본문 바로가기
KERD
논문KCI 등재

고관절 전치환술에서의 금속-금속 관절면

Metal-on-Metal Bearing in Total Hip Arthroplasty

임승재|박윤수
대한고관절학회 (The Korean Hip Society)|2010.09|Hip and Pelvis|제22권 제3호|pp. 171-176

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

Wear마모Metal ion고관절 전치환술Total hip arthroplasty금속-금속 관절면금속이온Metal-on-metal bearing

초록

금속-금속 관절면은 고식적인 금속-폴리에틸렌 관절면을 대체하기 위해서 향상된 재료와 디자인, 개선된 제조공정으로 재출시되었다. 금속-금속 관절면을 이용한 고관절 전치환술의 장점은극히 낮은 마모율의 실현, 생체 내에서 파손의 우려가 거의 없다는 점, 그리고 큰 대퇴 골두를 사용할 수 있다는데 있다. 이러한 장점들로 인하여 금속-금속 관절면은 젊고 활동적인 환자들에게점점 더 많이 사용되고 있다. 하지만, 체내 금속이온 증가와 이에 따른 금속에 대한 과민반응 또는 암 발생의 위험성은 여전히 근심거리로 남아 있는 실정이다.

Abstract

Metal-on-metal bearings have been reintroduced with the improved materials, design and manufacturing quality control as an alternative to the conventional metal-on-polyethylene articulation. The advantages of total hip arthroplasty using a metal-on-metal bearing include an extremely low wear rate, a very small risk of in vivo fracture and the use of a larger femoral head. These advantages have led to an increased use of metal-on-metal bearings for younger and more active patients with advanced hip disease. Concerns remain regarding the elevated levels of metal ions and their potential consequences such as metal hypersensitivity or potential carcinogenesis.

참고문헌 (33)

  1. Amstutz HC, "Metal on metal bearings in hip arthroplasty", Clin Orthop Relat Res, 329, pp.11~34 (1996)
  2. August AC, "The McKee-Farrar hip arthroplasty in A long-term study", J Bone Joint Surg Br, 68, pp.520~527 (1986)
  3. Clarke MT, "Long-term clinical, radiological and histopathological follow-up of a well-fixed McKee-Farrar metal-on-metal total hip arthroplasty", J Arthroplasty, 20, pp.542~546 (2005)
  4. Visuri T, "Long-term results and survivorship of the McKee-Farrar total hip prosthesis", Arch Orthop Trauma Surg, 106, pp.368~374 (1987)
  5. Amstutz HC, "Metal-on-metal hybrid surface arthroplasty: two to six-year follow-up study", J Bone Joint Surg Am, 86, pp.28~39 (2004)
  6. Daniel J, "Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritis", J Bone Joint Surg Br, 86, pp.177~184 (2004)
  7. Schmidt M, "Cobalt chromium molybdenum metal combination for modular hip prostheses", Clin Orthop Relat Res, 329, pp.35~47 (1996)
  8. McKellop H, "In vivo wear of three types of metal on metal hip prostheses during two decades of use", Clin Orthop Relat Res, 329, pp.128~140 (1996)
  9. Schey JA, "Systems view of optimizing metal on metal bearings", Clin Orthop Relat Res, 329, pp.115~127 (1996)
  10. Kim SY, "Cementless Metasul metal-on-metal total hip arthroplasty in patients less than fifty years old", J Bone Joint Surg Am, 86, pp.2475~2481 (2004)
  11. Smith SL, "The effect of femoral head diameter upon lubrication and wear of metal-on-metal total hip replacements", Proc Inst Mech Eng H, 215, pp.161~170 (2001)
  12. Silva M, "Metal-on-metal total hip replacement", Clin Orthop Relat Res, 430, pp.53~61 (2006)
  13. Sieber HP, "Analysis of 118 secondgeneration meta-on-metal retrieved hip implants", J Bone Joint Surg Br, 81, pp.46~50 (1999)
  14. Dorr LD, "Total hip arthroplasty with use of the Metasul metal-onmetal articulation in Four to seven-year results", J Bone Joint Surg Am, 82, pp.789~798 (2000)
  15. Grübl A, "Long-term followup of metal-on-metal total hip replacement", J Orthop Res, 25, pp.841~848 (2007)
  16. Jacobs JJ, "Metal release in patients who have had a primary total hip arthroplasty. A prospective, controlled, longitudinal study", J Bone Joint Surg Am, 80, pp.1447~1458 (1998)
  17. Brodner W, "Serum cobalt levels after metal-on-metal total hip arthroplasty", J Bone Joint Surg Am, 85, pp.2168~2173 (2003)
  18. Savarino L, "Differences in ion release after ceramic-on-ceramic and metal-on-metal total hip replacement in Medium-term follow-up", J Bone Joint Surg Br, 88, pp.472~476 (2006)
  19. Daniel J, "Renal clearance of cobalt in relation to the use of metalon-metal bearings in hip arthroplasty", J Bone Joint Surg Am, 92, pp.840~845 (2010)
  20. Gillespie WJ, "Development of hematopoietic cancers after implantation of total joint replacement", Clin Orthop Relat Res, 329, pp.290~296 (1996)
  21. Visuri T, "Cancer risk after metal on metal and polyethylene on metal total hip arthroplasty", Clin Orthop Relat Res, 329, pp.280~289 (1996)
  22. Tharani R, "The risk of cancer following total hip or knee arthroplasty", J Bone Joint Surg Am, 83, pp.774~780 (2001)
  23. Ladon D, "Changes in metal levels and chromosome aberrations in the peripheral blood of patients after metalon-metal hip arthroplasty", J Arthroplasty, 19, pp.78~83 (2004)
  24. Dunstan E, "Chromosomal aberrations in the peripheral blood of patients with metal-on-metal hip bearings", J Bone Joint Surg Am, 90, pp.517~522 (2008)
  25. Hur CI, "Serum ion level after metal-on-metal THA in patients with renal failure", Clin Orthop Relat Res, 446, pp.696~699 (2008)
  26. Ziaee H, "Transplacental transfer of cobalt and chromium in patients with metal-on-metal hip arthroplasty: a controlled study", J Bone Joint Surg Br, 89, pp.301~305 (2007)
  27. Rieker CB, "Development and validation of a second-generation metal-on-metal bearing: laboratory studies and analysis of retrievals", J Arthroplasty, 19, pp.5~11 (2004)
  28. Willert HG, "Metal-onmetal bearings and hypersensitivity in patients with artificial hip joints in A clinical and histomorphological study", J Bone Joint Surg Am, 87, pp.28~36 (2005)
  29. Davies AP, "An unusual lymphocytic perivascular infiltration in tissues around contemporary metal-on-metal joint replacements", J Bone Joint Surg Am, 87, pp.18~27 (2005)
  30. Park YS, "Early osteolysis following second-generation metal-onmetal hip replacement", J Bone Joint Surg Am, 87, pp.1515~1521 (2005)
  31. Milosev I, "Survivorship and retrieval analysis of Sikomet metal-on-metal total hip replacements at a mean of seven years", J Bone Joint Surg Am, 88, pp.1173~1182 (2006)
  32. Korovessis P, "Metallosis after contemporary metal-on-metal total hip arthroplasty in Five to nine-year follow-up", J Bone Joint Surg Am, 88, pp.1183~1191 (2006)
  33. Pandit H, "Pseudotumours associated with metal-on-metal hip resurfacings", J Bone Joint Surg Br, 90, pp.847~851 (2008)

관련 논문AI추천

금속-금속 관절면 고관절 인공관절 치환술한석구대한고관절학회 · Hip and Pelvis2013 · 제25권 제4호고관절 전치환술에서의 금속-금속 관절면성열보대한고관절학회 · Hip and Pelvis2006 · 제18권 제4호고관절 전치환술에서의 금속-금속 관절면김영호, 박기철대한고관절학회 · Hip and Pelvis2004 · 제16권 제2호고관절 전치환술에서의 금속-금속 관절면김영호대한고관절학회 · Hip and Pelvis2007 · 제19권 제3호금속-금속 관절면을 이용한 인공고관절 전치환술박신승, 성열보대한고관절학회 · Hip and Pelvis2008 · 제20권 제2호관절면 선택 및 약점 보완법김신윤, 박성기, 이정엽대한고관절학회 · Hip and Pelvis2009 · 제21권 제4호

이 간행물의 다른 논문 (10건)

시멘트를 이용한 대퇴stem 고정술김성곤pp. 177-182알루미나 세라믹-세라믹 관절면을 이용한 무시멘트 인공 고관절 전치환술이상홍, 김동휘, 유재원, 조성원pp. 183-188광범위 다공성 표면 처리된 대퇴 스템을 이용한 인공 고관절 재치환술 - 최소 5년 이상의 추시 결과 -고택수, 유명철, 유기형, 곽상준, 조윤제, 전영수pp. 189-196지주 동종골 이식술 및 광범위 미세 피복 대퇴스템을 이용한 고관절 재치환술조철현, 배기철, 김동후, 민병우, 이경재pp. 197-202Two-Incision Bipolar Hemiarthroplasty for Treating Femoral Neck Fracture - Analysis of 15 cases -전성훈, 최동혁, 정영율, 김병학pp. 203-208
원문 보기