Assessment of Patients with a DePuy ASR Metal-on-Metal Hip Replacement: Results of Applying the Guidelines of the Spanish Society of Hip Surgery in a Tertiary Referral Hospital
The prognosis associated with the DePuy ASR hip cup is poor and varies according to the series. This implant was withdrawn from use in 2010 and all patients needed to be assessed. We present the results of the assessment of our patients treated with this device, according to the Spanish Society of H...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/982523 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832568424378662912 |
|---|---|
| author | Jenaro Fernández-Valencia Xavier Gallart Guillem Bori Sebastián Garcia Ramiro Andrés Combalía Josep Riba |
| author_facet | Jenaro Fernández-Valencia Xavier Gallart Guillem Bori Sebastián Garcia Ramiro Andrés Combalía Josep Riba |
| author_sort | Jenaro Fernández-Valencia |
| collection | DOAJ |
| description | The prognosis associated with the DePuy ASR hip cup is poor and varies according to the series. This implant was withdrawn from use in 2010 and all patients needed to be assessed. We present the results of the assessment of our patients treated with this device, according to the Spanish Society of Hip Surgery (SECCA) algorithm published in 2011. This retrospective study evaluates 83 consecutive ASR cups, followed up at a mean of 2.9 years. Serum levels of chromium and cobalt, as well as the acetabular abduction angle, were determined in order to assess their possible correlation with failure, defined as the need for revision surgery. The mean Harris Hip Score was 83.2 (range 42–97). Eight arthroplasties (13.3%) required revision due to persistent pain and/or elevated serum levels of chromium/cobalt. All the cups had a correct abduction angle, and there was no correlation between elevated serum levels of metal ions and implant failure. Since two previous ASR implants were exchanged previously to the recall, the revision rate for ASR cups in our centre is 18.2% at 2.9 years. |
| format | Article |
| id | doaj-art-47c50d7cc73d4291ba06cb2947af6931 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-47c50d7cc73d4291ba06cb2947af69312025-02-03T00:59:04ZengWileyAdvances in Orthopedics2090-34642090-34722014-01-01201410.1155/2014/982523982523Assessment of Patients with a DePuy ASR Metal-on-Metal Hip Replacement: Results of Applying the Guidelines of the Spanish Society of Hip Surgery in a Tertiary Referral HospitalJenaro Fernández-Valencia0Xavier Gallart1Guillem Bori2Sebastián Garcia Ramiro3Andrés Combalía4Josep Riba5Hip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, SpainHip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, SpainHip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, SpainHip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, SpainHip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, SpainHip Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Clínic, Universitat de Barcelona, C/Villarroel 170, 08036 Barcelona, SpainThe prognosis associated with the DePuy ASR hip cup is poor and varies according to the series. This implant was withdrawn from use in 2010 and all patients needed to be assessed. We present the results of the assessment of our patients treated with this device, according to the Spanish Society of Hip Surgery (SECCA) algorithm published in 2011. This retrospective study evaluates 83 consecutive ASR cups, followed up at a mean of 2.9 years. Serum levels of chromium and cobalt, as well as the acetabular abduction angle, were determined in order to assess their possible correlation with failure, defined as the need for revision surgery. The mean Harris Hip Score was 83.2 (range 42–97). Eight arthroplasties (13.3%) required revision due to persistent pain and/or elevated serum levels of chromium/cobalt. All the cups had a correct abduction angle, and there was no correlation between elevated serum levels of metal ions and implant failure. Since two previous ASR implants were exchanged previously to the recall, the revision rate for ASR cups in our centre is 18.2% at 2.9 years.http://dx.doi.org/10.1155/2014/982523 |
| spellingShingle | Jenaro Fernández-Valencia Xavier Gallart Guillem Bori Sebastián Garcia Ramiro Andrés Combalía Josep Riba Assessment of Patients with a DePuy ASR Metal-on-Metal Hip Replacement: Results of Applying the Guidelines of the Spanish Society of Hip Surgery in a Tertiary Referral Hospital Advances in Orthopedics |
| title | Assessment of Patients with a DePuy ASR Metal-on-Metal Hip Replacement: Results of Applying the Guidelines of the Spanish Society of Hip Surgery in a Tertiary Referral Hospital |
| title_full | Assessment of Patients with a DePuy ASR Metal-on-Metal Hip Replacement: Results of Applying the Guidelines of the Spanish Society of Hip Surgery in a Tertiary Referral Hospital |
| title_fullStr | Assessment of Patients with a DePuy ASR Metal-on-Metal Hip Replacement: Results of Applying the Guidelines of the Spanish Society of Hip Surgery in a Tertiary Referral Hospital |
| title_full_unstemmed | Assessment of Patients with a DePuy ASR Metal-on-Metal Hip Replacement: Results of Applying the Guidelines of the Spanish Society of Hip Surgery in a Tertiary Referral Hospital |
| title_short | Assessment of Patients with a DePuy ASR Metal-on-Metal Hip Replacement: Results of Applying the Guidelines of the Spanish Society of Hip Surgery in a Tertiary Referral Hospital |
| title_sort | assessment of patients with a depuy asr metal on metal hip replacement results of applying the guidelines of the spanish society of hip surgery in a tertiary referral hospital |
| url | http://dx.doi.org/10.1155/2014/982523 |
| work_keys_str_mv | AT jenarofernandezvalencia assessmentofpatientswithadepuyasrmetalonmetalhipreplacementresultsofapplyingtheguidelinesofthespanishsocietyofhipsurgeryinatertiaryreferralhospital AT xaviergallart assessmentofpatientswithadepuyasrmetalonmetalhipreplacementresultsofapplyingtheguidelinesofthespanishsocietyofhipsurgeryinatertiaryreferralhospital AT guillembori assessmentofpatientswithadepuyasrmetalonmetalhipreplacementresultsofapplyingtheguidelinesofthespanishsocietyofhipsurgeryinatertiaryreferralhospital AT sebastiangarciaramiro assessmentofpatientswithadepuyasrmetalonmetalhipreplacementresultsofapplyingtheguidelinesofthespanishsocietyofhipsurgeryinatertiaryreferralhospital AT andrescombalia assessmentofpatientswithadepuyasrmetalonmetalhipreplacementresultsofapplyingtheguidelinesofthespanishsocietyofhipsurgeryinatertiaryreferralhospital AT josepriba assessmentofpatientswithadepuyasrmetalonmetalhipreplacementresultsofapplyingtheguidelinesofthespanishsocietyofhipsurgeryinatertiaryreferralhospital |