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The resurfacing implant, very popular as a conservative hip replacement in the young adult, has disadvantages associated with the fragility of the neck and with large head metal friction torque.
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However, concerns about increased revision rates associated with large head metal-on-metal replacements have been raised recently.
The government's health regulator has advised that patients who have undergone large head metal-on-metal hip replacements should be monitored annually for life.
The use of metal-on-metal led to resurfacing hip replacements and to the use of large head metal-on-metal hip replacements.
Taper corrosion has been reported in patients with metal-on-polyethylene bearing surfaces, but it has also been recognized as an increasing cause of failure in patients with large head metal-on-metal hip replacements.
All large diameter head metal-on-metal total hips were uncemented.
For example, it is not possible to distinguish large diameter head metal-on-metal total hip replacements.
Over time, other techniques like the resurfacing prosthesis and large head metal-on-metal THA, have been introduced to treat young people with osteoarthritis.
Uncemented large-diameter head metal-on-metal THR has been used mainly in Denmark and Finland, not in Norway and rarely in Sweden.
Large head metal-on-metal total hip arthroplasty may overcome polyethylene wear induced prosthetic failure, but can increase systemic cobalt and chromium ion concentrations.
We hypothesize that the large head metal-on-metal arthroplasties show less bone mineral density loss and higher serum metal ion concentrations (primary outcome parameters).
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