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

Publication Date

2014

Journal Title

J Arthroplasty

Abstract

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.

Volume Number

29

Issue Number

4

Pages

668-669

Document Type

Article

EPub Date

2014/03/25

Status

Northwell Researcher

Facility

Northwell Health

Primary Department

Orthopedic Surgery

PMID

24655613

DOI

10.1016/j.arth.2014.02.014

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