Suivi des patients avec arthroplastie de hanche métal-métal et stratégie de prise en charge des complications [Patients with metal-on-metal hip arthroplasty: evaluation and management of complications]

Détails

ID Serval
serval:BIB_9B05E21412E3
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Suivi des patients avec arthroplastie de hanche métal-métal et stratégie de prise en charge des complications [Patients with metal-on-metal hip arthroplasty: evaluation and management of complications]
Périodique
Revue medicale suisse
Auteur(s)
Guyen O., Tissot C.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
14/12/2016
Peer-reviewed
Oui
Volume
12
Numéro
543
Pages
2156-2163
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The potentially severe complications related to metal-on-metal (MoM) hip replacements have led to a dramatic decrease of their use. Large diameter heads are more likely to fail than smaller diameters, but complications have been described even with « small » diameters. Therefore, monitoring of MoM arthroplasties is mandatory. This includes physical examination, X-Rays, metal ion levels, and potentially cross-sectional imaging. Despite pathophysiology of adverse reactions to metal debris (ARMD) is better understood, their evolution and the potential systemic complications remain unclear. Symptomatic hip arthroplasties, elevated ions levels, and ARMD may lead to revision of the components. In such a situation, an adaquate stategy must be achieved given the high potential for complications.

Mots-clé
Arthroplasty, Replacement, Hip/adverse effects, Arthroplasty, Replacement, Hip/instrumentation, Arthroplasty, Replacement, Hip/methods, Hip Prosthesis, Humans, Metal-on-Metal Joint Prostheses, Prosthesis Design
Pubmed
Création de la notice
18/08/2017 14:23
Dernière modification de la notice
20/08/2019 15:02
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