Metal reactivity: Its influence on primary and revision outcomes
Grammatopoulos G., Pandit H., Low A., Murray D.
© 2014 Springer Science+Business Media New York. All rights are reserved. Outcome following Metal-on-Metal (MoM) Hip arthroplasty is dependent on patient, surgical and implant factors. This chapter describes the influence of metal reactivity on primary and revision outcome following MoM Hip arthroplasty. In doing so, we provide the evidence on metal reactivity on genetic and cellular/histology level and define the outcome of primary and revisions arthroplasties as reported by national registries, designer series and independent centres. Furthermore, this chapter highlights possible ways of improving outcome and describes the clinical pathways of patient management following MoM arthroplasty, described by national and international governing bodies.