Severe corrosion after malpositioning of a metallic head over the Morse taper of a cementless hip arthroplasty. A case report

Pansard, E.; Fouilleron, N.; Dereudre, G.; Migaud, Henri; Girard, Julien

doi:10.1016/j.otsr.2011.05.018

Cited by 18 publications

(21 citation statements)

References 16 publications

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“…1−4 Among the many factors that can affect implant performance, the corrosive nature of the physiological environment plays a significant role. Metal-on-metal (MoM) hip replacements, typically made of CoCrMo alloys, degrade because of the synergistic effects of mechanical wear from metal–metal contact and electrochemical reactions with salts, proteins, and other organic species.…”

Section: Introductionmentioning

confidence: 99%

Dominant Role of Molybdenum in the Electrochemical Deposition of Biological Macromolecules on Metallic Surfaces

et al. 2013

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The corrosion of CoCrMo, an alloy frequently used in orthopedic implants, was studied with an electrochemical quartz crystal microbalance (QCM) in three physiologically relevant solutions. Mass changes were measured during potentiodynamic tests, showing material deposition in protein solutions at potential levels that caused mass loss when the proteins were not present. X-ray photoelectron spectroscopy (XPS) data indicated that the deposited material was primarily organic and therefore was most likely derived from proteins in the electrolyte. Material deposition consistently occurred at a critical potential and was not dependent on the current density or total charge released into solution. Corrosion studies on pure Co, Cr, and Mo in protein solutions found material deposition only on Mo. We hypothesize that organic deposition results from the interaction of Mo(VI) with proteins in the surrounding solution. The organic layer is reminiscent of tribochemical reaction layers that form on the surface of CoCrMo hip bearings, suggesting that these types of layers can be formed by purely electrochemical means.

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Section: Introductionmentioning

confidence: 99%

Dominant Role of Molybdenum in the Electrochemical Deposition of Biological Macromolecules on Metallic Surfaces

et al. 2013

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“…A large number of factors have been identified as possible contributors to the observed material loss including micromotion due to angle mismatch, insufficient assembly forces, galvanic cell creation due to differential head and stem materials and increased frictional torque [12][13][14][15][16]. Determination of the volume of material loss at this interface is vital in determining the relative contribution that this makes to the overall failure of metal-on-metal hip bearings [18][19][20][21][22][23][24][25]. Most previous studies relied on either the visual assessment of taper damage (which can be clearly seen in figure 2) or measurement by means of coordinate measuring machines [5,10].…”

Section: Figurementioning

confidence: 99%

Assessing the material loss of the modular taper interface in retrieved metal-on-metal hip replacements

Bills

Răcăşăn

Tessier

et al. 2015

Surf. Topogr.: Metrol. Prop.

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Abstract. Measuring the amount of material loss in the case of revised hip replacements is considered to be a prerequisite of understanding and assessing the true in vivo performance of the implant. This paper outlines a method developed by the authors for quantifying taper material loss as well as more general taper interface parameters. Previous studies have mostly relied on visual inspection to assess the material loss at the taper interface, whereas this method aims to characterize any surface and form changes through the use of an out-of-roundness measurement machine. Along with assessing the volumetric wear, maximum linear penetration and taper contact length can also be determined. The method was applied to retrieved large head metal-on-metal femoral heads in order to quantify the material loss at this junction. Material loss from the female femoral head taper can be characterized as a localized area that is in contact with the stem taper surface. The study showed that this method has good repeatability and a low level of interoperability variation between operators.

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“…Two of the final articles were removed because they addressed corrosion secondary to stem loosening and a knee modular revision component. This left nine articles focused on corrosion in femoral hip components [9,10,23,29,32,37,42,46,47].…”

Section: Search Strategy and Criteriamentioning

confidence: 99%

“…There were nine studies identified addressing the surgical treatment of implant failures secondary to taper corrosion (Table 5) [9,10,23,29,32,37,42,46,47]. Eight articles were case report studies and one was Level IV.…”

Section: Treatment Of Corrosionmentioning

confidence: 99%

The Surgical Options and Clinical Evidence for Treatment of Wear or Corrosion Occurring With THA or TKA

Engh

Padgett

2014

Clin Orthop Relat Res

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Background Wear and corrosion occurring in patients with hip and knee arthroplasty are common causes of failure leading to revision surgery. A variety of surgical approaches to these problems have been described, with varying efficacy. Polyethylene wear, metal-on-metal (MoM) hip bearing wear, and problems associated with modular taper corrosion are the areas of greatest clinical impact; results of revisions for these problems are likely to dictate a large portion of revision resources for the foreseeable future, and so they call for specific study. Questions/purposes We identified the most frequently reported procedures to treat hip polyethylene wear, knee polyethylene wear, MoM wear after THA, and modular taper corrosion and determined the timing and reasons these failed. Methods We performed systematic reviews of the published literature on the four topics using MEDLINE 1 and Embase in October 2013; searches were supplemented by hand searches of bibliographies. Prespecified criteria resulted in the identification of 38 relevant articles, of which 33 were either case reports or Level IV evidence. Followup was generally at short term and ranged from 0.2 to 8 years. Results The most frequently reported procedures for treating clinically important wear were a partial or complete revision. When treating polyethylene wear, the more frequently reported reasons for hip and knee rerevisions were loosening, continued wear, and instability. Soft tissue reactions were more common and occasionally extensive in patients with MoM or modular taper corrosion. Patients with soft tissue reactions had more complications and higher rerevision rates. Conclusions Studies with longer followup and higher levels of evidence are needed to direct the treatment of wear and corrosion. When soft tissue damage secondary to MoM wear or taper corrosion is present, the results of treatment can be poor. There is an urgent need to better understand these two mechanisms of failure.

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Severe corrosion after malpositioning of a metallic head over the Morse taper of a cementless hip arthroplasty. A case report

Cited by 18 publications

References 16 publications

Dominant Role of Molybdenum in the Electrochemical Deposition of Biological Macromolecules on Metallic Surfaces

Dominant Role of Molybdenum in the Electrochemical Deposition of Biological Macromolecules on Metallic Surfaces

Assessing the material loss of the modular taper interface in retrieved metal-on-metal hip replacements

The Surgical Options and Clinical Evidence for Treatment of Wear or Corrosion Occurring With THA or TKA

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