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Increased Mortality in Metal-on-Metal versus Non-Metal-on-Metal Primary Total Hip Arthroplasty at 10 Years and Longer Follow-Up: A Systematic Review and Meta-Analysis.

PLoS One · 2016 · PMC4905643 · PMID 27295038

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showed a trendno p-value reported
The first generation MOM observational study, which looked at non-resurfacing MOM in patients with primary osteoarthritis, showed a trend towards increased risk of mortality for patients with MOM compared to non-MOM THA [ 3 ], Incidence Rate Ratio 1.05, which is in line with the long term results from the RCTs.

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