Research Article
Clinical Results and Serum Metal Ion Concentrations following Ceramic-on-Metal Total Hip Arthroplasty at a Mean Follow-Up of 60 Months
Table 2
Metal ion concentrations, revision rates, and time of follow-up of several studies reporting their results following MoM and CoM THA.
| Study | Revision rate (%) | Metal ion concentrations (μg/L) | Follow-up (months) | Co | Cr |
| Large diameter MoM | | | | | Hug et al. [12] | 13 | 14 (0–150) | 5 (0–87) | 36 (12–61) | Langton et al. [13] | 6 | 3.26 (1.1–32) | 3.71 (2.4–22) | 41 (10–57) | Lavigne et al. [14] | 0 | 1.78 (0.32–7.59) | 1.78 (0.24–6.20) | 24 | Reito et al. [15] | 36 | Unilateral: 4.2 (0.3–191.7) Bilateral: 13 (1.5–139.9) | Unilateral: 2.1 (0.4–115) Bilateral: 3.4 (0.8–61) | — | Maurer-Ertl et al. [16] | 32 | 20.1 (0.3–190.5) | 12.8 (1.0–89.8) | 78 (20–98) | Engh et al. [5] | 3 | 1.01 | 0.95 | 60 | Schouten et al. [17] | — | 1.57 | 1.73 | 12 | Lainiala et al. [4] | — | 3.3 (0.3–191.7) | 1.9 (0.4–114.8) | 3.4 years (0.6–6.5) | MoM resurfacing | | | | | Hug et al. [12] | 12 | 12 (0–126) | 7 (0–60) | 54 (12–74) | Langton et al. [13] | 3.2 | 2.74 (0.4–271) | 4.16 (1.5–69.8) | 35 (8–57) | Langton et al. [18] | 1.3 | 1.89 (0.4–228.0) | 3.61 (0.6–115.0) | 26 (13–44) | Reito et al. [15] | 30 | Unilateral: 2.3 (0.7–217.7) Bilateral: 2.4 (0.9–96.9) | Unilateral: 2.0 (0.8–94) Bilateral: 2.7 (1–54) | — | Maurer-Ertl et al. [16] | 30 | 16.0 (0–171.8) | 13.1 (0.31–125.0) | 86 (68–109) | Lainiala et al. [4] | — | 1.3 (0.5–224.7) | 1.6 (6.4–13.1) | 4 years (1–6.8) | CoM THA | | | | | Engh et al. [5] | 1.5 | 0.85 | 1.13 | 60 | Schouten et al. [17] | — | 1.77 | 1.84 | 12 | Hill et al. [3] | 3.1 | 0.83 (0.24–27.56) | 0.78 (0.21–8.84) | 34 (23–45) | Yi et al. [7] | 0 | 2.82 () | 2.41 () | 50 | Kazi et al. [19] | — | 1.37 (0.12–10.68) | 1.09 (0.00–5.51) | 24 | Isaac et al. [20] | — | 0.72 | 0.43 | 12 | Cadossi et al. [6] | — | 0.78 (0.14–1.67) | 0.97 (0.11–2.61) | 36 | Joyce et al. [8] | 10.7 | — | — | 18 | Current series | 7 | 3.1 (0.3–15.2) | 1.6 (0.1–5.5) | 58 (49–68) |
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