Al-Elq AH. 2022.
Osteoporosis in Saudi Arabia: Current and future perspectives. Saudi Medical
Journal 43(2), 127–136.
Al-Shalawi FD, Mohamed
Ariff AH, Jung DW, Mohd Ariffin MKA, Seng Kim CL, Brabazon D, Al-Osaimi MO. 2023.
Biomaterials as implants in the orthopedic field for regenerative medicine:
Metal versus synthetic polymers. Polymers 15(12), 2601. DOI:
10.3390/polym15122601.
Auckland District
Health Board. 2019. Health needs assessment: Osteoporosis and fragility
fractures. Auckland District Health Board.
Australian Institute of
Health and Welfare (AIHW). 2023. Hip fracture incidence and
hospitalisations. Australian Institute of Health and Welfare.
Bowsher JG, Hussain A,
Williams PA, Shelton JC. 2006. Metal-on-metal hip simulator study of
increased wear particle surface area due to severe patient activity.
Proceedings of the Institution of Mechanical Engineers Part H 220,
279–287. DOI: 10.1243/09544119JEIM93.
Brauer CA,
Coca-Perraillon M, Cutler DM, Rosen AB. 2009. Incidence and mortality of
hip fractures in the United States. JAMA 302(14), 1573–1579.
Catelas I, Petit A,
Zukor DJ, Antoniou J, Huk OL. 2003. TNF-alpha secretion and macrophage
mortality induced by cobalt and chromium ions in vitro: Qualitative analysis of
apoptosis. Biomaterials 24(3), 383–391. DOI:
10.1016/S0142-9612(02)00351-4.
Clark P, Atkinson EJ,
O’Neill TW. 2019. The burden of osteoporosis in Latin America.
Osteoporosis International 30(2), 259–266.
Clarke IC, Gustafson A. 2000.
Clinical and hip simulator comparisons of ceramic-on-polyethylene and
metal-on-polyethylene wear. Clinical Orthopaedics and Related Research 379,
34–40. DOI: 10.1097/00003086-200010000-00006.
Costa MD, Donner S,
Bertrand J, Pop OL, Lohmann CH. 2023. Hypersensitivity and lymphocyte
activation after total hip arthroplasty. Orthopädie 52(3), 214–221. DOI:
10.1007/s00132-023-04349-7.
Garcia MD, Hur M, Chen
JJ, Bhatti MT. 2020. Cobalt toxic optic neuropathy and retinopathy: Case
report and review of the literature. American Journal of Ophthalmology Case
Reports 17, 100606. DOI: 10.1016/j.ajoc.2020.100606.
Gazzano E, Bracco P,
Bistolfi A, Aldieri E, Ghigo D, Boffano M, Costa L, Brach Del Prever E. 2011.
Ultra-high molecular weight polyethylene is cytotoxic and causes oxidative
stress, even when modified. International Journal of Immunopathology and
Pharmacology 24(1 Suppl. 2), 61–67. DOI: 10.1177/03946320110241S212.
Ghouri SI, Mustafa F,
Kanbar A, Al Jogol H, Shunni A, Almadani A, Abdurraheim N, Goel AP, Abdelrahman
H, Babikir E, Ramzee AF, Ahmed K, Alhardallo M, Asim M, Al-Thani H, El-Menyar
A. 2023. Management of traumatic femur fractures: A focus on the time to
intramedullary nailing and clinical outcomes. Diagnostics 13(6), 1147.
DOI: 10.3390/diagnostics13061147.
Gill HS, Grammatopoulos
G, Adshead S, Tsialogiannis E, Tsiridis E. 2012. Molecular and immune
toxicity of CoCr nanoparticles in MoM hip arthroplasty. Trends in Molecular
Medicine 18(3), 145–155. DOI: 10.1016/j.molmed.2011.12.002.
Glant TT, Jacobs JJ,
Mikecz K, Yao J, Chubinskaja S, Williams JM, Urban RL, Shanbhag AS, Lee SH,
Sumner DR. 1996. Particulate-induced, prostaglandin- and cytokine-mediated
bone resorption in an experimental system and in failed joint replacements.
American Journal of Therapeutics 3(1), 27–41. DOI:
10.1097/00045391-199601000-00006.
Hallab NJ, Mikecz K,
Vermes C, Skipor A, Jacobs JJ. 2001. Orthopaedic implant related metal
toxicity in terms of human lymphocyte reactivity to metal-protein complexes
produced from cobalt-base and titanium-base implant alloy degradation.
Molecular and Cellular Biochemistry 222(1–2), 127–136.
Hart AJ, Sabah SA,
Bandi AS, Maggiore P, Tarassoli P, Sampson B, et al. 2021. Risk factors
for adverse local tissue reactions following metal-on-metal hip arthroplasty.
Bone & Joint Journal 103-B(6), 765–774.
Hasegawa M, Tone S,
Naito Y, Wakabayashi H, Sudo A. 2024. Long-term results of
hemi-resurfacing and metal-on-metal hip resurfacing for osteonecrosis of the
femoral head. Journal of Artificial Organs 27(3), 277–283. DOI:
10.1007/s10047-023-01417-9.
He X, Reichl FX, Milz
S, Michalke B, Wu X, Sprecher CM, Yang Y, Gahlert M, Röhling S, Kniha H, Hickel
R, Högg C. 2020. Titanium and zirconium release from titanium- and
zirconia implants in mini pig maxillae and their toxicity in vitro. Dental
Materials 36(3), 402–412. DOI: 10.1016/j.dental.2020.01.013.
Jacobs JJ, Roebuck KA,
Archibeck M, Hallab NJ, Glant TT. 2001. Osteolysis: Basic science.
Clinical Orthopaedics and Related Research 393, 71–77. DOI:
10.1097/00003086-200112000-00008.
Judge A, Cooper C,
Harvey NC, Javaid MK, Poole KE, et al. 2021. Modelling the epidemiology of
hip fractures: A review of the literature. Osteoporosis International 32(6),
1027–1047.
Kanis JA, McCloskey EV,
Johansson H, Cooper C, Rizzoli R. 2021. SCOPE 2021: A new scorecard for
osteoporosis in Europe. Archives of Osteoporosis 16(1), 82.
Kasprzak KS. 2002.
Oxidative DNA and protein damage in metal-induced toxicity and carcinogenesis.
Free Radical Biology and Medicine 32(10), 958–967.
DOI:10.1016/S0891-5849(02)00809-2.
Klein GL. 2019.
Aluminum toxicity to bone: A multisystem effect? Osteoporosis and
Sarcopenia 5(1), 2–5. DOI:10.1016/j.afos.2019.01.001.
Kurtz SM. 2020.
Wear and corrosion in orthopedic implants. Acta Biomaterialia 113, 1–15.
Kwon YM, Lombardi AV,
Jacobs JJ, Fehring TK, Lewis CG. 2022. Aseptic lymphocyte-dominated
vasculitis-associated lesion (ALVAL) and metal hypersensitivity: Implications
for hip arthroplasty. Bone & Joint Journal 104-B(9), 1003–1010.
Liu C, Li Y, Zhou Q,
Chen H, Zhang H, Ling Z, Wang Z. 2025. Nano-TiO₂ inhibits cytotoxicity and
osteogenic differentiation of CXCR4-transfected bone marrow mesenchymal stem
cells. Pakistan Journal of Pharmaceutical Sciences 38(6), 2353–2360. DOI:
10.36721/PJPS.2025.38.6.REG.13359.1.
Magone K, Luckenbill D,
Goswami T. 2015. Metal ions as inflammatory initiators of osteolysis.
Archives of Orthopaedic and Trauma Surgery 135(5), 683–695. DOI:
10.1007/s00402-015-2196-8.
Matharu GS, Barlow BT,
Hutt JR. 2021. Monitoring metal ion levels in patients with metal-on-metal
hip implants: Guidance and outcomes. Bone & Joint Journal 103-B(2),
132–140.
Mithal A, Kaur P. 2018.
Osteoporosis in India: A review of literature and resources. Indian Journal of
Endocrinology and Metabolism 22(4), 449–454.
Ollivere B, Wimhurst
JA, Clark IM, Donell ST. 2012. Current concepts in osteolysis. Journal of
Bone and Joint Surgery British Volume 94(1), 10–15.
DOI:10.1302/0301-620X.94B1.28047.
Osteoporosis Canada. 2021.
The burden of osteoporosis in Canada. Osteoporosis Canada.
Oyinlola OE, Eke CB,
Ogbonnaya U. 2020. Fragility fractures and orthopaedic healthcare in
Nigeria: A call to action. Journal of Clinical Orthopaedics and Trauma 11(5),
731–735.
Peto MV. 2010.
Aluminium and iron in humans: Bioaccumulation, pathology, and removal.
Rejuvenation Research 13(5), 589–598. DOI:10.1089/rej.2009.0995.
Pinheiro MM, de
Oliveira CM, Lebrão ML. 2020. Burden of osteoporosis in Brazil: A
demographic analysis. Archives of Osteoporosis 15(1), 1–9.
Piscitelli P, Crea F,
Fabiani A, Rizzo S. 2020. The burden of hip fractures in Italy: The EXTEND
study. Bone 137, 115439.
Puleo DA, Huh WW. 1995.
Acute toxicity of metal ions in cultures of osteogenic cells derived from bone
marrow stromal cells. Journal of Applied Biomaterials 6(2), 109–116. DOI:10.1002/jab.770060205.
Rakow A, Schoon J,
Dienelt A, John T, Textor M, Duda G, Perka C, Schulze F, Ode A. 2016.
Influence of particulate and dissociated metal-on-metal hip endoprosthesis wear
on mesenchymal stromal cells in vivo and in vitro. Biomaterials 98, 31–40.
DOI:10.1016/j.biomaterials.2016.04.023.
Robert Koch Institute
(RKI), Federal Statistical Office (DESTATIS). 2019. Health in Germany.
Robert Koch Institute, Germany.
Rotstein A, Goldstein
L, Goldstein R. 2022. Trends in hip fracture incidence and mortality in
Israel. Israel Journal of Health Policy Research 11, 13.
Samargandi R, Le Nail
LR, Hetaimish B, Saad M. 2024. Cobalt-chromium toxicity following revision
of total hip replacement. Saudi Medical Journal 45(2), 194–198.
DOI:10.15537/smj.2024.45.2.20230334.
Sansone V, Pagani D,
Melato M. 2013. The effects on bone cells of metal ions released from
orthopaedic implants: A review. Clinical Cases in Mineral and Bone
Metabolism 10(1), 34–40. DOI: 10.11138/ccmbm/2013.10.1.034.
Schell LD, Lane WC,
Coleman WE. 1968. The toxicity of polytetrafluoroethylene pyrolysis
products including carbonyl fluoride and a reaction product, silicon
tetrafluoride. American Industrial Hygiene Association Journal 29(1),
41–48. DOI: 10.1080/00028896809342979.
South African Bone
Registry. South African Bone Registry.
Stołtny T, Dobrakowski
M, Augustyn A. 2023. The concentration of chromium and cobalt ions and
parameters of oxidative stress in serum and their impact on clinical outcomes
after metaphyseal hip arthroplasty with modular metal heads. Journal of
Orthopaedic Surgery and Research 18, 225. DOI: 10.1186/s13018-023-03618-7.
Tapscott DC, Wottowa C. 2025.
Orthopedic implant materials. In: StatPearls. Treasure Island (FL): StatPearls
Publishing.
Vermes C,
Chandrasekaran R, Jacobs JJ, Galante JO, Roebuck KA, Glant TT. 2001. The
effects of particulate wear debris, cytokines, and growth factors on the
functions of MG-63 osteoblasts. Journal of Bone and Joint Surgery American
Volume 83(2), 201–211. DOI: 10.2106/00004623-200102000-00007.
Wakabayashi H, Hasegawa
M, Naito Y, Tone S, Sudo A. 2022. Minimum 10-year results of modular
metal-on-metal total hip arthroplasty. Journal of Clinical Medicine 11(21),
6505. DOI: 10.3390/jcm11216505.
Wu D, Bhalekar RM,
Marsh JS, Langton DJ, Stewart AJ. 2022. Periarticular metal
hypersensitivity complications of hip bearings containing cobalt-chromium.
EFORT Open Reviews 7(11), 758–771. DOI: 10.1530/EOR-22-0036.
Xia W, Wang Y, Zhang H,
Kanis JA, Compston J. 2021. East meets West: A comprehensive view of
osteoporosis epidemiology. Bone 144, 115830.
Yamamoto N, Yoshimura
N, Ohtsuka M, Saita Y. 2021. Current status and projections of hip
fracture in Japan. Journal of Orthopaedic Science 26(5), 745–749.
Yoon HK, Ha YC, Koo KH. 2021.
Epidemiology of hip fracture in Korea: A nationwide cohort study. Journal of
Bone Metabolism 28(3), 213–220.
Zeng Y, Feng W. 2013.
Metal allergy in patients with total hip replacement: A review. Journal of
International Medical Research 41(2), 247–252. DOI:
10.1177/0300060513476583.
Zhong Q, Pan X, Chen Y,
Lian Q, Gao J, Xu Y, Wang J, Shi Z, Cheng H. 2024. Prosthetic metals:
Release, metabolism and toxicity. International Journal of Nanomedicine 19,
5245–5267. DOI:10.2147/IJN.S459255.
Article source : The hidden burden: Areview of toxicity from femoral orthopedic implants