Do Stem Taper Microgrooves Influence Taper Corrosion in Total Hip Arthroplasty? A Matched Cohort Retrieval Study

被引:31
|
作者
Arnholt, Christina M. [1 ]
MacDonald, Daniel W. [1 ]
Underwood, Richard J. [2 ]
Guyer, Eric P. [3 ]
Rimnac, Clare M. [4 ]
Kurtz, Steven M. [1 ,2 ]
Mont, Michael A. [5 ]
Klein, Gregg R. [6 ]
Lee, Gwo-Chin [7 ]
Chen, Antonia F. [8 ]
Hamlin, Brian R. [9 ]
Cates, Harold E. [10 ]
Malkani, Arthur L. [11 ,12 ]
Kraay, Matthew J. [4 ]
机构
[1] Drexel Univ, Implant Res Ctr, 3401 Market St,Suite 345, Philadelphia, PA 19104 USA
[2] Exponent Inc, Philadelphia, PA USA
[3] Exponent Inc, Atlanta, GA USA
[4] Case Western Reserve Univ, Ctr Evaluat Implant Performance, Cleveland, OH 44106 USA
[5] Sinai Hosp Baltimore, Baltimore, MD USA
[6] Hartzband Ctr Hip & Knee Replacement, Paramus, NJ USA
[7] Univ Penn Hlth Syst, Presbyterian Med Ctr, Philadelphia, PA USA
[8] Thomas Jefferson Univ Hosp, Rothman Inst, Philadelphia, PA 19107 USA
[9] Univ Pittsburgh, Med Ctr, Pittsburgh, PA USA
[10] Tennessee Orthopaed Clin, Knoxville, TN USA
[11] Jewish Hosp, Louisville, KY USA
[12] St Marys Hlth Care, Louisville, KY USA
来源
JOURNAL OF ARTHROPLASTY | 2017年 / 32卷 / 04期
关键词
mechanically assisted crevice corrosion; fretting; corrosion; taper; microgrooves; ON-METAL BEARINGS; SURFACE-TOPOGRAPHY; FAILURE; NECK; REPLACEMENTS; MODULARITY; TRUNNIONS; IMPLANTS; JUNCTION; WEAR;
D O I
10.1016/j.arth.2016.11.018
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
Background: Previous studies identified imprinting of the stem morphology onto the interior head bore, leading researchers to hypothesize an influence of taper topography on mechanically assisted crevice corrosion. The purpose of this study was to analyze whether microgrooved stem tapers result in greater fretting corrosion damage than smooth stem tapers. Methods: A matched cohort of 120 retrieved head-stem pairs from metal-on-polyethylene bearings was created controlling for implantation time, flexural rigidity, apparent length of engagement, and head size. There were 2 groups of 60 heads each, mated with either smooth or microgrooved stem tapers. A high-precision roundness machine was used to measure and categorize the surface morphology. Fretting corrosion damage at the head-neck junction was characterized using the Higgs-Goldberg scoring method. Fourteen of the most damaged heads were analyzed for the maximum depth of material loss and focused ion beam cross-sectioned to view oxide and base metal. Results: Fretting corrosion damage was not different between the 2 cohorts at the femoral head (P = .14, Mann-Whitney) or stem tapers (P = .35). There was no difference in the maximum depths of material loss between the cohorts (P = .71). Cross-sectioning revealed contact damage, signs of micro-motion, and chromium-rich oxide layers in both cohorts. Microgroove imprinting did not appear to have a different effect on the fretting corrosion behavior. Conclusion: The results of this matched cohort retrieval study do not support the hypothesis that taper surfaces with microgrooved stems exhibit increased in vivo fretting corrosion damage or material release. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:1363 / 1373
页数:11
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