NDLI: Predictivity and fate of metal ion release from metal-on-metal total hip prostheses.

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Predictivity and fate of metal ion release from metal-on-metal total hip prostheses.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Nicolli, Annamaria Bisinella, Gianluca Padovani, Giovanni Vitella, Antonio Chiara, Federica Trevisan, Andrea
Description	Country affiliation: Italy Author Affiliation: Nicolli A ( Department of Cardiologic, Thoracic and Vascular Sciences, University of Padova, Via Giustiniani 2, I-35128 Padova, Italy.); Bisinella G ( Division of Orthopaedics and Trauma, Hospital of Este (Padova), Via San Fermo 10, I-35042 Este (Padova), Italy.); Padovani G ( Division of Orthopaedics and Trauma, Hospital of Este (Padova), Via San Fermo 10, I-35042 Este (Padova), Italy.); Vitella A ( Division of Orthopaedics and Trauma, Hospital of Este (Padova), Via San Fermo 10, I-35042 Este (Padova), Italy.); Chiara F ( Department of Cardiologic, Thoracic and Vascular Sciences, University of Padova, Via Giustiniani 2, I-35128 Padova, Italy.); Trevisan A ( Department of Cardiologic, Thoracic and Vascular Sciences, University of Padova, Via Giustiniani 2, I-35128 Padova, Italy. Electronic address: andrea.trevisan@unipd.it.)
Abstract	Blood metal ion levels in 72 patients with large head metal-on-metal hip arthroplasty were studied to determine the correlation between the values measured in whole blood and urine. Urinary cobalt and chromium levels of 30µg and 21µg, respectively, adjusted to creatinine were found to correspond to the 7µg/l cut-off value that has been accepted in whole blood. Cobalt and chromium levels in whole blood and urine both significantly correlated with increased acetabular component inclination angle over 50 degrees and pain scores. There was no correlation with socket anteversion angle or femoral head diameter. The data support the use of urinary measurement of metal ions adjusted to creatinine to monitor patients with large head metal-on-metal total hip arthroplasty.
File Format	HTM / HTML
ISSN	08835403
Issue Number	9
Volume Number	29
e-ISSN	15328406
Journal	The Journal of Arthroplasty
Language	English
Publisher	Elsevier
Publisher Date	2014-09-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Adverse Effects Chromium Blood Cobalt Hip Prosthesis Metal-on-metal Joint Prostheses Acetabulum Pathology Surgery Adult Aged Body Fluids Metabolism Urine Creatinine Female Femur Head Humans Ions Male Middle Aged Patient Discharge Predictive Value Of Tests Prosthesis Design Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine

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