The possibilities of magnetic resonance imaging in the diagnostics of complications after metal-on-metal hip arthroplasty

Cover Page


Cite item

Abstract

Objective: to find adverse periprosthetic local tissue reactions after metal-on-metal hip arthroplasty with ASR XL heads. Material and methods: 119 patients with 134 ASR XL head - Corail prostheses were treated in 2007-2009. The results were studied in 94 cases (105 prostheses) - 84%. Average follow-up time consisted 62 ± 3 months. MRI was performed in 12 patients (13 hips) who had clinical nonsatisfaction. Obtained data were compared with 21 MRI (24 hips) of controlled group with good and perfect clinical results. Results. We found variations of normal periprosthetic tissue condition. Adverse reactions were identified in 10 cases. To improve the quality of pictures we developed special MRI adjustments and regimes of work. Conclusion: MRI diagnostics is indicated for the patients with metal-on-metal total hip arthroplasty in order to identify adverse local tissue reactions. The improvement of picture quality needs special adjustment of MRI equipment.

About the authors

A. A. Vergay

Yaroslavl State Medical Academy

Author for correspondence.
Email: sashavergay@mail.ru
Russian Federation

V. V. Danilyak

Yaroslavl Regional Hospital for War Veterans - International Centre for the elderly “Healthy Longevity”

Email: v-danilyak@mail.ru
Russian Federation

V. V. Klyuchevskiy

Yaroslavl State Medical Academy

Email: kluchevsky@inbox.ru
Russian Federation

S. I. Gil’Fanov

Yaroslavl State Medical Academy

Email: gilfanov63@rambler.ru
Russian Federation

V. V. Klyuchevskiy

Yaroslavl State Medical Academy; Yaroslavl Regional Hospital for War Veterans - International Centre for the elderly “Healthy Longevity”

Email: kluchevsky@inbox.ru
Russian Federation

M. A. Molodov

Yaroslavl Regional Hospital for War Veterans - International Centre for the elderly “Healthy Longevity”

Email: mihamolodov@rambler.ru
Russian Federation

I. E. Shpunt

Diagnostic Treatment Centre of International Institute of Biological Systems - Yaroslavl

Email: ilyashpunt@gmail.com
Russian Federation

References

  1. Имплантаты хирургические неактивные. Общие требования: ГОСТ Р ИСО 14630-2011. М.: Стандартинформ; 2011. 20 с
  2. American Society for Testing and Materials (ASTM) Designation: F 2052. Standard test method for measurement of magnetically induced displacement force on passive implants in the magnetic resonance environment. www.astm.org/Standards/F2052.htm.
  3. Anderson H., Toms A.P., Cahir J.G., Goodwin R.W., Wimhurst J., Nolan J.F. Grading the severity of soft tissue changes associated with metal-on-metal hip replacements: reliability of an MR grading system. Skeletal. Radiol. 2011; 40(3):303-307.
  4. Australian Orthopaedic Association, National Joint Replacement Registry, annual report 2012. AOA 2012. https://aoanjrr.dmac.adelaide.edu.au/ru/ presentations-2012f
  5. Australian Orthopaedic Association. Update on metal on metal (MoM) hipreplacements.2011.http://www. aoa.org.au/Libraries/Patient_Information/Patients_ MoMUpdate_110711.sflb.ashx (accessed 21 March 2012).
  6. Cahira J.G., Toms A.P., Marshall T.J., Wimhurst J., Nolan J. CT and MRI of hip arthroplasty. Clin. Radiol. 2007;62:1163-1171.
  7. Chen Zh., Pandit H., Taylor A., Gill H., Murray D., Ostlere S. Metal-on-metal hip resurfacings — a radiological perspective. Eur. Radiol. 2011; 21(3):485-491.
  8. Cohen D. Out of joint: The story of the ASR. BMJ. 2011; 342:d2905.
  9. Cooper H.J., Ranawat A.S., Potter H.G., Li F.Foo, Jawetz Sh.T., Ranawat Chitranjan S. Magnetic resonance imaging in the diagnosis and management of hip pain after total hip arthroplasty. J. Arthroplasty. 2009; (5):661-667.
  10. Deprez P., Van den Berghe L., Demuynck M. High early revision rate due to pseudo-tumour formation in metal-on-metal large head diameter THR. AAOS 2010; Podium presentation 011.
  11. Fang C.S., Harvie P., Gibbons Christopher L. M. H., Whitwell D., Athanasou N.A., Ostlere S. The imaging spectrum of peri-articular inflammatory masses following metal-on-metal hip resurfacing. Skeletal. Radiol. 2008; 37:715-722
  12. Günther K.P., Schmitt J., Campbell P., Delaunay C.P., Drexler H., Ettema H.B. et al. Consensus statement "Current evidence on the management of metal-on-metal bearings" — April 16, 2012. Hip Int. 2013; 23(1):2-5.
  13. Hart A.J., Sabah S., Henckel J., Lewis A., Cobb J., Sampson B., Mitchell A., Skinner J. The painful metal-on-metal hip resurfacing. J. Bone Joint Surg. 2009; 91-B (6):738-744.
  14. Hartley K.G., Damon B.M., Patterson G.T., Long J.H., Holt G.E. MRI techniques: a review and update for the orthopaedic surgeon. JAAOS. 2012; 20: 775-787.
  15. Kwon Y.-M., Ostlere S.J., McLardy-Smith P., Athanasou N.A., Gill H.S., Murray D.W. "Asymptomatic" pseudotumors after metal-on-metal hip resurfacing arthroplasty prevalence and metal ion study. J. Arthroplasty. 2011; 26(40): 511-519.
  16. Olsen R.V., Munk P.L., Lee M.J., Janzen D.L., MacKay A.L., Xiang Q.-S., Masri B. Metal artifact reduction sequence: early clinical applications. Radiographics 2000; 20:699-712.
  17. Sabah S.A., Mitchell A.W.M., Henckel J., Sandison A., Skinner J.A., Hart A.J. Magnetic resonance imaging findings in painful metal-on-metal hips: a prospective study. J. Arthroplasty. 2011; 26(1): 71-76.e2.
  18. Shellock F.G., Woods T.O., Crues J.V. MRI labeling information for implants and devices: explanation of terminology. Radiology. 2009; 253:26-30.
  19. Toms A.P., Smith-Bateman C., Malcolm P.N., Cahir J., Graves M.; Optimization of metal artifact reduction (MAR) sequences for MRI of total hip prostheses. Clin. Radiology. 2010; 65:447-452.
  20. U.S. Food and Drug Administration. FDA Safety Communication: MetaI-on-metaIHipImplants.2013. http:// www.fda.gov/MedicaIDevices/Safety/AlertsandNotices/ ucm335775.htm (accessed 20 March 2013).
  21. Woods T.O. Guidance for industry and FDA staff - establishing safety and compatibility of passive implants in the magnetic resonance (MR) Environment. Document issued on: August 21, 2008; http://www. fda.gov/cdrh/osel/guidance/1685.html.
  22. Woods T.O. Standards for medical devices in MRI: present and future. J. Magn. Reson. Imaging. 2007; 26:1186-1189.

Copyright (c)



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies