Head-Neck Taper Corrosion in Metal-on-Polyethylene Total Hip Arthroplasty: Risk Factors, Clinical Evaluation, and Treatment of Adverse Local Tissue Reactions.

Adverse local tissue reaction (ALTR) associated with mechanically assisted crevice corrosion of metal-on-polyethylene (MoP) head-neck modular total hip arthroplasty (THA), similarly observed in the metal-on-metal bearing, is a growing concern in MoP THA patients. Given the complex pathogenesis as well as variable clinical presentation, the diagnosis can be challenging. This article focuses on providing surgeons with an evidence-based update on (1) implant, surgical, and patient risk factors associated with ALTRs; (2) clinical systematic evaluation; and (3) surgical management options for ALTRs in MoP THA patients based on the currently available evidence.

[1]  N. Giori,et al.  Trunnion Corrosion in Total Hip Arthroplasty-Basic Concepts. , 2019, The Orthopedic clinics of North America.

[2]  Michael A Mont,et al.  Evidence-Based Management of Trunnionosis in Metal-on-Polyethylene Total Hip Arthroplasty: A Systematic Review. , 2018, The Journal of arthroplasty.

[3]  Young-Min Kwon,et al.  Sensitivity and Specificity of Metal Ion Level in Predicting Adverse Local Tissue Reactions Due to Head-Neck Taper Corrosion in Primary Metal-on-Polyethylene Total Hip Arthroplasty. , 2018, The Journal of arthroplasty.

[4]  Young-Min Kwon,et al.  Risk Factors Associated With Early Complications of Revision Surgery for Head-Neck Taper Corrosion in Metal-on-Polyethylene Total Hip Arthroplasty. , 2018, The Journal of arthroplasty.

[5]  M. Whitehouse,et al.  Revision for adverse local tissue reaction following metal‐on‐polyethylene total hip arthroplasty is associated with a high risk of early major complications , 2018, The bone & joint journal.

[6]  Young-Min Kwon,et al.  The Fate of Elevated Metal Ion Levels After Revision Surgery for Head-Neck Taper Corrosion in Patients With Metal-on-Polyethylene Total Hip Arthroplasty. , 2018, The Journal of arthroplasty.

[7]  M. Morlock,et al.  The Influence of Contamination and Cleaning on the Strength of Modular Head Taper Fixation in Total Hip Arthroplasty. , 2017, The Journal of arthroplasty.

[8]  D. Bohl,et al.  Serum Metal Levels for Diagnosis of Adverse Local Tissue Reactions Secondary to Corrosion in Metal-on-Polyethylene Total Hip Arthroplasty. , 2017, The Journal of arthroplasty.

[9]  S. Kurtz,et al.  Fretting and Corrosion Damage in Taper Adapter Sleeves for Ceramic Heads: A Retrieval Study. , 2017, The Journal of arthroplasty.

[10]  T. Wright,et al.  MRI, Retrieval Analysis, and Histologic Evaluation of Adverse Local Tissue Reaction in Metal-on-Polyethylene Total Hip Arthroplasty. , 2017, The Journal of arthroplasty.

[11]  J. Henckel,et al.  Retrieval analysis of metal and ceramic femoral heads on a single CoCr stem design , 2017, Bone & joint research.

[12]  P. Ramkumar,et al.  Tribocorrosion in Total Hip Arthroplasty. , 2017, JBJS reviews.

[13]  M. Teeter,et al.  Metal-on-Metal Compared With Metal-on-Polyethylene: The Effect on Trunnion Corrosion in Total Hip Arthroplasty. , 2017, The Journal of arthroplasty.

[14]  B. McGrory,et al.  Ten-Year Cross-Sectional Study of Mechanically Assisted Crevice Corrosion in 1352 Consecutive Patients With Metal-on-Polyethylene Total Hip Arthroplasty. , 2017, The Journal of arthroplasty.

[15]  D. Collins,et al.  Characterization of Femoral Head Taper Corrosion Features Using a 22-Year Retrieval Database , 2017, HSS Journal ®.

[16]  H. Cooper.  Diagnosis and Treatment of Adverse Local Tissue Reactions at the Head-Neck Junction. , 2016, The Journal of arthroplasty.

[17]  G. Blunn,et al.  The Relationship Between Cobalt/Chromium Ratios and the High Prevalence of Head-Stem Junction Corrosion in Metal-on-Metal Total Hip Arthroplasty. , 2016, The Journal of arthroplasty.

[18]  B. McGrory,et al.  Revision for taper corrosion at the head-neck junction: pearls and pitfalls , 2016, Current Reviews in Musculoskeletal Medicine.

[19]  R. Berger,et al.  Diagnosis and Management of Adverse Local Tissue Reactions Secondary to Corrosion at the Head-Neck Junction in Patients With Metal on Polyethylene Bearings. , 2016, The Journal of arthroplasty.

[20]  M. Whitehouse,et al.  Adverse local tissue reactions in metal-on-polyethylene total hip arthroplasty due to trunnion corrosion: the risk of misdiagnosis. , 2015, The bone & joint journal.

[21]  B. McGrory,et al.  A High Prevalence of Corrosion at the Head-Neck Taper with Contemporary Zimmer Non-Cemented Femoral Hip Components. , 2015, The Journal of arthroplasty.

[22]  M. Teeter,et al.  Effect of Taper Design on Trunnionosis in Metal on Polyethylene Total Hip Arthroplasty. , 2015, The Journal of arthroplasty.

[23]  M. Cross,et al.  Do Serologic and Synovial Tests Help Diagnose Infection in Revision Hip Arthroplasty With Metal-on-metal Bearings or Corrosion? , 2015, Clinical orthopaedics and related research.

[24]  Asim Rajpura,et al.  The Evolution of the Trunnion , 2015, Hip international : the journal of clinical and experimental research on hip pathology and therapy.

[25]  A. Lombardi,et al.  Risk stratification algorithm for management of patients with dual modular taper total hip arthroplasty: consensus statement of the American Association of Hip and Knee Surgeons, the American Academy of Orthopaedic Surgeons and the Hip Society. , 2014, The Journal of arthroplasty.

[26]  C. Engh,et al.  Do you have to remove a corroded femoral stem? , 2014, The Journal of arthroplasty.

[27]  T. Wright,et al.  What is the Trouble With Trunnions? , 2014, Clinical orthopaedics and related research.

[28]  A. Hart,et al.  The reliability of a scoring system for corrosion and fretting, and its relationship to material loss of tapered, modular junctions of retrieved hip implants. , 2014, The Journal of arthroplasty.

[29]  B. Hargreaves,et al.  The John Charnley Award: Diagnostic Accuracy of MRI Versus Ultrasound for Detecting Pseudotumors in Asymptomatic Metal-on-Metal THA , 2014, Clinical orthopaedics and related research.

[30]  S. Kurtz,et al.  Do Ceramic Femoral Heads Reduce Taper Fretting Corrosion in Hip Arthroplasty? A Retrieval Study , 2013, Clinical orthopaedics and related research.

[31]  R. Wixson,et al.  Adverse local tissue reaction arising from corrosion at the femoral neck-body junction in a dual-taper stem with a cobalt-chromium modular neck. , 2013, The Journal of bone and joint surgery. American volume.

[32]  S. Kurtz,et al.  Method of Characterizing Fretting and Corrosion at the Various Taper Connections of Retrieved Modular Components from Metal-on-Metal Total Hip Arthroplasty , 2013 .

[33]  Joshua J. Jacobs,et al.  Biologic Implications of Taper Corrosion in Total Hip Arthroplasty , 2012 .

[34]  R. Berger,et al.  Corrosion at the head-neck taper as a cause for adverse local tissue reactions after total hip arthroplasty. , 2012, The Journal of bone and joint surgery. American volume.

[35]  N. Sugano,et al.  Ultrasound screening of periarticular soft tissue abnormality around metal-on-metal bearings. , 2012, The Journal of arthroplasty.

[36]  M. Wimmer,et al.  Wear mechanisms in metal‐on‐metal bearings: The importance of tribochemical reaction layers , 2009, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[37]  Sue Leurgans,et al.  A Multicenter Retrieval Study of the Taper Interfaces of Modular Hip Prostheses , 2002, Clinical orthopaedics and related research.

[38]  Stanley A. Brown,et al.  Fretting corrosion accelerates crevice corrosion of modular hip tapers. , 1995, Journal of applied biomaterials : an official journal of the Society for Biomaterials.

[39]  M. Mayor,et al.  The tradeoffs associated with modular hip prostheses. , 1995, Clinical orthopaedics and related research.