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. 2016 Jan 27;9(1):67–74. doi: 10.1007/s12178-016-9321-3

Table 1.

Key factors to assess in diagnosis and management of adverse local tissue reactions in metal-on-metal hip arthroplasty

Patient symptomatology
Implant track record
Positioning of the components on imaging
Metal ion levels
Cross-sectional imaging findings (i.e., pseudotumor)
Histopathologic analysis
Consideration of alternative diagnosis, particularly infection