancer-related limb salvage surgery with a megaprosthesis at our hospital between 2010 and 2020 was conducted. Baseline and follow-up data were extracted from clinical and surgical records. Blood samples were prospectively obtained. Descriptive statistics were used for the analysis. RESULTS A total of 71 patients underwent limb salvage surgery during the study period. Of these, 22 (10 women, 12 men) were included in the study. The mean age was 52 years (range, 21 to 80). Most cases (n = 16; 72.7%) involved the femur. Most patients (n = 14, 63.6%) underwent total knee megaprosthesis surgery. Implant revision surgery was required in 45% of cases (n = 10), with a mean interval of 4.32 years between the initial and revision surgeries. The mean follow-up time after revision surgery was 4.05 years. High levels of chromium were observed in 22.7% of patients (n = 5). High cobalt levels were found in 68.2% (n = 15) of patients, with toxic levels in 9.1% (n = 2). Titanium levels were high in 77.3% (n = 17) of cases and toxic in 22.7% (n = 5). Postoperative chemotherapy was significantly associated with titanium levels (P = .017). No correlation was observed between metal ion levels and time from primary or revision surgery or time from the first to revision surgery. CONCLUSIONS This study shows that cancer-related limb salvage surgery with megaprosthesis is associated with metal ion levels that exceed established safe thresholds. Compared to conventional hip arthroplasty, a higher proportion of the patients in this cohort presented elevated levels of metal ions. LEVEL OF EVIDENCE III.
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Affiliation(s)
- Manel Fa-Binefa
- Orthopaedic Surgery Department, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute IIB Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain; Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain; Oncology Orthopaedic Surgery Unit, Orthopaedic Surgery Department, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute IIB Sant Pau, Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Roger Rojas-Sayol
- Septic Surgery Unit, Orthopaedic Surgery Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain
| | - Ana Peiró
- Orthopaedic Surgery Department, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute IIB Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain; Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain; Oncology Orthopaedic Surgery Unit, Orthopaedic Surgery Department, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute IIB Sant Pau, Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Laura Trullols
- Orthopaedic Surgery Department, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute IIB Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain; Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain; Oncology Orthopaedic Surgery Unit, Orthopaedic Surgery Department, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute IIB Sant Pau, Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Pau Machado
- Orthopaedic Surgery Department, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute IIB Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain; Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain; Oncology Orthopaedic Surgery Unit, Orthopaedic Surgery Department, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute IIB Sant Pau, Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Isidro Gracia
- Orthopaedic Surgery Department, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute IIB Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain; Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain; Oncology Orthopaedic Surgery Unit, Orthopaedic Surgery Department, Hospital de la Santa Creu i Sant Pau, Sant Pau Biomedical Research Institute IIB Sant Pau, Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
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Gwon K, Lee S, Kim Y, Choi J, Kim S, Kim SJ, Hong HJ, Hwang Y, Mori M, Lee DN. Construction of a bioactive copper-based metal organic framework-embedded dual-crosslinked alginate hydrogel for antimicrobial applications. Int J Biol Macromol 2023; 242:124840. [PMID: 37169053 DOI: 10.1016/j.ijbiomac.2023.124840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 04/18/2023] [Accepted: 05/08/2023] [Indexed: 05/13/2023]
Abstract
Metal-organic frameworks (MOFs) containing bioactive metals have the potential to exhibit antimicrobial activity by releasing metal ions or ligands through the cleavage of metal-ligand bonds. Recently, copper-based MOFs (Cu-MOFs) with sustained release capability, porosity, and structural flexibility have shown promising antimicrobial properties. However, for clinical use, the controlled release of Cu2+ over an extended time period is crucial to prevent toxicity. In this study, we developed an alginate-based antimicrobial scaffold and encapsulated MOFs within a dual-crosslinked alginate polymer network. We synthesized Cu-MOFs containing glutarate (Glu) and 4,4'-azopyridine (AZPY) (Cu(AZPY)-MOF) and encapsulated them in an alginate-based hydrogel through a combination of visible light-induced photo and calcium ion-induced chemical crosslinking processes. We confirmed Cu(AZPY)-MOF synthesis using scanning electron microscopy, transmission electron microscopy, powder X-ray diffraction, and thermogravimetric analysis. This antimicrobial hydrogel demonstrated excellent antibacterial and antifungal properties against two bacterial strains (MRSA and S. mutans, with >99.9 % antibacterial rate) and one fungal strain (C. albicans, with >78.7 % antifungal rate) as well as negligible cytotoxicity towards mouse embryonic fibroblasts, making it a promising candidate for various tissue engineering applications in biomedical fields.
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Affiliation(s)
- Kihak Gwon
- Ingenium College of Liberal Arts (Chemistry), Kwangwoon University, Seoul 01897, Republic of Korea; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN 55902, USA
| | - Seonhwa Lee
- Ingenium College of Liberal Arts (Chemistry), Kwangwoon University, Seoul 01897, Republic of Korea
| | - Youngmee Kim
- Department of Chemistry and Nano Science, NanoBio-Energy Materials Center, Ewha Womans University, Seoul 03760, Republic of Korea
| | - Jun Choi
- Department of Chemistry and Nano Science, NanoBio-Energy Materials Center, Ewha Womans University, Seoul 03760, Republic of Korea
| | - Sujin Kim
- Department of Chemistry and Nano Science, NanoBio-Energy Materials Center, Ewha Womans University, Seoul 03760, Republic of Korea
| | - Sung-Jin Kim
- Department of Chemistry and Nano Science, NanoBio-Energy Materials Center, Ewha Womans University, Seoul 03760, Republic of Korea
| | - Hye Jin Hong
- Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN 55902, USA
| | - Youngmin Hwang
- Columbia Center for Human Development (CCHD), Pulmonary Allergy & Critical Care Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA
| | - Munemasa Mori
- Columbia Center for Human Development (CCHD), Pulmonary Allergy & Critical Care Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA
| | - Do Nam Lee
- Ingenium College of Liberal Arts (Chemistry), Kwangwoon University, Seoul 01897, Republic of Korea.
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Lachance AD, Stogsdill PB, McGrory BJ. Late Hematogenous Total Hip Infection After Revision for Mechanically Assisted Crevice Corrosion With Adverse Local Tissue Reaction. Arthroplast Today 2022; 18:173-180. [PMID: 36387330 PMCID: PMC9647085 DOI: 10.1016/j.artd.2022.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 10/15/2022] [Accepted: 10/17/2022] [Indexed: 11/08/2022] Open
Abstract
Mechanically assisted crevice corrosion (MACC) at the trunnion-bore junction of a total hip arthroplasty may cause adverse local tissue reaction (ALTR) with inflammatory reaction and tissue necrosis. Complications, including acute infection, continued pain, and instability, are therefore common after a revision surgery for MACC. We now present 2 cases of late hematogenous bacterial infection years after revision for MACC and ALTR, a previously unreported outcome in this population. We hypothesize that MACC-induced tissue necrosis does not heal over time, and some patients with metal-on-polyethylene total hip arthroplasty treated for ALTR are at long-term risk of hematogenous bacterial infection.
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Asgari S, Mohammadi Ziarani G, Badiei A, Rostami M, Kiani M. Reduced cytotoxicity and boosted antibacterial activity of a hydrophilic nano-architecture magnetic nitrogen-rich copper-based MOF. MATERIALS TODAY COMMUNICATIONS 2022; 33:104393. [DOI: 10.1016/j.mtcomm.2022.104393] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
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Vassilaki M, Kremers WK, Machulda MM, Knopman DS, Petersen RC, Laporta ML, Berry DJ, Lewallen DG, Maradit Kremers H. Long-term Cognitive Trajectory After Total Joint Arthroplasty. JAMA Netw Open 2022; 5:e2241807. [PMID: 36374499 PMCID: PMC9664257 DOI: 10.1001/jamanetworkopen.2022.41807] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
IMPORTANCE Individuals with total joint arthroplasty (TJA) have long-term exposure to metal-containing implants; however, whether long-term exposure to artificial implants is associated with cognitive function is unknown. OBJECTIVE To compare long-term cognitive trajectories in individuals with and without TJA. DESIGN, SETTING, AND PARTICIPANTS This population-based cohort study assessed serial cognitive evaluations of 5550 participants (≥50 years of age) from the Mayo Clinic Study of Aging between November 1, 2004, and December 31, 2020. EXPOSURES Total joint arthroplasty of the hip or the knee. MAIN OUTCOMES AND MEASURES Linear mixed-effects models were used to compare the annualized rate of change in global and domain-specific cognitive scores in participants with and without TJA, adjusting for age, sex, educational level, apolipoprotein E ε4 carrier status, and cognitive test practice effects. RESULTS A total of 5550 participants (mean [SD] age at baseline, 73.04 [10.02] years; 2830 [51.0%] male) were evaluated. A total of 952 participants had undergone at least 1 TJA of the hip (THA, n = 430) or the knee (TKA, n = 626) before or after entry into the cohort. Participants with TJA were older, more likely to be female, and had a higher body mass index than participants without TJA. No difference was observed in the rate of cognitive decline in participants with and without TJA until 80 years of age. A slightly faster cognitive decline at 80 years or older and more than 8 years from surgery was observed (b = -0.03; 95% CI, -0.04 to -0.02). In stratified analyses by surgery type, the faster decline was observed primarily among older participants with TKA (b = -0.04; 95% CI, -0.06 to -0.02). CONCLUSIONS AND RELEVANCE In this cohort study, long-term cognitive trajectories in individuals with and without TJA were largely similar except for a slightly faster decline among the oldest patients with TKA; however, the magnitude of difference was small and of unknown clinical significance.
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Affiliation(s)
- Maria Vassilaki
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota
| | - Walter K Kremers
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota
| | - Mary M Machulda
- Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota
| | | | - Ronald C Petersen
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota
- Department of Neurology, Mayo Clinic, Rochester, Minnesota
| | - Mariana L Laporta
- Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota
| | - Daniel J Berry
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota
| | - David G Lewallen
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota
| | - Hilal Maradit Kremers
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota
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Clinical Outcomes, Metal Ion Levels, Lymphocyte Profiles, and Implant Survival Following Five Different Bearings of Total Hip Arthroplasty: A Mean 10-year Follow-up Study. J Arthroplasty 2022; 37:2053-2062. [PMID: 35490981 DOI: 10.1016/j.arth.2022.04.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 04/15/2022] [Accepted: 04/22/2022] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND Different bearings have been used in total hip arthroplasty (THA), but the long-term performance is still controversial. The purpose of this study was to investigate whether there are differences when comparing THAs with 5 different bearings at a long-term follow-up of more than 10 years. METHODS From January 2010 to May 2012, 101 THA patients (134 hips) were divided into metal-on-metal group (MoM, 31 hips), metal-on-polyethylene group (MoP, 23 hips), ceramic-on-metal group (CoM, 21 hips), ceramic-on-ceramic group (CoC, 33 hips), and ceramic-on-polyethylene group (CoP, 26 hips). The mean follow-up period was 10.3 years. The Harris hip score (HSS), Western Ontario and McMaster Universities Osteoarthritis Index scores (WOMAC), range of motion (ROM), blood cell count, and liver-kidney function were measured. Serum and urine metal ion levels were measured using high-resolution inductively coupled plasma-mass spectrometry (ICP-MS) and a blood lymphocytes analysis was counted by flow cytometry. RESULTS No difference was observed in the HSS, WOMAC, ROM, blood cell count, or liver-kidney function among any of the 5 groups. Metal ion levels were significantly elevated in metal-containing bearings. Flow cytometry showed that no differences were found. Revision was performed due to pseudotumor in 3 patients. The implant survival rate was 96.7% and 93.3% for the MoM and CoC groups, which was significantly lower compared with other groups. CONCLUSIONS Metal ion levels were elevated significantly in metal-containing bearings, especially in MoM THA patients. The implant survival rate was significantly lower in CoC and MoM THAs, which was mainly due to pseudotumor formation. LEVEL OF EVIDENCE Therapeutic Level II.
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Effect of different thermal processing methods on potentially toxic metals in the seafood, Penaeus vannamei, and the related human health risk assessment. J Food Compost Anal 2022. [DOI: 10.1016/j.jfca.2021.104259] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Lee DN, Gwon K, Kim Y, Cho H, Lee S. Immobilization of antibacterial copper metal-organic framework containing glutarate and 1,2-bis(4-pyridyl)ethylene ligands on polydimethylsiloxane and its low cytotoxicity. J IND ENG CHEM 2021. [DOI: 10.1016/j.jiec.2021.07.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Arab‐Ahmadi S, Irani S, Bakhshi H, Atyabi F, Ghalandari B. Immobilization of cobalt‐loaded laponite/carboxymethyl chitosan on polycaprolactone nanofiber for improving osteogenesis and angiogenesis activities. POLYM ADVAN TECHNOL 2021. [DOI: 10.1002/pat.5438] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Samira Arab‐Ahmadi
- Department of Biology, Science and Research Branch Islamic Azad University Tehran Iran
| | - Shiva Irani
- Department of Biology, Science and Research Branch Islamic Azad University Tehran Iran
| | - Hadi Bakhshi
- Department of Functional Polymer Systems Fraunhofer Institute for Applied Polymer Research IAP Potsdam Germany
| | - Fatemeh Atyabi
- Department of Pharmaceutics, Faculty of Pharmacy Tehran University of Medical Sciences Tehran Iran
- Nanotechnology Research Centre, Faculty of Pharmacy Tehran University of Medical Sciences Tehran Iran
| | - Behafarid Ghalandari
- Department of Medical Nanotechnology, Applied Biophotonics Research Center, Science and Research Branch Islamic Azad University Tehran Iran
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Wyles CC, Kolz JM, Van Citters DW, Berry DJ, Trousdale RT. In Vivo Corrosion of Sleeved Ceramic Femoral Heads: A Retrieval Study. J Arthroplasty 2021; 36:1133-1137. [PMID: 33121849 DOI: 10.1016/j.arth.2020.10.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 09/10/2020] [Accepted: 10/04/2020] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND The purpose of this study was to evaluate a series of retrieved sleeved ceramic femoral heads used in total hip arthroplasty (THA) and determine qualitative and quantitative damage and corrosion patterns. METHODS An IRB-approved implant retrieval database was utilized to identify all sleeved ceramic femoral heads collected from 1995 to 2004. There were 16 implants with an average duration of in situ of 70 months (range, 13-241 months). The femoral stem was known in 14 cases and was titanium alloy in each of those cases. None were revised for metal-related complications. Ten implants (63%) were from primary THAs, and 6 (38%) were from revision THAs. Damage and corrosion were qualitatively graded using a modified Goldberg method. A quantitative assessment was performed with a coordinate measurement machine (CMM). RESULTS Among the 16 retrieved implants, 1 (6%) demonstrated severe Grade 4 corrosion, 5 (31%) had moderate Grade 3 corrosion, 5 (31%) had mild Grade 2 corrosion, and 5 (31%) had no visible corrosion at the inner sleeve that interfaces with the stem trunnion. The only case of grade 4 corrosion occurred in the only head-sleeve in the study that was not factory assembled and was mated with a titanium molybdenum zirconium ferrous (TMZF) alloy stem. The mean maximum linear corrosion depth at the taper interface, as measured by the CMM, was 7.7 microns (range, 0.9-32.9 microns). CONCLUSION This study is the first to quantify corrosion at the titanium interface of sleeved ceramic femoral heads. Potentially clinically significant damage and corrosion patterns were observed in a few failed retrievals; however, the majority of cases demonstrated minimal or no damage.
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Affiliation(s)
- Cody C Wyles
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN
| | - Joshua M Kolz
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN
| | | | - Daniel J Berry
- Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN
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Kamath AF, Courtney PM, Lee GC. Metal ion levels with use of modular dual mobility constructs: Can the evidence guide us on clinical use? J Orthop 2021; 24:91-95. [PMID: 33679034 DOI: 10.1016/j.jor.2021.02.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Accepted: 02/14/2021] [Indexed: 11/18/2022] Open
Abstract
Introduction Dual mobility (DM) use in total hip arthroplasty (THA) has increased, particularly for prevention and management of instability. However, a modular interface raises concern for metal ion generation. The purpose of this study was to determine the 1) serum cobalt and chromium levels; 2) prevalence of ion levels >1 mcg/L; and 3) effect of femoral head material on ion levels following THA using modular DM bearings. Methods We performed a systematic review (MEDLINE, Embase, Cochrane databases) for articles relating to metal ion levels and modular DM (MDM) THA. Eight studies (290 patients) met the inclusion criteria. We recorded post-operative ion levels at a minimum of 12 months, and compared levels with ceramic (n = 125) and metal femoral heads (n = 165). A meta-analysis could not be performed due to poor study quality and heterogeneity. Results At average follow-up of 30.4 months, mean cobalt level was 0.71 mcg/L, and mean chromium level was 0.66 mcg/L [22 patients (8%) had elevated ion levels above 1 mcg/L]. When compared to MDM with a ceramic head, metal head use had higher cobalt (1.26 vs. 0.42 mcg/L) and chromium levels (1.23 vs. 0.46 mcg/L). MDM with a metal head was 1.30 times more likely to have elevated ion levels >1 mcg/L. There was no effect of ion levels on outcome scores. Conclusions Measurable elevations of serum cobalt and chromium levels are present in patients with well-functioning MDM THAs. The impact and contributions of the additional metal liner interface are still unclear. The use of a ceramic head appears to mitigate ion release, while reducing other mechanisms of metallosis like taper corrosion. Higher quality studies are necessary to understand whether MDM bearings pose long term issues. Until then, the judicious use of MDM articulations is recommended.
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Affiliation(s)
- Atul F Kamath
- Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA
| | - P Maxwell Courtney
- Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Philadelphia, PA, USA
| | - Gwo-Chin Lee
- Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA
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McGrory BJ, Jacobs JJ, Kwon YM, Fillingham Y. Standardizing terms for tribocorrosion-associated adverse local tissue reaction in total hip arthroplasty. Arthroplast Today 2020; 6:196-200. [PMID: 32577461 PMCID: PMC7303482 DOI: 10.1016/j.artd.2020.01.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2020] [Revised: 01/19/2020] [Accepted: 01/21/2020] [Indexed: 02/08/2023] Open
Abstract
Recognizing and adopting standardized terms for adverse local tissue reaction associated with tribocorrosion in total hip arthroplasty are essential for clear scientific discourse and clinical communication. Our goal was to develop terms that can be broadly applied to characterize the local tissue response to tribocorrosion debris, based on current evidence regarding the etiology of this failure mode and its consequences. The proposed standardized terms will improve the understanding and interpretation of analytical tests, advance diagnostic and treatment algorithms, and reduce confusion in research by maintaining consistent nomenclature.
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Affiliation(s)
- Brian J. McGrory
- Corresponding author. Department of Orthopaedic Surgery, Tufts University School of Medicine, Boiston, MA, USA; Maine Medical Center Division of Joint Replacements, Portland, ME, USA. Tel.: +1 207 781 1551.
| | - Joshua J. Jacobs
- Department of Orthopaedic Surgery, Tufts University School of Medicine, Boston, MA, USA
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA
| | - Young-Min Kwon
- Department of Orthopaedic Surgery, Tufts University School of Medicine, Boston, MA, USA
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA
| | - Yale Fillingham
- Department of Orthopaedic Surgery, Tufts University School of Medicine, Boston, MA, USA
- Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
- Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA
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Letter to the editor on "Titanium neck-titanium stem corrosion in a modular neck stem". Arthroplast Today 2020; 6:129. [PMID: 32211489 PMCID: PMC7083723 DOI: 10.1016/j.artd.2020.01.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Revised: 01/15/2020] [Accepted: 01/21/2020] [Indexed: 01/25/2023] Open
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