Pseudotumor and deep venous thrombosis due to crevice corrosion of the head–neck junction in metal-on-polyethylene total hip arthroplasty

Watanabe, Hiroshi; Takahashi, Kenji; Takenouchi, Kazuya; Sakakibara, Akiko; Kawaji, Hidemi; Nakamura, Hiroshi; Takai, Shinro

doi:10.1007/s00776-014-0623-2

Cited by 16 publications

(10 citation statements)

References 26 publications

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“…A 2015 study reported a case of crevice corrosion of the head-neck junction in an MOP, resulting in a pseudotumor around the joint. 23 Similar cases have been reported, all demonstrating trunnionosis. [24][25][26] A 2012 case report of pseudotumor around a MOP arthroplasty described extensive eccentric wear of the polyethylene liner that resulted in MOM articulation.…”

Section: Metal-on-metal Bearing Couplessupporting

confidence: 60%

The Biologic Response to Bearing Materials

Gibon

Goodman

2016

OKOJ

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Total joint arthroplasty (TJA) is a common and highly successful orthopaedic procedure for which surgeons can use different bearing materials. The materials used for TJA must be both biocompatible to minimize adverse local tissue reactions and robust enough to support weight bearing during common daily activities. Modern bearing materials for TJA are made from metals and their alloys, polymers, and ceramics. The orthopaedic surgeon should be knowledgeable about the biologic response to the different bearing materials used for TJA, as well as the wear byproducts generated.

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Section: Metal-on-metal Bearing Couplessupporting

confidence: 60%

The Biologic Response to Bearing Materials

Gibon

Goodman

2016

OKOJ

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“…Taper corrosion has been shown to manifest clinically as adverse local tissue reactions as shown in previous literature [2][3][4][5][6][7][8][9][10]. In Cooper's series [25], one patient suffered from moderate abductor necrosis due to pseudotumor formation and subsequent dislocations despite an initial revision surgery, requiring a second revision to change to a constrained liner.…”

Section: Discussionmentioning

confidence: 80%

“…Taper corrosion in modular total hip arthroplasty has recently been recognized to be an important issue, with multiple reports of adverse local tissue reactions even in patients with metal-on-polyethylene arthroplasty [2][3][4][5][6][7][8][9][10]. Cooper et al [3] reviewed ten revised metal-onpolyethylene THA that had elevated serum cobalt and chromium levels, and found visible corrosion at the head-neck junction associated with tissue necrosis and lymphocytic infiltration.…”

mentioning

confidence: 99%

Effect of Taper Design on Trunnionosis in Metal on Polyethylene Total Hip Arthroplasty

Tan

Teeter

Balso

et al. 2015

The Journal of Arthroplasty

103

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Keywords:taper corrosion taper design trunnionosis metal-on-polyethylene total hip arthroplasty This study examines how taper design affects corrosion and fretting at the head trunnion surface. All hip prostheses retrieved between 1999 and 2013 with 28 mm/+0 heads were selected, resulting in 44 cobalt-chrome-onpolyethylene implants, representing six taper designs. Mean implantation time: 8.9 ± 3.7 years. The femoral head tapers were scored for fretting and corrosion using the Goldberg scale as both a combined score and by three zones (apex, central and base). There was no difference in age (P = 0.34), BMI (P = 0.29), or implantation time (P = 0.19) between taper groups. The 11/13 taper had the highest combined corrosion and fretting score, but no difference (P = 0.22) between groups for combined scores (P = 0.22 for corrosion, P = 0.19 for fretting). In a zone-specific analysis, the 11/13 taper had highest corrosion score at base zone (P = 0.02). Taper design had a significant effect on corrosion at base of trunnion.Crown

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“…Corrosion products can trigger adverse local tissue reactions (ALTRs) and subsequent revision surgery. Multiple case reports have implicated corrosion of modular head-neck junctions as the cause of hip pain resulting in revision surgery [2,26,28,29,33,37,38]. So far the largest clinical series have suggested that between 1.8% and 2.3% of patients undergoing THA with metal-on-polyethylene bearings will undergo revision surgery per year because of modular head-neck junction corrosion [9,10].…”

Section: Introductionmentioning

confidence: 99%