Is there a relation between clinical scores and serum ion levels after MoM-THA? One year results in 383 implants.: Clinical scores and serum ion levels after MoM-THA

Is there a relation between clinical scores and serum ion levels after MoM-THA? One year results in 383 implants.

Clinical scores and serum ion levels after MoM-THA

Authors

  • Francesco Pogliacomi Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Paolo Schiavi Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Filippo Calderazzi Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Massimiliano Leigheb Department of Health Sciences, University of Eastern Piedmont (UPO) Orthopaedics and Traumatology Unit, “Maggiore della Carità” Hospital, Novara, Italy
  • Marco Domenichini Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Alessio Pedrazzini Orthopaedic Unit, Oglio Po Hospital, Vicomoscano (CR), Italy
  • Francesco Ceccarelli Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Enrico Vaienti Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy

Keywords:

hip, prosthesis, metal on metal, ion, clinical scores.

Abstract

Background and aim of the work: Adverse reaction to metal debris is the major cause of the high revision rates of metal on metal hip implants with femoral head size ≥ 36mm. Health authorities recommend regular surveillance even for asymptomatic individuals. The main investigations used are Co+ and Cr+ serum levels, x-rays and, eventually, ultrasound and MARS-MRI. Clinic is also assessed. The aim of this study is to identify if there is a relation between  ion levels and the clinical scores  in order to evaluate the outcome and  plan the correct management after this type of implant.

Methods: 383 subjects were included and divided in 3 groups (serum ion levels >, <  and >60 µg/L). Co+, Cr+, HHS and OHS results of 1 2017 were analysed in order to show a correlation between ion levels and clinical scores .

Results: Clinical scores were similar in group 1 and 2. Differences were observed comparing the group 1 and 2 with group 3 for both variables.

Discussion and Conclusions: Surveillance algorithms have been introduced by health  authorities. Nevertheless, the indication to revision surgery is not simple especially in those cases in which a discrepancy between clinic and investigations is present. In this study clinical scores seem to be less important than ion levels in the evaluation of outcomes and in order to plan the correct management in the majority of cases. Larger studies are needed to highlight the real importance of clinical scores in the decision making after these type of implants.

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Published

30-12-2020

How to Cite

1.
Pogliacomi F, Schiavi P, Calderazzi F, Leigheb M, Domenichini M, Pedrazzini A, et al. Is there a relation between clinical scores and serum ion levels after MoM-THA? One year results in 383 implants.: Clinical scores and serum ion levels after MoM-THA. Acta Biomed [Internet]. 2020 Dec. 30 [cited 2024 Oct. 12];91(14-S):e2020014. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/10955