What Do We Know About Taper Corrosion in Total Hip Arthroplasty?

Jacobs, Joshua J.; Cooper, H. John; Urban, Robert M.; Wixson, Richard L.; Valle, Craig J. Della

doi:10.1016/j.arth.2014.02.014

Cited by 106 publications

(90 citation statements)

References 13 publications

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“…Corrosion at modular interfaces is not well understood and is likely due to multiple factors. These include factors related to implant design, such as trunnion-taper angular mismatch, high-offset implants, trunnion diameter, neck angle, modular surface contact area, and dissimilar metals; patient factors, such as a high body mass index (BMI) or increased activity level; and surgical factors, such as damaged modular surfaces or inappropriate impaction forces [1][2][3][4] . Several authors have reported revision arthroplasty due to corrosion and adverse local tissue reactions 5,6 .…”

Section: Methodsmentioning

confidence: 99%

Catastrophic Femoral Head-Stem Trunnion Dissociation Secondary to Corrosion

Ko¹,

Chen

Deirmengian

et al. 2016

The Journal of Bone and Joint Surgery

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Section: Methodsmentioning

confidence: 99%

Catastrophic Femoral Head-Stem Trunnion Dissociation Secondary to Corrosion

Ko¹,

Chen

Deirmengian

et al. 2016

The Journal of Bone and Joint Surgery

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“…Similarly, a study by Reito et al [24] also showed that the 7-year survivorship was 51% for the ASR and only 38% for the ASR XL THA. These observed differences are likely to be attributable to reciprocating movement at the taper junction of the ASR XL THA leading to fretting corrosion described as mechanically assisted crevice corrosion [12]. Interestingly, head size was not found to be an independent predictor of moderate-to-severe ALTR in the multivariate analysis.…”

Section: Discussionmentioning

confidence: 84%

Early Lessons From a Worldwide, Multicenter, Followup Study of the Recalled Articular Surface Replacement Hip System

Madanat

Hussey

Donahue

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Adverse local tissue reactions (ALTRs) around hip arthroplasties are an important reason for failure of metal-on-metal (MoM) hip implants. Little is known about capsular dehiscence patterns as ALTRs decompress from the hip into the surrounding tissue planes; these patterns may also influence the onset and severity of patient symptoms. Questions/purposes Through a multicenter study approach, we asked: (1) Is ALTR location related to the surgical approach used for arthroplasty in patients who underwent hip arthroplasty (resurfacing or THA) with a single, recalled hip arthroplasty system? (2) Do ALTR severity and location affect patient-reported outcomes in these patients? (3) The institution of one of the authors (HGP) has received, during the study period, funding from GE Healthcare (Waukesha, WI, USA). One of the authors (CB), or a member of his or her immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000 to USD 100,000 from Zimmer Inc. One of the authors (OM), or a member of his or her immediate family, has or may receive payments or benefits, during the study period, an amount of less than USD 10,000 from Corin (Cirencester, UK), Iconacy (Warsaw, IN, USA), Renovis (Redlands, CA, USA), Conformis (Burlington, MA, USA), Aston Medical (Saint-É tienne, France), Meril Healthcare (Vapi, Gujarat, India), Arthex (Naples, FL, USA), Orthopaedic Technology Group (Boston, MA, USA); USD 10,000 to USD 100,000, from Mako Surgical Corp; USD 100,000 to USD 1,000,000 from Zimmer Inc; and more than USD 1,000,000 from Biomet and Cambridge Polymer Group (Boston, MA, USA). One of the authors (HM), or a member of his or her immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000 to USD 100,000, from Zimmer Inc, Biomet, Corin, and RSA Biomedical (Umeå, Sweden). Clinical Orthopaedics and Related Research ®A Publication of The Association of Bone and Joint Surgeons® 288 patients (333 hips) from two centers had a metal artifact reduction sequence MRI of the hip performed at a mean time of 6 years postsurgery. Procedures included 166 hips (50%) with ASR resurfacing and 167 hips (50%) with ASR XL THA performed between 2004 and 2010. One hundred twenty-nine hips (39%) had been operated on using a direct lateral approach and 204 using a posterior approach (61%). The EQ-5D, Harris hip score, UCLA activity score, and visual analog scale pain score were obtained for each patient. ALTRs were classified using the Anderson ALTR grading system, and the location, synovial thickness, and diameter of the ATLRs were assessed. The relationship between ALTR location and surgical approach as well as for ALTR severity and patient-reported outcomes were evaluated, and logistic regression was used to identify predictors for moderate-to-severe ALTRs. Results Moderate or severe ALTRs were identified in 79 hips (24%); 41 of these hips had been operated on using the direct lateral approach and 38 using the posterior approach. In patients...

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“…Although MACC can be attributed as the cause for only a small percentage of THA revisions, the percentage is not negligible. Retrospective postulations that diagnoses for unexplained pain may be MACC certainly call for greater research into variables affecting corrosion [16]. Visual and quantitative scoring methods have been used to assess these variables [12,29], which were employed with adequate agreement in this study.…”

Section: Discussionmentioning

confidence: 99%

Characterization of Femoral Head Taper Corrosion Features Using a 22-Year Retrieval Database

Cartner

Aldinger

et al. 2017

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Modularity in total hip arthroplasty has been used for decades with great success, but new findings regarding corrosion artifacts have caused a resurgence in tapered junction research. Mechanically assisted crevice corrosion (MACC) is thought to be the mechanism by which corrosive attack occurs. Myriad multi-factorial variables are known to influence the susceptibility of a modular taper junction to MACC. Some of these variables are design and manufacture related and others can be controlled by the surgeon. Questions/Purposes: This study was performed to assess a 22-year retrieval database to determine if correlations exist between severity of corrosion artifacts and head size, time in vivo, head offset, or head material. Secondarily, the agreement of visual and semi-quantitative scoring methods was assessed using the retrieved components. Methods: A total of 210 femoral head tapers were scored and heads receiving high scores were measured to quantify material loss due to MACC. Results: Increased head size and increased time in vivo did not correlate to higher corrosion scores. Contrarily, there were differences in corrosion scores based on femoral head offset and material. Deviations away from a neutral offset (where neutral is defined as the alignment of femoral head center and stem taper gage point) resulted in higher scores. Cobalt-chromium-molybdenum heads were associated with higher corrosion scores and higher material loss as compared to oxidized zirconium heads. Conclusion: Reducing the moment arm at the head-neck junction and choosing a more inert material appears to provide greater resistance to corrosion.

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What Do We Know About Taper Corrosion in Total Hip Arthroplasty?

Cited by 106 publications

References 13 publications

Catastrophic Femoral Head-Stem Trunnion Dissociation Secondary to Corrosion

Catastrophic Femoral Head-Stem Trunnion Dissociation Secondary to Corrosion

Early Lessons From a Worldwide, Multicenter, Followup Study of the Recalled Articular Surface Replacement Hip System

Characterization of Femoral Head Taper Corrosion Features Using a 22-Year Retrieval Database

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