Blood cobalt ion level in patients with different sizes of cobalt/chrome femoral head with the Accolade TMZF stem View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-07-15

AUTHORS

Seiya Ishii, Yasuhiro Homma, Takehisa Matsukawa, Tomonori Baba, Kazuo Kaneko, Muneaki Ishijima

ABSTRACT

BackgroundCorrosion of stem-cobalt/chromium (Co/Cr) head interface and subsequent systemic Co ion complication have been a clinical concern after total hip arthroplasty (THA). The aim of this study is to investigate correlation between type of femoral head and blood Co ion level.MethodsOne hundred four patients with THA using accolade TMZF and Co/Cr femoral head (32-mm; 55 cases, 36-mm; 20 cases, dual mobility system (DM) with 22.2 or 28-mm inner head; 29 cases) participated in this study, and blood Co ion concentration test was performed in patients a minimum of four years after THA.ResultsDM group was significantly older than 32-mm and 36-mm group (DM: 73.9 ± 4.6, 32-mm: 63.3 ± 8.5, 36-mm: 66.8 ± 10.5). The median (interquartile range) blood Co concentration of each group was 32-mm group 0.26 µg/L (0.69), 36-mm group; 0.21 µg/L (0.30); and DM group 0.21 µg/L (0.13). There was a significant difference of Co concentration between DM and 32-mm group (p = 0.023). Abnormal values of the blood Co concentration (> 1 µg/L) were observed in the 32-mm group; 12 cases (21.8%), 36-mm group; 2 cases (10.0%); and DM group; 0 case (0%) (p = 0.018).ConclusionsCo blood concentration differed among the different sizes of Co/Cr femoral head. THA using DM is a safe option with low risk of complication from cobalt ion if it is used for elderly patients. More... »

PAGES

2205-2212

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00264-022-05502-1

DOI

http://dx.doi.org/10.1007/s00264-022-05502-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1149501870

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35840813


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