_STP_1560
2013
Selected Technical Papers STP1560Metal-On-Metal Total Hip Replacement DevicesEditors:Steven M.KurtzA.Seth GreenwaldWilliam M.MihalkoJack E.LemonsASTM International100 Barr Harbor DrivePO Box C700West Conshohocken,PA 19438-2959Printed in the U.S.A.ASTM Stock#:STP1560 Library of Congress Cataloging-in-Publication DataSymposium on Metal-On-Metal Total Hip Replacement Devices(2012:Phoenix,Ariz.),author.Metal-on-metal total hip replacement devices/editors,Steven M.Kurtz,A.Seth Greenwald,William M.Mihalko,Jack E.Lemons.p.;cm.-(Selected technical papers;STP1560)Includes bibliographical references and index.ISBN 978-0-8031-7546-4(alk.paper)I.Kurtz,Steven M.,1968-editor of compilation.II.Greenwald,A.Seth.,editor of compilation.III.Mihalko,William M.,editor of compilation.IV.Lemons,Jack E.,editor of compilation.V.ASTM International,issuing body.VI.Title.VII.Series:Journal of ASTM International.Selected technical papers;STP1560.DNLM:1.Arthroplasty,Replacement,Hip-instrumentation-Congresses.2.Equipment Failure Analysis-standards-Congresses.3.Hip Prosthesis-standards-Congresses.4.Metal-on-Metal Joint Prostheses-adverse effects-Congresses.5.Metal-on-Metal Joint Prostheses-standards-Congresses.WE 860RD561617.5 820592-dc23 2013023318Copyright 2013 ASTM INTERNATIONAL,West Conshohocken,PA.All rights reserved.This material may not be reproduced or copied,in whole or in part,in any printed,mechanical,electronic,fi lm,or other distribution and storage media,without the written consent of the publisher.Photocopy RightsAuthorization to photocopy items for internal,personal,or educational classroom use,or the internal,personal,or educational classroom use of specifi c clients,is granted by ASTM International provided that the appropriate fee is paid to ASTM International,100 Barr Harbor Drive,P.O.Box C700,West Conshohocken,PA 19428-2959,Tel:610-832-9634;online:http:/www.astm.org/copyright.The Society is not responsible,as a body,for the statements and opinions expressed in this publication.ASTM International does not endorse any products represented in this publication.Peer Review PolicyEach paper published in this volume was evaluated by two peer reviewers and at least one editor.The authors addressed all of the reviewers comments to the satisfaction of both the technical editor(s)and the ASTM International Committee on Publications.The quality of the papers in this publication refl ects not only the obvious efforts of the authors and the technical editor(s),but also the work of the peer reviewers.In keeping with long-standing publication practices,ASTM International maintains the anonymity of the peer reviewers.The ASTM International Committee on Publications acknowledges with appreciation their dedication and contribution of time and effort on behalf of ASTM International.Citation of PapersWhen citing papers from this publication,the appropriate citation includes the paper authors,“paper title”,STP title and volume,STP number,Paper doi,ASTM International,West Conshohocken,PA,Paper,year listed in the footnote of the paper.A citation is provided as a footnote on page one of each paper.Printed in Bay Shore,NYJune,2013 ForewordTHIS COMPILATION OF Selected Technical Papers,STP1560,on Metal-On-Metal Total Hip Replacement Devices,contains 20 papers presented at a symposium with the same name held in Phoenix,AZ,USA on May 8,2012.The symposium was sponsored by ASTM International Committee F04 on Medical and Surgical Materials and Devices and Subcommittee F04.22 on Arthroplasty.The Symposium Co-Chairs and STP Editors are Steven M.Kurtz,A.Seth Greenwald,William M.Mihalko,and Jack E.Lemons.ContentsOverview.viiPost-Market SurveillancePrevalence of Metal-on-Metal Bearings in the United StatesS.M.Kurtz,K.L.Ong,E.Lau,A.S.Greenwald,and K.Bozic .3Metal-on-Metal and Other Bearing Trends Among Fellows of the AAOSK.L.Urish,M.Amini,and W.M.Mihalko.19Risk of Complications,Revision,and Cancer for Metal-on-Metal Patients in the Medicare PopulationK.L.Ong,E.Lau,and S.M.Kurtz.32Diagnostic AssessmentSerum Metal Ion Concentrations Decline(But Do Not Rapidly Normalize)Following Revision of Metal-on-Metal Total Hip BearingsJ.A.Browne,Z.Wan,W.M.Novicoff,Q.Cui,and T.E.Brown.51Low Cobalt and Chromium Levels from a Single Metal-on-Metal Total Hip Arthroplasty ImplantA.F.Chen,M.T.Pigott,E.J.McClain,and B.A.Klatt.61A Prospective Case Series Examining the Use of a Large-Head Metal-on-Metal Total Hip SystemV.Chatrath,I.Catelas,and P.E.Beaul.73A Method to Isolate and Characterize Wear Debris from Synovial Fluid and TissuesA.E.Kavanaugh,P.Benya,and F.Billi.86Lymphocyte Reactivity to Nickel Correlates with Reported High-Pain Levels in Patients with Total Joint Arthroplasties:Implications for Pain-Related Hypersensitivity ResponsesM.S.Caicedo,L.Samelko,and N.J.Hallab.99Retrieval AnalysisApproach,Rationale,and Examples of Metal-on-Metal Device Retrieval and Analysis for Evidence-Based EducationJ.Lemons,D.Sarver,P.Beck,D.Petersen,and A.Eberhardt.115The Development of a S