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

被引：81
作者：
Jacobs, J. J. [1 ]
Cooper, H. J. [2 ]
Urban, R. M. [1 ]
Wixson, R. L. [3 ]
Della Valle, C. J. [1 ]
机构：
[1] Rush Univ, Med Ctr, Dept Orthoped Surg, Chicago, IL 60612 USA
[2] Lenox Hill Hosp, Dept Orthopaed Surg, New York, NY 10021 USA
[3] Northwestern Univ, Med Ctr, Dept Orthopaed Surg, Chicago, IL 60611 USA
来源：
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 04期
关键词：
hip replacement; corrosion; modular necks; modularity; adverse local tissue reaction; metal ion; ON-METAL BEARINGS; NECK;
D O I：
10.1016/j.arth.2014.02.014
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Mechanically assisted crevice corrosion (MACC) at metal/metal modular junctions in which at least one of the components is fabricated from cobalt-chromium alloy, has reemerged as a potential clinically significant complication in total hip arthroplasty. The clinical manifestation of MACC may include the development of an adverse local tissue reaction (ALTR), similar to what has been described in association with metal-on-metal bearing total hip and resurfacing arthroplasty. The clinical presentation of MACC-associated ALTRs may include pain and possibly late recurrent dislocations. Abnormal metal artifact reduction sequence magnetic resonance images and elevated serum metal levels (cobalt elevations out of proportion to chromium elevations) can be helpful in the diagnosis of these MACC-associated ALTRs. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码：668 / 669
页数：2
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