Corrosion and Adverse Local Tissue Reaction in One Type of Modular Neck Stem

被引：32

作者：

Ghanem, Elie ^{[1
]}

Ward, Daniel M. ^{[2
]}

Robbins, Claire E. ^{[2
]}

Nandi, Sumon ^{[2
]}

Bono, James V. ^{[2
]}

Talmo, Carl T. ^{[2
]}

机构：

[1] Geisinger Hlth Syst, Dept hoped Surg, Danville, PA USA

[2] New England Baptist Hosp, Dept Orthopaed Surg, Boston, MA 02120 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 10期

关键词：

dual modular stem; Rejuvenate stem; corrosion; pseudotumor; TOTAL HIP-ARTHROPLASTY; METAL-ION LEVELS; FEMORAL-NECK; REPLACEMENT; PROSTHESES; JUNCTION; PSEUDOTUMORS; INTERFACE; CORRELATE; CHROMIUM;

D O I：

10.1016/j.arth.2015.04.039

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：

Modular neck stems allow for optimization of joint biomechanics by restoring anteversion, offset, and limb length. A potential disadvantage is the generation of metal ions from fretting and crevice corrosion. We identified 118 total hip arthroplasty implanted with one type of dual-modular femoral component. Thirty-six required revision due to adverse local tissue reaction. Multivariate analysis isolated females and low offset necks as risk factors for failure. Kaplan-Meir analysis revealed small stem sizes failed at a higher rate during early follow-up period. Although the cobalt/chrome levels were higher in the failed group, these tests had low diagnostic accuracy for ALTR, while MRI scan was more sensitive. We conclude that the complications related to the use of dual modular stems of this design outweigh the potential benefits. (c) 2015 Elsevier Inc. All rights reserved.

引用

页码：1787 / 1793

页数：7

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