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Reasons for our Preference for Ceramic over Metal Bearing — clinical, radiological and biological evidences

  • Conference paper
Bioceramics and Alternative Bearings in Joint Arthroplasty

Part of the book series: Ceramics in Orthopaedics ((CIO))

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Abstract

The second generation of metal on metal prosthesis benefited from improvements in industrial manufacturing and optimisation of the articular movement [1-3]. Short term clinical results are promising [4-7]. However concerns remain about radiological and biological aspects [8-14]. The questions surrounding “ideal” articular clearance still haven’t been answered and the influence of the mode of lubrication seems essential today [15-19]. Release of chromium and cobalt from the bearing couple is one of the problems [20-24].

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References

  1. Weber BG. Experience with the Metasul total hip bearing system. Clin Orthop Relat Res, 1996-329 Suppl:S69–77.

    Article  Google Scholar 

  2. Rieker CB, Schon R, Kottig P. Development and validation of a second-generation metal-on-metal bearing: laboratory studies and analysis of retrievals. J Arthroplasty, 2004;19-8Suppl 3:5–11.

    Google Scholar 

  3. Sieber HP, Rieker CB, Kottig P. Analysis of 118 second-generation metal-on-metal retrieved hip implants. J Bone Joint Surg Br, 1999;81-1:46–50.

    Article  Google Scholar 

  4. Dorr LD, Hilton KR, Wan Z, Markovich GD, Bloebaum R. Modern metal on metal articulation for total hip replacements. Clin Orthop Relat Res, 1996-333:108–117.

    Article  PubMed  Google Scholar 

  5. Delaunay CP. Metal-on-metal bearings in cementless primary total hip arthroplasty. J Arthroplasty, 2004;19-8Suppl 3:35–40.

    Article  Google Scholar 

  6. Hilton KR, Dorr LD, Wan Z, McPherson EJ. Contemporary total hip replacement with metal on metal articulation. Clin Orthop Relat Res, 1996-329 Suppl:S99–105.

    Article  Google Scholar 

  7. Migaud H, Jobin A, Chantelot C, Giraud F, Laffargue P, Duquennoy A. Cementless metalon-metal hip arthroplasty in patients less than 50 years of age: comparison with a matched control group using ceramic-on-polyethylene after a minimum 5-year followup. J Arthroplasty, 2004;19-8Suppl 3:23–28.

    Google Scholar 

  8. Lazennec JY, Boyer P, Poupon J, Rousseau MA, Laude F, Catonne Y, Saillant G. [In Process Citation]. Rev Chir Orthop Reparatrice Appar Mot 2007;93-3:298–302.

    Google Scholar 

  9. Beaule PE, Campbell P, Mirra J, Hooper JC, Schmalzried TP. Osteolysis in a cementless, second generation metal-on-metal hip replacement. Clin Orthop Relat Res, 2001-386:159–165.

    Article  PubMed  Google Scholar 

  10. Willert HG, Buchhorn GH, Fayyazi A, Flury R, Windler M, Koster G, Lohmann CH. Metal-onmetal bearings and hypersensitivity in patients with artificial hip joints. A clinical and histomorphological study. J Bone Joint Surg Am 2005;87-1:28–36.

    Article  Google Scholar 

  11. Ward JJ, Thornbury DD, Lemons JE, Dunham WK. Metal-induced sarcoma. A case report and literaturereview. Clin Orthop Relat Res, 1990-252:299–306.

    PubMed  Google Scholar 

  12. Lewis CG, Sunderman FW, Jr.:. Metal carcinogenesis in total joint arthroplasty. Animal models. Clin Orthop Relat Res, 1996-329 Suppl:S264–268.

    Article  Google Scholar 

  13. Park YS, Moon YW, Lim SJ, Yang JM, Ahn G, Choi YL. Early osteolysis following secondgeneration metal-on-metal hip replacement. J Bone Joint Surg Am, 2005;87-7:1515–1521.

    Article  Google Scholar 

  14. Doherty AT, Howell RT, Ellis LA, Bisbinas I, Learmonth ID, Newson R, Case CP. Increased chromosome translocations and aneuploidy in peripheral blood lymphocytes of patients having revisionarthroplasty of the hip. J Bone Joint Surg Br, 2001;83-7:1075–1081.

    Article  Google Scholar 

  15. Dowson D. New joints for the Millennium: wear control in total replacement hip joints. Proc Inst Mech Eng [H], 2001;215-4:335–358.

    Google Scholar 

  16. Hu X. A frictional study of metal on metal hip prostheses with different clearances. 52 nd annual meeting of the Orthopaedic Research Society, 2006. Research Society, 2006.

    Google Scholar 

  17. McMinn D, Daniel J. History and modern concepts in surface replacement. Proc Inst Mech Eng [H] 2006;220-2:239–251.

    Google Scholar 

  18. Lundberg H. Quantifying fluid ingress to the joint space durinf THA subluxations. 51 th annual meeting of the Orthopaedic Research Society, 2005.

    Google Scholar 

  19. Dowson D, Hardaker C, Flett M, Isaac GH. A hip joint simulator study of the performance of metal-on-metal joints: Part I: the role of materials. J Arthroplasty 2004;19-8Suppl3:118–123.

    Google Scholar 

  20. Brodner W, Bitzan P, Meisinger V, Kaider A, Gottsauner-Wolf F, Kotz R. Elevated serum cobalt with metal-on-metal articulating surfaces. J Bone Joint Surg Br, 1997;79-2:316–321.

    Article  Google Scholar 

  21. Jacobs JJ, Skipor AK, Patterson LM, Hallab NJ, Paprosky WG, Black J, Galante JO. Metal release in patients who have had a primary total hip arthroplasty. A prospective, controlled, longitudinal study. J Bone Joint Surg Am, 1998;80-10:1447–1458.

    Google Scholar 

  22. MacDonald SJ, McCalden RW, Chess DG, Bourne RB, Rorabeck CH, Cleland D, Leung F. Metal-on-metal versus polyethylene in hip arthroplasty: a randomized clinical trial. Clin Orthop Relat Res, 2003-406:282–296.

    Article  PubMed  Google Scholar 

  23. Brodner W, Grohs JG, Bitzan P, Meisinger V, Kovarik J, Kotz R. [Serum cobalt and serum chromium level in 2 patients with chronic renal failure after total hip prosthesis implantation with metal-metal gliding contact]. Z Orthop Ihre Grenzgeb 2000;138-5:425–429.

    Article  Google Scholar 

  24. Brodner W, Bitzan P, Meisinger V, Kaider A, Gottsauner-Wolf F, Kotz R. Serum cobalt levels after metal-on-metal total hip arthroplasty. J Bone Joint Surg Am, 2003;85-A-11:2168–2173.

    Google Scholar 

  25. Siguier T, Siguier M, Brumpt B. Mini-incision anterior approach does not increase dislocation rate: a study of 1037 total hip replacements. Clin Orthop Relat Res, 2004-426:164–173.

    Article  PubMed  Google Scholar 

  26. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 1969;51-4:737–755.

    Google Scholar 

  27. Devane PA, Horne JG. Assessment of polyethylene wear in total hip replacement. Clin Orthop Relat Res 1999-369:59–72.

    Article  PubMed  Google Scholar 

  28. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res, 1976-121:20–32.

    PubMed  Google Scholar 

  29. Gruen TA, McNeice GM, Amstutz HC. “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res, 1979-141:17–27.

    PubMed  Google Scholar 

  30. Brooker AF, Bowerman JW, Robinson RA, Riley LH, Jr.:. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am, 1973;55-8:1629–1632.

    Google Scholar 

  31. Bowditch M, Villar R. Is titanium so bad? Medium-term outcome of cemented titanium stems. J Bone Joint Surg Br 2001;83-5:680–685.

    Article  Google Scholar 

  32. Buly RL, Huo MH, Salvati E, Brien W, Bansal M. Titanium wear debris in failed cemented total hip arthroplasty. An analysis of 71 cases. J Arthroplasty 1992;7-3:315–323.

    Article  Google Scholar 

  33. Thomas SR, Shukla D, Latham PD. Corrosion of cemented titanium femoral stems. J Bone Joint Surg Br 2004;86-7:974–978.

    Article  Google Scholar 

  34. Schmalzried TP, Peters PC, Maurer BT, Bragdon CR, Harris WH. Long-duration metal-on-metal total hip arthroplasties with low wear of the articulating surfaces. J Arthroplasty, 1996;11-3:322–331.

    Article  Google Scholar 

  35. Dorr LD, Long WT, Sirianni L, Campana M, Wan Z. The argument for the use of Metasul as an articulation surface in total hip replacement. Clin Orthop Relat Res, 2004-429:80–85.

    Article  PubMed  Google Scholar 

  36. Doorn PF, Campbell PA, Worrall J, Benya PD, McKellop HA, Amstutz HC. Metal wear particle characterization from metal on metal total hip replacements: transmission electron microscopy study of periprosthetic tissues and isolated particles. J Biomed Mater Res 1998;42-1:103–111.

    Article  Google Scholar 

  37. Hanlon J, Ozuna R, Shortkroff S, et al. Analysis of metallic wear debris retrieved at révision arthroplsty. Presented at: Implant Retrieval Symposium of thé Society for Biomaterials; 1992; St Charles, IL.

    Google Scholar 

  38. Catelas I, Medley JB, Campbell PA, Huk OL, Bobyn JD. Comparison of in vitro with in vivo characteristics of wear particles from metal-metal hip implants. J Biomed Mater Res, 2004;70B-2:167–178.

    Article  CAS  Google Scholar 

  39. Doorn PF, Campbell PA, Amstutz HC. Metal versus polyethylene wear particles in total hip replacements. A review. Clin Orthop Relat Res, 1996-329 Suppl:S206–216.

    Article  Google Scholar 

  40. Willert HG, Broback LG, Buchhorn GH, Jensen PH, Koster G, Lang I, Ochsner P, Schenk R. Crevice corrosion of cemented titanium alloy stems in total hip replacements. Clin Orthop Relat Res 1996-333:51–75.

    PubMed  Google Scholar 

  41. Hallab N, Merritt K, Jacobs JJ. Metal sensitivity in patients with orthopaedic implants. J Bone Joint Surg Am, 2001;83-A-3:428–436.

    Google Scholar 

  42. Merritt K, Brown SA. Distribution of cobalt chromium wear and corrosion products and biologic reactions. Clin Orthop Relat Res, 1996-329 Suppl:S233–243.

    Article  Google Scholar 

  43. Al-Saffar N. Early clinical failure of total joint replacement in association with follicular proliferation of B-lymphocytes: a report of two cases. J Bone Joint Surg Am 2002;84-A-12:2270–2273.

    Google Scholar 

  44. Davies A, Willert HG, Campbell P, et al. Metal-on-metal bearing surfaces may lead to higher inflammation. Presented ai: 70th Annual Meeting of the American Academy of Orthopaedic Surgeons; 2003.

    Google Scholar 

  45. Willert HG, Buchorn GH, Fayyazi A, et al. Histopathological changes in tissues surrounding metal/metal joints: signs of delayed type hypersensitivity (DTI-I), In: Rieker C, Oberholzer S, Wyss U, eds. World Tribology Forum in Arthroplasty. Bers: 11 ans Nuber, 2001:147–166

    Google Scholar 

  46. Haynes DR, Boyle SJ, Roger SD. Variation of cytokines induced by particles from different prosthetic materials. Clin Orthop Relat Res, 1998; 223–230.

    Google Scholar 

  47. Haynes DR, Rogers SD, Hay S, Pearcy MJ, Howie DW. The differences in toxicity and release of bone-resorbing mediators induced by titanium and cobalt-chromium-alloy wear particles. J Bone Joint Surg Am, 1993;75-6:825–834.

    Google Scholar 

  48. Lee SH, Brennan FR, Jacobs JJ, Urban RM, Ragasa DR, Glant TT. Human monocyte/ macrophage response to cobalt-chromium corrosion products and titanium particles in patients with total joint replacements. J Orthop Res 1997;15-1:40–49.

    Article  Google Scholar 

  49. Apley AG. Malignancy and joint replacement: the tip of an iceberg? J Bone Joint Surg Br, 1989;71-1:1.

    Google Scholar 

  50. Shanbhag AS, Jacobs JJ, Black J, Galante JO, Glant TT. Human monocyte response to particulate biomaterials generated in vivo and in vitro. J Orthop Res 1995;13-5:792–801.

    Article  Google Scholar 

  51. Visuri T, Pukkala E, Paavolainen P, Pulkkinen P, Riska EB. Cancer risk after metal on metal and polyethylene on metal total hip arthroplasty. Clin Orthop Relat Res, 1996-329 Suppl:S280–289.

    Article  Google Scholar 

  52. Anissian L, Stark A, Dahistrand H, Granberg B, Good V, Bucht E. Cobalt ions influence proliferation and function of human osteoblast-like cells. Acta Orthop Scand, 2002;73-3:369–374.

    Article  Google Scholar 

  53. Shanbhag AS, Jacobs JJ, Black J, Galante JO, Glant TT. Effects of particles on fibroblast proliferation and bone resorption in vitro. Clin Orthop Relat Res 1997-342:205–217.

    Article  PubMed  Google Scholar 

  54. Schmalzried TP, Jasty M, Harris WH. Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg Am, 1992;74-6:849–863.

    Google Scholar 

  55. Kreibich DN, Moran CG, Delves HT, Owen TD, Pinder IM. Systemic release of cobalt and chromium after uncemented total hip replacement. J Bone Joint Surg Br, 1996;78-1:18–21.

    Google Scholar 

  56. Milosev I, Pisot V, Campbell P. Serum levels of cobalt and chromium in patients with Sikomet metal-metal total hip replacements. J Orthop Res, 2005;23-3:526–535.

    Article  CAS  Google Scholar 

  57. Haudrechy P, Foussereau J, Mantout B, Baroux B. Nickel release from nickel-plated metals and stainless steels. Contact Dermatitis, 1994;31-4:249–255.

    Article  Google Scholar 

  58. Damie F, Favard L. [Metal serum levels in 48 patients bearing a chromium-cobalt total hip arthroplasty with a metal-on-polyethylene combination]. Rev Chir Orthop Reparatrice Appar Mot, 2004;90-3:241–248.

    Google Scholar 

  59. Savarino L, Granchi D, Ciapetti G, Cenni E, Greco M, Rotini R, Veronesi CA, Baldini N, Giunti A. Ion release in stable hip arthroplasties using metal-on-metal articulating surfaces: a comparison between short-and medium-term results. J Biomed Mater Res A, 2003;66-3:450–456.

    Article  CAS  Google Scholar 

  60. Schaffer AW, Pilger A, Engelhardt C, Zweymueller K, Ruediger HW. Increased blood cobalt and chromium after total hip replacement. J Toxicol Clin Toxicol, 1999;37-7:839–844.

    Article  Google Scholar 

  61. Lhotka C, Szekeres T, Steffan I, Zhuber K, Zweymuller K. Four-year study of cobalt and chromium blood levels in patients managed with two different metal-on-metal total hip replacements. J Orthop Res, 2003;21-2:189–195.

    Article  Google Scholar 

  62. Jacobs JJ, Skipor AK, Doorn PF, Campbell P, Schmalzried TP, Black J, Amstutz HC. Cobalt and chromium concentrations in patients with metal on metal total hip replacements. Clin Orthop Relat Res, 1996-329 Suppl:S256–263.

    Article  Google Scholar 

  63. Brodner W, Grubl A, Jankovsky R, Meisinger V, Lehr S, Gottsauner-Wolf F. Cup inclination and serum concentration of cobalt and chromium after metal-on-metal total hip arthroplasty. J Arthroplasty, 2004;19-8Suppl 3:66–70.

    Article  Google Scholar 

  64. Heisel C, Silva M, Skipor AK, Jacobs JJ, Schmalzried TP. The relationship between activity and ions in patients with metal-on-metal bearing hip prostheses. J Bone Joint Surg Am, 2005;87-4:781–787.

    Article  Google Scholar 

  65. Gleizes V, Poupon J, Lazennec JY, Chamberlin B, Saillant G. [Value and limits of determining serum cobalt levels in patients with metal on metal articulating prostheses]. Rev Chir Orthop Reparatrice Appar Mot, 1999;85-3:217–225.

    Google Scholar 

  66. Iida H, Kaneda E, Takada H, Uchida K, Kawanabe K, Nakamura T. Metallosis due to impingement between the socket and the femoral neck in a metal-on-metal bearing total hip prosthesis. A case report. J Bone Joint Surg Am, 1999;81-3:400–403.

    Google Scholar 

  67. Mak MM, Besong AA, Jin ZM, Fisher J. Effect of microseparation on contact mechanics in ceramic-on-ceramic hip joint replacements. Proc Inst Mech Eng [H], 2002;216-6:403–408.

    Google Scholar 

  68. Clarke IC, Ishida T, Shirasu H, Shishido T, Yamamoto K, Lazennec JY. A detailed wear mapping of retrieved second-genration metal-on-metal THR 52 nd annual meeting of the Orthopaedic Research Society, 2006. Research Society, 2006.

    Google Scholar 

  69. Catonne Y, Lazennec JY, Nogier A, Fourniols E. Metal on metal T.H.A revision with delta ceramic femoral heads using the sleeve technique. Bioceramics 2006.

    Google Scholar 

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Authors and Affiliations

  1. Pavillon Gaston Cordier, Groupe Hospitalier La Pitié Salpetrière, 83 bd de l’Hôpital, 75013, Paris, France

    Jean-Yves Lazennec M.D., PHD

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  1. Jean-Yves Lazennec M.D., PHD
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  2. P. Boyer
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  3. J. Poupon
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  4. M. A. Rousseau
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  5. F. Laude
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  6. Y. Catonné
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  7. G. Saillant
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Editors and Affiliations

  1. Department of Orthopaedic Surgery Hangang Sacred Heart Hospital, Hallym University College of Medicine, Youngdungpo-dong 2-ga, Youngdungpo-gu, 150-719, Seoul, Korea

    Jun-Dong Chang M.D.

  2. Medical Products Division, CeramTec AG, Fabrikstrasse 23-29, 73207, Plochingen, Germany

    Karl Billau

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Lazennec, JY. et al. (2007). Reasons for our Preference for Ceramic over Metal Bearing — clinical, radiological and biological evidences. In: Chang, JD., Billau, K. (eds) Bioceramics and Alternative Bearings in Joint Arthroplasty. Ceramics in Orthopaedics. Steinkopff. https://doi.org/10.1007/978-3-7985-1783-7_35

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  • DOI: https://doi.org/10.1007/978-3-7985-1783-7_35

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