Adverse reactions to metal-on-metal implants.

Konttinen, Yrjö T; Pajarinen, Jukka · Nat Rev Rheumatol · 2013

editorial · Level V

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Abstract

New data demonstrate that cobalt ions promote immune system activation through Toll-like receptor 4 signalling. This finding adds to our understanding of the adverse innate and adaptive immune reactions evoked by debris released from metal-on-metal total or resurfacing joint replacement implants, which have provoked recommendations against their use.

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