Abstract：
The choice of friction interface has always been a controversial topic in hip arthroplasty. Although the metal-on-metal (MoM) interface has gradually faded out of our vision, its revision is a clinical difficulty. Adverse reactions to metal debris (ARMD) is the most common indication for MoM hip arthroplasty revision, and the clinical results of hip arthroplasty due to ARMD are not satisfactory. At present, the indications and suggestions for revision of ARMD are not uniform. In this article, the clinical diagnosis, indications of revision, risk factors of prognosis, intraoperative suggestions and reasons for revision of ARMD were summarized. This article briefly introduces the diagnosis and treatment strategies and precautions of hip arthroplasty due to ARMD, in order to provide reference for such patients in clinical practice.
摘要：
在髋关节置换术中，摩擦界面的选择一直是一个有争议的话题。尽管金属对金属（MoM）界面已逐渐淡出我们的视野，它的修订是一个临床困难。金属碎片的不良反应（ARMD）是MoM髋关节置换术翻修的最常见适应症，由于ARMD导致的髋关节置换术的临床效果不理想。目前,ARMD的修正指征和建议并不统一。在这篇文章中,临床诊断,修订的迹象，预后的危险因素，总结术中修改ARMD的建议和原因。本文简要介绍了ARMD髋关节置换术的诊治策略及注意事项,以期为此类患者在临床实践中提供参考。
