Abstract:
Objectives:We investigated the reliability of the cobalt-chromium (CoCr) synovial joint fluid ratio (JFR) in identifying the presence of a severe aseptic lymphocyte-dominated vasculitis-associated lesion (ALVAL) response and/or suboptimal taper performance (SOTP) following metal-on-metal (MoM) hip arthroplasty. We then examined the possibility that the CoCr JFR may influence the serum partitioning of Co and Cr. Methods:For part A, we included all revision surgeries carried out at our unit with the relevant data, including volumetric wear analysis, joint fluid (JF) Co and Cr concentrations, and ALVAL grade (n = 315). Receiver operating characteristic curves were constructed to assess the reliability of the CoCr JFR in identifying severe ALVAL and/or SOTP. For part B, we included only patients with unilateral prostheses who had given matched serum and whole blood samples for Co and Cr analysis (n = 155). Multiple regression was used to examine the influence of JF concentrations on the serum partitioning of Co and Cr in the blood. Results:A CoCr JFR > 1 showed a specificity of 83% (77% to 88%) and sensitivity of 63% (55% to 70%) for the detection of severe ALVAL and/or SOTP. In patients with CoCr JFRs > 1, the median blood Cr to serum Cr ratio was 0.99, compared with 0.71 in patients with CoCr JFRs < 1 (p < 0.001). Regression analysis demonstrated that the blood Cr to serum Cr value was positively associated with the JF Co concentration (p = 0.011) and inversely related to the JF Cr concentration (p < 0.001). Conclusion:Elevations in CoCr JFRs are associated with adverse biological (severe ALVAL) or tribocorrosive processes (SOTP). Comparison of serum Cr with blood Cr concentrations may be a useful additional clinical tool to help to identify these conditions.Cite this article: D. J. Langton, S. Natu, C. F. Harrington, J. G. Bowsher, A. V. F. Nargol. Is the synovial fluid cobalt-to-chromium ratio related to the serum partitioning of metal debris following metal-on-metal hip arthroplasty? Bone Joint Res 2019;8:146-155. DOI: 10.1302/2046-3758.83.BJR-2018-0049.R1.
journal_name
Bone Joint Resjournal_title
Bone & joint researchauthors
Langton DJ,Natu S,Harrington CF,Bowsher JG,Nargol AVFdoi
10.1302/2046-3758.83.BJR-2018-0049.R1subject
Has Abstractpub_date
2019-04-02 00:00:00pages
146-155issue
3issn
2046-3758pii
10.1302_2046-3758.83.BJR-2018-0049.R1journal_volume
8pub_type
杂志文章abstract::In vivo animal experimentation has been one of the cornerstones of biological and biomedical research, particularly in the field of clinical medicine and pharmaceuticals. The conventional in vivo model system is invariably associated with high production costs and strict ethical considerations. These limitations led t...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.512.BJR-2016-0102.R2
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:The number of surgical procedures performed each year to treat femoroacetabular impingement (FAI) continues to rise. Although there is evidence that surgery can improve symptoms in the short-term, there is no evidence that it slows the development of osteoarthritis (OA). We performed a feasibility study to d...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.22.2000137
更新日期:2013-02-01 00:00:00
abstract::Cartilage repair in terms of replacement, or regeneration of damaged or diseased articular cartilage with functional tissue, is the 'holy grail' of joint surgery. A wide spectrum of strategies for cartilage repair currently exists and several of these techniques have been reported to be associated with successful clin...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.34.2000238
更新日期:2014-04-02 00:00:00
abstract:OBJECTIVES:To assess the structure and extracellular matrix molecule expression of osteogenic cell sheets created via culture in medium with both dexamethasone (Dex) and ascorbic acid phosphate (AscP) compared either Dex or AscP alone. METHODS:Osteogenic cell sheets were prepared by culturing rat bone marrow stromal c...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.511.BJR-2016-0013.R1
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVES:The goals of this study were: 1) to determine if high-fat diet (HFD) feeding in female mice would negatively impact biomechanical and histologic consequences on the Achilles tendon and quadriceps muscle; and 2) to investigate whether exercise and branched-chain amino acid (BCAA) supplementation would affect ...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.29.2000196
更新日期:2013-09-10 00:00:00
abstract:OBJECTIVES:Small animal models of fracture repair primarily investigate indirect fracture healing via external callus formation. We present the first described rat model of direct fracture healing. METHODS:A rat tibial osteotomy was created and fixed with compression plating similar to that used in patients. The proce...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.111.2000087
更新日期:2012-11-01 00:00:00
abstract:Objectives:The aim of this study was to analyze drain fluid, blood, and urine simultaneously to follow the long-term release of vancomycin from a biphasic ceramic carrier in major hip surgery. Our hypothesis was that there would be high local vancomycin concentrations during the first week with safe low systemic trough...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.82.BJR-2018-0174.R2
更新日期:2019-03-02 00:00:00
abstract:OBJECTIVES:To investigate the differences of open reduction and internal fixation (ORIF) of complex AO Type C distal radius fractures between two different models of a single implant type. METHODS:A total of 136 patients who received either a 2.4 mm (n = 61) or 3.5 mm (n = 75) distal radius locking compression plate (...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.16.2000008
更新日期:2012-06-01 00:00:00
abstract:Aims:Induction heating is a noninvasive, nonantibiotic treatment modality that can potentially be used to cause thermal damage to the bacterial biofilm on the metal implant surface. The purpose of this study was to determine the effectiveness of induction heating on killing Staphylococcus epidermidis from biofilm and t...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.94.BJR-2019-0274.R1
更新日期:2020-05-16 00:00:00
abstract:Aims:Commonly performed unicompartmental knee arthroplasty (UKA) is not designed for the lateral compartment. Additionally, the anatomical medial and lateral tibial plateaus have asymmetrical geometries, with a slightly dished medial plateau and a convex lateral plateau. Therefore, this study aims to investigate the na...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.812.BJR-2019-0114.R1
更新日期:2020-01-08 00:00:00
abstract:OBJECTIVES:Microindentation has the potential to measure the stiffness of an individual patient's bone. Bone stiffness plays a crucial role in the press-fit stability of orthopaedic implants. Arming surgeons with accurate bone stiffness information may reduce surgical complications including periprosthetic fractures. T...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.69.BJR-2016-0317.R2
更新日期:2017-09-01 00:00:00
abstract:Objectives:The paradoxical migration of the femoral neck element (FNE) superomedially against gravity, with respect to the intramedullary component of the cephalomedullary device, is a poorly understood phenomenon increasingly seen in the management of pertrochanteric hip fractures with the intramedullary nail. The aim...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.87.BJR-2018-0271.R1
更新日期:2019-08-02 00:00:00
abstract::The treatment of osteochondral lesions and osteoarthritis remains an ongoing clinical challenge in orthopaedics. This review examines the current research in the fields of cartilage regeneration, osteochondral defect treatment, and biological joint resurfacing, and reports on the results of clinical and pre-clinical s...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.29.2000189
更新日期:2013-09-16 00:00:00
abstract::Osteoporosis (OP) is a chronic metabolic bone disease characterized by the decrease of bone tissue per unit volume under the combined action of genetic and environmental factors, which leads to the decrease of bone strength, makes the bone brittle, and raises the possibility of bone fracture. However, the exact mechan...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.98.BJR-2020-0089.R1
更新日期:2020-08-02 00:00:00
abstract:Objectives:The primary stability of the cementless Oxford Unicompartmental Knee Replacement (OUKR) relies on interference fit (or press fit). Insufficient interference may cause implant loosening, whilst excessive interference could cause bone damage and fracture.The aim of this study was to identify the optimal interf...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.73.BJR-2017-0193.R1
更新日期:2018-05-05 00:00:00
abstract:OBJECTIVES:Pseudotumours (abnormal peri-prosthetic soft-tissue reactions) following metal-on-metal hip resurfacing arthroplasty (MoMHRA) have been associated with elevated metal ion levels, suggesting that excessive wear may occur due to edge-loading of these MoM implants. This study aimed to quantify in vivo edge-load...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.14.2000019
更新日期:2012-04-01 00:00:00
abstract::Bone is one of the most highly adaptive tissues in the body, possessing the capability to alter its morphology and function in response to stimuli in its surrounding environment. The ability of bone to sense and convert external mechanical stimuli into a biochemical response, which ultimately alters the phenotype and ...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.91.BJR-2019-0043.R2
更新日期:2020-05-16 00:00:00
abstract:OBJECTIVES:The radiographic union score for tibial (RUST) fractures was developed by Whelan et al to assess the healing of tibial fractures following intramedullary nailing. In the current study, the repeatability and reliability of the RUST score was evaluated in an independent centre (a) using the original descriptio...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.54.2000628
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVES:To investigate psychosocial and biomedical outcomes following total hip replacement (THR) and to identify predictors of recovery from THR. METHODS:Patients with osteoarthritis (OA) on the waiting list for primary THR in North West England were assessed pre-operatively and at six and 12 months post-operative...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.211.2000206
更新日期:2013-11-27 00:00:00
abstract:OBJECTIVES:As tumours of bone and soft tissue are rare, multicentre prospective collaboration is essential for meaningful research and evidence-based advances in patient care. The aim of this study was to identify barriers and facilitators encountered in large-scale collaborative research by orthopaedic oncological sur...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.65.BJR-2016-0192.R1
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Resveratrol is a polyphenolic compound commonly found in the skins of red grapes. Sirtuin 1 (SIRT1) is a human gene that is activated by resveratrol and has been shown to promote longevity and boost mitochondrial metabolism. We examined the effect of resveratrol on normal and osteoarthritic (OA) human chondr...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.33.2000226
更新日期:2014-03-10 00:00:00
abstract:OBJECTIVES:An important measure for the diagnosis and monitoring of knee osteoarthritis is the minimum joint space width (mJSW). This requires accurate alignment of the x-ray beam with the tibial plateau, which may not be accomplished in practice. We investigate the feasibility of a new mJSW measurement method from ste...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.58.2000626
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:We aimed to examine the characteristics of deep venous flow in the leg in a cast and the effects of a wearable neuromuscular stimulator (geko; FirstKind Ltd) and also to explore the participants' tolerance of the stimulator. METHODS:This is an open-label physiological study on ten healthy volunteers. Duplex...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.29.2000176
更新日期:2013-09-02 00:00:00
abstract:OBJECTIVES:This study aimed to characterise and qualitatively grade the severity of the corrosion particles released into the hip joint following taper corrosion. METHODS:The 26 cases examined were CoC/ABG Modular (n = 13) and ASR/SROM (n = 13). Blood serum metal ion levels were collected before and after revision sur...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.59.2000507
更新日期:2016-09-01 00:00:00
abstract:Objectives:Recently, the field of tissue engineering has made numerous advances towards achieving artificial tendon substitutes with excellent mechanical and histological properties, and has had some promising experimental results. The purpose of this systematic review is to assess the efficacy of tissue engineering in...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.74.BJR-2017-0326
更新日期:2018-05-05 00:00:00
abstract:OBJECTIVES:Pedicle-lengthening osteotomy is a novel surgery for lumbar spinal stenosis (LSS), which achieves substantial enlargement of the spinal canal by expansion of the bilateral pedicle osteotomy sites. Few studies have evaluated the impact of this new surgery on spinal canal volume (SCV) and neural foramen dimens...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.56.2000469
更新日期:2016-06-01 00:00:00
abstract:Objectives:We studied subchondral intraosseous pressure (IOP) in an animal model during loading, and with vascular occlusion. We explored bone compartmentalization by saline injection. Materials and Methods:Needles were placed in the femoral condyle and proximal tibia of five anaesthetized rabbits and connected to pre...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.78.BJR-2017-0343.R2
更新日期:2018-09-15 00:00:00
abstract:OBJECTIVE:The objective of this study was to explore dimensionality of the Oxford Hip Score (OHS) and examine whether self-reported pain and functioning can be distinguished in the form of subscales. METHODS:This was a secondary data analysis of the UK NHS hospital episode statistics/patient-reported outcome measures ...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.311.2000313
更新日期:2014-11-01 00:00:00
abstract:Objectives:The aim of this study was to investigate the biomechanical effect of the anterolateral ligament (ALL), anterior cruciate ligament (ACL), or both ALL and ACL on kinematics under dynamic loading conditions using dynamic simulation subject-specific knee models. Methods:Five subject-specific musculoskeletal mod...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.811.BJR-2019-0103.R1
更新日期:2019-12-03 00:00:00
abstract:Objectives:Different criteria for assessing the reduction quality of trochanteric fractures have been reported. The Baumgaertner reduction quality criteria (BRQC) are relatively common and the Chang reduction quality criteria (CRQC) are relatively new. The objectives of the current study were to compare the reliability...
journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.810.BJR-2019-0032.R1
更新日期:2019-11-02 00:00:00