Component size mismatch of metal on metal hip arthroplasty: an avoidable never event.
J Arthroplasty
; 29(8): 1629-34, 2014 Aug.
Article
en En
| MEDLINE
| ID: mdl-24726175
ABSTRACT
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.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Falla de Prótesis
/
Artroplastia de Reemplazo de Cadera
/
Seguridad del Paciente
/
Prótesis Articulares de Metal sobre Metal
/
Prótesis de Cadera
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Arthroplasty
Asunto de la revista:
ORTOPEDIA
Año:
2014
Tipo del documento:
Article
País de afiliación:
Reino Unido