Simon Ostlere1. 1. Department of Radiology, Nuffield Orthopaedic Centre, Windmill Rd, Oxford OX3 7LD, United Kingdom. simon.ostlere@noc.nhs.uk
Abstract
OBJECTIVE: Metal-on-metal arthroplasty is a durable alternative to traditional metal-on-polyethylene total hip replacement for young active patients. Although midterm results for resurfacing arthroplasty are reasonable, there is increasing recognition of the problem of metal-induced periprosthetic reactive masses. CONCLUSION: Imaging plays an important role in the investigation of symptomatic metal-on-metal arthroplasty. Radiographs will identify fracture and loosening, but cross-sectional imaging is required to diagnose and stage periprosthetic reactive masses.
OBJECTIVE:Metal-on-metal arthroplasty is a durable alternative to traditional metal-on-polyethylene total hip replacement for young active patients. Although midterm results for resurfacing arthroplasty are reasonable, there is increasing recognition of the problem of metal-induced periprosthetic reactive masses. CONCLUSION: Imaging plays an important role in the investigation of symptomatic metal-on-metal arthroplasty. Radiographs will identify fracture and loosening, but cross-sectional imaging is required to diagnose and stage periprosthetic reactive masses.
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