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- Lars W P Reijngoud, Christophe Pattyn, Roel De Haan, Filip De Somer, Pat A Campbell, Harinderjit S Gill, and Koen A De Smet.
- Anca Medical Centre Ghent, Belgium.
- J Arthroplasty. 2009 Oct 1;24(7):1125-9.
AbstractIn 12 patients undergoing a revision hip arthroplasty after a failed metal-on-metal primary hip arthroplasty, the effectiveness of intraoperative cell salvage (ICS) in removing metal ions was investigated. Samples of blood collected during surgery were filtered using 2 ICS devices. The samples had the concentrations of cobalt (Co) and chromium (Cr) measured before and after filtration. There was an average reduction of 76.3% for Cr concentration and 78.6% for Co concentration after ICS filtering. The Co-to-Cr ratio before and after filtration was similar. At the present time, these salvage systems should be used with caution in the patient undergoing revision of metal-on-metal bearing surfaces.
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