OTE200: Metal-on-Metal Hips

Should the use of metal-on-metal hip replacement be completely discontinued because of recent findings?

Issue: Issue 6 2012

Metal-on-Metal Hips

Perspective from Wolf Petersen, MD

A note from the editors: The OTE200 is a group of approximately 200 European orthopaedic practitioners, educators and researchers whose opinions we poll each month. If you would like to be considered for membership, please send a request to orthopaedics@healio.com.

Perspective

Wolf Petersen, MD

New data from the Finnish hip arthroplasty registry (Seppänen et al, 2012) show that hip resurfacing arthroplasty (HRA) had comparable short-term survivorship to total hip arthroplasty. Implant design has a great influence on revision rates. As reported in the Australian arthroplasty register, the ASR prosthesis (DePuy) had higher revision risk. Low hospital procedure volume worsened the outcome of HRA. It was reported that women had twice the revision risk of men. My own studies have shown good outcomes can be expected when skilled surgeons perform the surgery in properly selected patients.

Wolf Petersen, MD

OTE200 member

Martin-Luther-Krankenhaus

Berlin

Disclosures: Petersen has no relevant financial disclosures.