Pseudotumour Formation Due to Tribocorrosion at the Taper Interface of Large Diameter Metal on Polymer Modular Total Hip Replacements

被引：114

作者：

Cook, Richard B. ^{[1
]}

Bolland, Benjamin J. R. F. ^{[2
]}

Wharton, Julian A. ^{[1
]}

Tilley, Simon ^{[2
]}

Latham, Jeremy M. ^{[2
]}

Wood, Robert J. K. ^{[1
]}

机构：

[1] Univ Southampton, Natl Ctr Adv Tribol Southampton nCATS, Southampton SO17 1BJ, Hants, England

[2] Southampton Gen Hosp, SOCARS, Southampton SO16 6YD, Hants, England

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 08期

基金：

英国工程与自然科学研究理事会;

关键词：

hip; pseudotumour; corrosion; fretting; taper; FRETTING CORROSION; WEAR; COMPONENTS; RETRIEVAL; JUNCTION; RELEASE; CREVICE;

D O I：

10.1016/j.arth.2013.02.009

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：

We present an in-depth failure analysis of two large diameter bearing metal-on-polymer (MOP) modular total hip replacements, which have required revision surgery due to pseudotumour formation. The failure analysis showed a discrete pattern of material loss from the distal end of the head taper/stem trunnion interface. We postulate that the use of a proximal contacting taper design had provided insufficient mechanical locking between the head and the stem, enabling the head to toggle on the trunnion. In addition, the difference in angle between the taper and the trunnion formed a crevice between the two components. Through a combination of crevice environment, mechanically assisted corrosion, mechanical wear and erosion; debris and metal-ions have been released resulting in the adverse local tissue reactions (ALTR). (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：1430 / 1436

页数：7

共 27 条

[1] FRETTING CORROSION ACCELERATES CREVICE CORROSION OF MODULAR HIP TAPERS
BROWN, SA
FLEMMING, CAC
KAWALEC, JS
PLACKO, HE
VASSAUX, C
MERRITT, K
PAYER, JH
KRAAY, MJ
[J]. JOURNAL OF APPLIED BIOMATERIALS, 1995, 6 (01) : 19 - 26
[2] Chana R, 2012, J BONE JOINT SURG BR, V94B, P281, DOI [10.1302/0301-620X.94B2, 10.1302/0301-620X.94B2.27247]
[3] Assessment of wear on the cones of modular stainless steel Exeter hip stems
Chaplin, RPS
Lee, AJC
Hooper, RM
[J]. JOURNAL OF MATERIALS SCIENCE-MATERIALS IN MEDICINE, 2004, 15 (09) : 977 - 990
[4] COLLIER JP, 1995, CLIN ORTHOP RELAT R, P91
[5] COLLIER JP, 1991, CLIN ORTHOP RELAT R, P305
[6] CORROSION BETWEEN THE COMPONENTS OF MODULAR FEMORAL HIP PROSTHESES
COLLIER, JP
SURPRENANT, VA
JENSEN, RE
MAYOR, MB
SURPRENANT, HP
[J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1992, 74 (04): : 511 - 517
[7] COLLIER JP, 1992, CLIN ORTHOP RELAT R, P129
[8] CORROSION AND WEAR AT THE MODULAR INTERFACE OF UNCEMENTED FEMORAL STEMS
COOK, SD
BARRACK, RL
CLEMOW, AJT
[J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1994, 76B (01): : 68 - 72
[9] Metal-on-Metal Local Tissue Reaction Is Associated With Corrosion of the Head Taper Junction
Fricka, Kevin B.
Ho, Henry
Peace, William J.
Engh, Charles A., Jr.
[J]. JOURNAL OF ARTHROPLASTY, 2012, 27 (08) : 26 - 31
[10] IN-VIVO CORROSION OF MODULAR HIP-PROSTHESIS COMPONENTS IN MIXED AND SIMILAR METAL COMBINATIONS - THE EFFECT OF CREVICE, STRESS, MOTION, AND ALLOY COUPLING
GILBERT, JL
BUCKLEY, CA
JACOBS, JJ
[J]. JOURNAL OF BIOMEDICAL MATERIALS RESEARCH, 1993, 27 (12): : 1533 - 1544

← 1 2 3 →