Hip & pelvis

  • 제22권3호
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  • Pages.171-176
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  • 2010
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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고관절 전치환술에서의 금속-금속 관절면

Metal-on-Metal Bearing in Total Hip Arthroplasty

  • 박윤수 (성균관대학교 의과대학 삼성서울병원 정형외과학교실) ;
  • 임승재 (성균관대학교 의과대학 삼성서울병원 정형외과학교실)
  • Park, Youn-Soo (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lim, Seung-Jae (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 발행 : 2010.09.30
⟨ 이전 논문 다음 논문 ⟩

초록

금속-금속 관절면은 고식적인 금속-폴리에틸렌 관절면을 대체하기 위해서 향상된 재료와 디자인 개선된 제조공정으로 재출시되었다. 금속-금속 관절면을 이용한 고관절 전치환술의 장점은 극히 낮은 마모율의 실현 생체 내에서 파손의 우려가 거의 없다는 점, 그리고 큰 대퇴 골두를 사용할 수 있다는데 있다. 이러한 장점들로 인하여 금속-금속 관절면은 젊고 활동적인 환자들에게 점점 더 많이 사용되고 있다. 하지만 체내 금속이온 증가와 이에 따른 금속에 대한 과민반응 또는 암발생의 위험성은 여전히 근심거리로 남아있는 실정이다.

Metal-on-metal bearings have been reintroduced with the improved materials, design and manufacturing quality control as an alternative to the conventional metal-on-polyethylene articulation. The advantages of total hip arthroplasty using a metal-on-metal bearing include an extremely low wear rate, a very small risk of in vivo fracture and the use of a larger femoral head. These advantages have led to an increased use of metal-on-metal bearings for younger and more active patients with advanced hip disease. Concerns remain regarding the elevated levels of metal ions and their potential consequences such as metal hypersensitivity or potential carcinogenesis.

키워드

참고문헌

  1. Amstutz HC, Grigoris P. Metal on metal bearings in hip arthroplasty. Clin Orthop Relat Res. 1996;329 Suppl:11-34. https://doi.org/10.1097/00003086-199608001-00003
  2. August AC, Aldam CH, Pynsent PB. The McKee-Farrar hip arthroplasty. A long-term study. J Bone Joint Surg Br. 1986;68:520-7.
  3. Clarke MT, Darrah C, Stewart T, Ingham E, Fisher J, Nolan JF. Long-term clinical, radiological and histopathological follow-up of a well-fixed McKee-Farrar metal-on-metal total hip arthroplasty. J Arthroplasty. 2005;20:542-6. https://doi.org/10.1016/j.arth.2004.09.063
  4. Visuri T. Long-term results and survivorship of the McKee-Farrar total hip prosthesis. Arch Orthop Trauma Surg. 1987;106:368-74. https://doi.org/10.1007/BF00456872
  5. Amstutz HC, Beaule PE, Dorey FJ, Le Duff MJ, Campbell PA, Gruen TA. Metal-on-metal hybrid surface arthroplasty: two to six-year follow-up study. J Bone Joint Surg Am. 2004;86:28-39. https://doi.org/10.2106/00004623-200401000-00006
  6. Daniel J, Pynsent PB, McMinn DJ. Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritis. J Bone Joint Surg Br. 2004;86:177-84. https://doi.org/10.1302/0301-620X.86B2.14600
  7. Schmidt M, Weber H, Schon R. Cobalt chromium molybdenum metal combination for modular hip prostheses. Clin Orthop Relat Res. 1996;329 Suppl:35-47. https://doi.org/10.1097/00003086-199608001-00004
  8. McKellop H, Park SH, Chiesa R, et al. In vivo wear of three types of metal on metal hip prostheses during two decades of use. Clin Orthop Relat Res.1996;329 Suppl:128-40. https://doi.org/10.1097/00003086-199608001-00013
  9. Schey JA. Systems view of optimizing metal on metal bearings. Clin Orthop Relat Res. 1996;329 Suppl:115-27. https://doi.org/10.1097/00003086-199608000-00014
  10. Kim SY, Kyung HS, Ihn JC, Cho MR, Koo KH, Kim CY. Cementless Metasul metal-on-metal total hip arthroplasty in patients less than fifty years old. J Bone Joint Surg Am. 2004;86:2475-81. https://doi.org/10.2106/00004623-200411000-00018
  11. Smith SL, Dowson D, Goldsmith AA. The effect of femoral head diameter upon lubrication and wear of metal-on-metal total hip replacements. Proc Inst Mech Eng H. 2001;215:161-70.
  12. Silva M, Heisel C, Schmalzried TP. Metal-on-metal total hip replacement. Clin Orthop Relat Res. 2006;430:53-61.
  13. Sieber HP, Rieker CB, Ko ttig P. Analysis of 118 second-generation meta-on-metal retrieved hip implants. J Bone Joint Surg Br. 1999;81:46-50. https://doi.org/10.1302/0301-620X.81B1.9047
  14. Dorr LD, Wan Z, Longjohn DB, Dubois B, Murken R. Total hip arthroplasty with use of the Metasul metal-on-metal articulation. Four to seven-year results. J Bone Joint Surg Am. 2000;82;789-98. https://doi.org/10.2106/00004623-200006000-00005
  15. Grubl A, Marker M, Brodner W, et al. Long-term follow-up of metal-on-metal total hip replacement. J Orthop Res. 2007;25:841-8. https://doi.org/10.1002/jor.20381
  16. Jacobs JJ, Skipor AK, Patterson LM, et al. Metal release in patients who have had a primary total hip arthroplasty. A prospective, controlled, longitudinal study. J Bone Joint Surg Am. 1998;80:1447-58. https://doi.org/10.2106/00004623-199810000-00006
  17. 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;85:2168-73. https://doi.org/10.2106/00004623-200311000-00017
  18. Savarino L, Greco M, Cenni E, et al. Differences in ion release after ceramic-on-ceramic and metal-on-metal total hip replacement. Medium-term follow-up. J Bone Joint Surg Br. 2006;88:472-6. https://doi.org/10.2106/JBJS.E.00003
  19. Daniel J, Ziaee H, Pradhan C, Pynsent PB, McMinn DJ. Renal clearance of cobalt in relation to the use of metalon-metal bearings in hip arthroplasty. J Bone Joint Surg Am. 2010;92:840-5. https://doi.org/10.2106/JBJS.H.01821
  20. Gillespie WJ, Henry DA, O'Connell DL, et al. Development of hematopoietic cancers after implantation of total joint replacement. Clin Orthop Relat Res. 1996;329 Suppl:290-6. https://doi.org/10.1097/00003086-199608001-00026
  21. 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:280-9. https://doi.org/10.1097/00003086-199608001-00025
  22. Tharani R, Dorey FJ, Schmalzried TP. The risk of cancer following total hip or knee arthroplasty. J Bone Joint Surg Am. 2001;83:774-80. https://doi.org/10.2106/00004623-200105000-00019
  23. Ladon D, Doherty A, Newson R, Turner J, Bhamra M, Case CP. Changes in metal levels and chromosome aberrations in the peripheral blood of patients after metalon-metal hip arthroplasty. J Arthroplasty. 2004;19 Suppl:78-83.
  24. Dunstan E, Ladon D, Whittingham-Jones P, Carrington R, Briggs TW. Chromosomal aberrations in the peripheral blood of patients with metal-on-metal hip bearings. J Bone Joint Surg Am. 2008;90:517-22. https://doi.org/10.2106/JBJS.F.01435
  25. Hur CI, Yoon TR, Cho SG, Song EK, Seon JK. Serum ion level after metal-on-metal THA in patients with renal failure. Clin Orthop Relat Res. 2008;446:696-9.
  26. Ziaee H, Daniel J, Datta AK, Blunt S, McMinn DJ. Transplacental transfer of cobalt and chromium in patients with metal-on-metal hip arthroplasty: a controlled study. J Bone Joint Surg Br. 2007;89:301-5. https://doi.org/10.2106/JBJS.F.00491
  27. 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 Suppl:5-11.
  28. Willert HG, Buchhorn GH, Fayyazi A, et al. Metal-on-metal bearings and hypersensitivity in patients with artificial hip joints. A clinical and histomorphological study. J Bone Joint Surg Am. 2005;87:28-36.
  29. Davies AP, Willert HG, Campbell PA, Learmonth ID, Case CP. An unusual lymphocytic perivascular infiltration in tissues around contemporary metal-on-metal joint replacements. J Bone Joint Surg Am. 2005;87:18-27. https://doi.org/10.2106/JBJS.C.00949
  30. Park YS, Moon YW, Lim SJ, Yang JM, Ahn G, Choi YL. Early osteolysis following second-generation metal-on-metal hip replacement. J Bone Joint Surg Am. 2005;87:1515-21. https://doi.org/10.2106/JBJS.D.02641
  31. Milosev I, Trebse R, Kovac S, Cor A, Pisot V. Survivorship and retrieval analysis of Sikomet metal-on-metal total hip replacements at a mean of seven years. J Bone Joint Surg Am. 2006;88:1173-82. https://doi.org/10.2106/JBJS.E.00604
  32. Korovessis P, Petsinis G, Repanti M, Repantis T. Metallosis after contemporary metal-on-metal total hip arthroplasty. Five to nine-year follow-up. J Bone Joint Surg Am. 2006;88:1183-91. https://doi.org/10.2106/JBJS.D.02916
  33. Pandit H, Glyn-Jones S, McLardy-Smith P, et al. Pseudotumours associated with metal-on-metal hip resurfacings. J Bone Joint Surg Br. 2008;90:847-51. https://doi.org/10.1302/0301-620X.90B7.20213