Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 1629-1634 |
| Number of pages | 6 |
| Journal | Journal of Arthroplasty |
| Volume | 29 |
| Issue number | 8 |
| Early online date | 13 Mar 2014 |
| DOIs | |
| Publication status | Published - Aug 2014 |
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Component Size Mismatch Of Metal on Metal Hip Arthroplasty : An Avoidable Never Event. / Whittaker, Robert K.; Hexter, Adam; Hothi, Harry S.; Panagiotidou, Anna; Bills, Paul J.; Skinner, John A.; Hart, Alister J.
In: Journal of Arthroplasty, Vol. 29, No. 8, 08.2014, p. 1629-1634.Research output: Contribution to journal › Article
TY - JOUR
T1 - Component Size Mismatch Of Metal on Metal Hip Arthroplasty
T2 - An Avoidable Never Event
AU - Whittaker, Robert K.
AU - Hexter, Adam
AU - Hothi, Harry S.
AU - Panagiotidou, Anna
AU - Bills, Paul J.
AU - Skinner, John A.
AU - Hart, Alister J.
PY - 2014/8
Y1 - 2014/8
N2 - Size mismatch of components used in total hip arthroplasty is a serious, preventable patient safety incident of unknown prevalence as many cases are not detected. Component size mismatch was found in 11 cases (0.9%) at our retrieval centre. All cases of mismatch were not detected on plain radiograph during routine clinical follow up and blood metal ion levels were elevated above the MHRA action level of 7 ppb. Root cause analysis identified manufacturer, hospital and surgeon factors that need to be addressed to reduce the incidence of this avoidable clinical problem. Retrieval analysis is the only method of confirming size mismatch and is likely to be under-represented in National Joint Registries that record the indication for revision at the time of revision.
AB - Size mismatch of components used in total hip arthroplasty is a serious, preventable patient safety incident of unknown prevalence as many cases are not detected. Component size mismatch was found in 11 cases (0.9%) at our retrieval centre. All cases of mismatch were not detected on plain radiograph during routine clinical follow up and blood metal ion levels were elevated above the MHRA action level of 7 ppb. Root cause analysis identified manufacturer, hospital and surgeon factors that need to be addressed to reduce the incidence of this avoidable clinical problem. Retrieval analysis is the only method of confirming size mismatch and is likely to be under-represented in National Joint Registries that record the indication for revision at the time of revision.
KW - metal-on-metal
KW - size mismatch
KW - retrieval
KW - hip
KW - wear
U2 - 10.1016/j.arth.2014.03.008
DO - 10.1016/j.arth.2014.03.008
M3 - Article
VL - 29
SP - 1629
EP - 1634
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
SN - 0883-5403
IS - 8
ER -