Skip to main content
Erschienen in: Current Reviews in Musculoskeletal Medicine 1/2016

01.03.2016 | Hip: Metal-on-Metal (J Cooper, Section Editor)

Revision for taper corrosion at the head-neck junction: pearls and pitfalls

verfasst von: Brian J. McGrory, Brigham R. McKenney

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 1/2016

Einloggen, um Zugang zu erhalten

Abstract

Modular hip replacement components offer numerous advantages, and the modular femoral component has become standard for contemporary total hip implants. Recent reports of mechanically assisted crevice corrosion (MACC) at the head-neck junction, and associated adverse local tissue reactions (ALTRs), have renewed concerns for complications attributed to modularity. This manuscript describes the diagnosis, prognosis, and treatment options for MACC and highlights how appropriate pre-revision evaluation and planning, in conjunction with meticulous surgical technique, should be followed to avoid complications and achieve optimal surgical outcomes. Future directions for research include biomechanical, clinical, and retrieval studies.
Literatur
1.
Zurück zum Zitat Gilbert JL, Buckley CA, Jacobs JJ. In vivo corrosion of modular hip prosthesis components in mixed and similar metal combinations. The effect of crevice, stress, motion, and alloy coupling. J Biomed Mater Res. 1993;27(12):1533–44.CrossRefPubMed Gilbert JL, Buckley CA, Jacobs JJ. In vivo corrosion of modular hip prosthesis components in mixed and similar metal combinations. The effect of crevice, stress, motion, and alloy coupling. J Biomed Mater Res. 1993;27(12):1533–44.CrossRefPubMed
3.
Zurück zum Zitat Jacobs JJ, Cooper HJ, Urban RM, Wixson RL, Della Valle CJ. What we know about taper corrosion in total hip arthroplasty. J Arthroplasty. 2014;29:668–9.CrossRefPubMed Jacobs JJ, Cooper HJ, Urban RM, Wixson RL, Della Valle CJ. What we know about taper corrosion in total hip arthroplasty. J Arthroplasty. 2014;29:668–9.CrossRefPubMed
4.
Zurück zum Zitat Lucas LC, Buchanan RA, Lemons JE. Investigations on the galvanic corrosion of multialloy total hip prostheses. J Biomed Mater Res. 1981;15(5):731–47.CrossRefPubMed Lucas LC, Buchanan RA, Lemons JE. Investigations on the galvanic corrosion of multialloy total hip prostheses. J Biomed Mater Res. 1981;15(5):731–47.CrossRefPubMed
5.•
Zurück zum Zitat McGrory BJ, MacKenzie J, Babikian G. A high prevalence of corrosion at the head-neck taper with contemporary Zimmer non-cemented hip components. J Arthroplasty. 2015;30(7):1265–8. Only prevalence study of mechanically assisted crevice corrosion (MACC) in contemporary hip arthroplasty. The relatively high prevalence (over 1 %) is based on a single vendor in the 2002–2012 decade. CrossRefPubMed McGrory BJ, MacKenzie J, Babikian G. A high prevalence of corrosion at the head-neck taper with contemporary Zimmer non-cemented hip components. J Arthroplasty. 2015;30(7):1265–8. Only prevalence study of mechanically assisted crevice corrosion (MACC) in contemporary hip arthroplasty. The relatively high prevalence (over 1 %) is based on a single vendor in the 2002–2012 decade. CrossRefPubMed
6.•
Zurück zum Zitat Plummer DR, Berger RA, Paprosky WG, Sporer SM, Jacobs JJ, Della Valle CJ. Diagnosis and management of adverse local tissue reactions secondary to corrosion at the head-neck junction in patients with metal on polyethylene bearings. J Arthroplasty. August 1 2015:. Follow-up manuscript to 2012 Journal of Bone and Joint Surgery study describing diagnosis and management of mechanically assisted crevice corrosion (MACC). The cohort has a majority of total hips of one vendor but describes the diagnosis in various designs and vendors. The authors show that in the short term a cobalt alloy stem that is well fixed may be left in place and revising the femoral head to a titanium sleeve and ceramic femoral head leads to a significant decrease in serum cobalt levels. Plummer DR, Berger RA, Paprosky WG, Sporer SM, Jacobs JJ, Della Valle CJ. Diagnosis and management of adverse local tissue reactions secondary to corrosion at the head-neck junction in patients with metal on polyethylene bearings. J Arthroplasty. August 1 2015:. Follow-up manuscript to 2012 Journal of Bone and Joint Surgery study describing diagnosis and management of mechanically assisted crevice corrosion (MACC). The cohort has a majority of total hips of one vendor but describes the diagnosis in various designs and vendors. The authors show that in the short term a cobalt alloy stem that is well fixed may be left in place and revising the femoral head to a titanium sleeve and ceramic femoral head leads to a significant decrease in serum cobalt levels.
7.•
Zurück zum Zitat Levine BR, Hsu AR, Skipor AK, et al. Ten-year outcome of serum metal ion levels after primary total hip arthroplasty. J Bone Joint Surg. 2013;95(6):512–8. Long-term investigation of serum cobalt and chromium modular total hip replacements. This study sets the standard for acceptable serum ion levels and, therefore, the standard for mechanically assisted crevice corrosion (MACC). Recent investigations reference this study when defining MACC. PubMedCentralCrossRefPubMed Levine BR, Hsu AR, Skipor AK, et al. Ten-year outcome of serum metal ion levels after primary total hip arthroplasty. J Bone Joint Surg. 2013;95(6):512–8. Long-term investigation of serum cobalt and chromium modular total hip replacements. This study sets the standard for acceptable serum ion levels and, therefore, the standard for mechanically assisted crevice corrosion (MACC). Recent investigations reference this study when defining MACC. PubMedCentralCrossRefPubMed
8.
Zurück zum Zitat Payson AM, McGrory BJ, MacKenzie J. High intra-articular hip cobalt and chromium levels in mechanically assisted crevice corrosion. Paper presented at: Orthopaedic Research Society, 2016, 2015; Orlando, FL. Payson AM, McGrory BJ, MacKenzie J. High intra-articular hip cobalt and chromium levels in mechanically assisted crevice corrosion. Paper presented at: Orthopaedic Research Society, 2016, 2015; Orlando, FL.
9.
Zurück zum Zitat Fehring TK, Carter JL, Fehring KA, Odum SM, Griffin WL. Cobalt to chromium ratio is not a key marker for adverse local tissue reaction (ALTR) in metal-on-metal hips. J Arthroplasty. 2015;30(9 Suppl):107–9.CrossRefPubMed Fehring TK, Carter JL, Fehring KA, Odum SM, Griffin WL. Cobalt to chromium ratio is not a key marker for adverse local tissue reaction (ALTR) in metal-on-metal hips. J Arthroplasty. 2015;30(9 Suppl):107–9.CrossRefPubMed
10.
Zurück zum Zitat Leibiger T, McGrory BJ. Custom titanium sleeve for surgical treatment of mechanically assisted crevice corrosion in the well-fixed, non-contemporary stem in total hip arthroplasty. Arthroplasty Today. 2015;1(4):107–10.CrossRef Leibiger T, McGrory BJ. Custom titanium sleeve for surgical treatment of mechanically assisted crevice corrosion in the well-fixed, non-contemporary stem in total hip arthroplasty. Arthroplasty Today. 2015;1(4):107–10.CrossRef
11.
Zurück zum Zitat Lanting BA, MacDonald SJ. The painful total hip replacement. Diagnosis and deliverance. Bone Joint J. 2013;95-B(Supple A):70–3.CrossRefPubMed Lanting BA, MacDonald SJ. The painful total hip replacement. Diagnosis and deliverance. Bone Joint J. 2013;95-B(Supple A):70–3.CrossRefPubMed
12.
Zurück zum Zitat Nam D, Nunley RM, Sauber TJ, Johnson SR, Brooks PJ, Barrack RL. Incidence and location of pain in young, active patients following hip arthroplasty. J Arthroplasty. 2015;30:1971–5.CrossRefPubMed Nam D, Nunley RM, Sauber TJ, Johnson SR, Brooks PJ, Barrack RL. Incidence and location of pain in young, active patients following hip arthroplasty. J Arthroplasty. 2015;30:1971–5.CrossRefPubMed
13.
Zurück zum Zitat Whitehouse MR, Endo M, Zachara S, et al. Adverse local tissue reactions in metal-on-polyethylene total hip arthroplasty due to trunnion corrosion: the risk of misdiagnosis. Bone Joint J. 2015;97-B(8):1024–30.CrossRefPubMed Whitehouse MR, Endo M, Zachara S, et al. Adverse local tissue reactions in metal-on-polyethylene total hip arthroplasty due to trunnion corrosion: the risk of misdiagnosis. Bone Joint J. 2015;97-B(8):1024–30.CrossRefPubMed
14.
Zurück zum Zitat Gruen T, McNeice G, Amstutz HC. Modes of failure of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res. 1979;141:17–27.PubMed Gruen T, McNeice G, Amstutz HC. Modes of failure of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res. 1979;141:17–27.PubMed
15.
Zurück zum Zitat Sana M, Morozov P, McGrory BJ, Farraher SJ, Abrahams TG. MRI findings of adverse local tissue reaction due to mechanically assisted crevice corrosion in total hip replacement, 2016. Sana M, Morozov P, McGrory BJ, Farraher SJ, Abrahams TG. MRI findings of adverse local tissue reaction due to mechanically assisted crevice corrosion in total hip replacement, 2016.
16.
Zurück zum Zitat Bisseling P, de Wit BW, Hol AM, van Gorp MJ, van Kampen A, van Susante JL. Similar incidence of periprosthetic fluid collections after ceramic-on-polyethylene total hip arthroplasties and metal-on-metal resurfacing arthroplasties: results of a screening metal artifact reduction sequence-MRI study. Bone Joint J. 2015;97-B(9):1175–82.CrossRefPubMed Bisseling P, de Wit BW, Hol AM, van Gorp MJ, van Kampen A, van Susante JL. Similar incidence of periprosthetic fluid collections after ceramic-on-polyethylene total hip arthroplasties and metal-on-metal resurfacing arthroplasties: results of a screening metal artifact reduction sequence-MRI study. Bone Joint J. 2015;97-B(9):1175–82.CrossRefPubMed
17.
Zurück zum Zitat Collier JP, Surprenant VA, Jensen RE, Mayor MB. Corrosion at the interface of cobalt-alloy heads on titanium-alloy stems. Clin Orthop Rel Res. 1991;271:305–12. Collier JP, Surprenant VA, Jensen RE, Mayor MB. Corrosion at the interface of cobalt-alloy heads on titanium-alloy stems. Clin Orthop Rel Res. 1991;271:305–12.
18.
Zurück zum Zitat Tower S. Arthroprosthetic cobaltism: identification of the at-risk patient. Alaska Med. 2010;52:28–32.PubMed Tower S. Arthroprosthetic cobaltism: identification of the at-risk patient. Alaska Med. 2010;52:28–32.PubMed
19.
20.
Zurück zum Zitat Yi PH, Cross MB, Moric M, et al. Do serologic and synovial tests help diagnose infection in revision hip arthroplasty with metal-on-metal bearings or corrosion? Clin Orthop Relat Res. 2015;473(2):498–505.PubMedCentralCrossRefPubMed Yi PH, Cross MB, Moric M, et al. Do serologic and synovial tests help diagnose infection in revision hip arthroplasty with metal-on-metal bearings or corrosion? Clin Orthop Relat Res. 2015;473(2):498–505.PubMedCentralCrossRefPubMed
21.
Zurück zum Zitat Velott T, McGrory BJ, Rana A. A second generation constrained acetabular component for treatment of complex hip replacement instability. Curr Orthop Pract. 2015;26(2):136–41.CrossRef Velott T, McGrory BJ, Rana A. A second generation constrained acetabular component for treatment of complex hip replacement instability. Curr Orthop Pract. 2015;26(2):136–41.CrossRef
23.
Zurück zum Zitat Prieto HA, Berbari EF, Sierra RJ. Acute delayed infection: increased risk in failed metal on metal total hip arthroplasty. J Arthroplasty. 2014;29(9):1808–12.CrossRefPubMed Prieto HA, Berbari EF, Sierra RJ. Acute delayed infection: increased risk in failed metal on metal total hip arthroplasty. J Arthroplasty. 2014;29(9):1808–12.CrossRefPubMed
24.
Zurück zum Zitat Allain J, Roudot-Thoraval F, Delecrin J, Anract P, Migaud H, Goutallier D. Revision total hip arthroplasty performed after fracture of a ceramic femoral head. A multicenter survivorship study. J Bone Joint Surg. 2003;85-A(5):825–30.PubMed Allain J, Roudot-Thoraval F, Delecrin J, Anract P, Migaud H, Goutallier D. Revision total hip arthroplasty performed after fracture of a ceramic femoral head. A multicenter survivorship study. J Bone Joint Surg. 2003;85-A(5):825–30.PubMed
25.
Zurück zum Zitat Tai SMM, Parker L, de Roeck NJ, Skinner JA. Case report: recurrent catastrophic ceramic femoral head failure in total hip arthroplasty. Case Rep Orthop. 2014;2014:1–4.CrossRef Tai SMM, Parker L, de Roeck NJ, Skinner JA. Case report: recurrent catastrophic ceramic femoral head failure in total hip arthroplasty. Case Rep Orthop. 2014;2014:1–4.CrossRef
26.
Zurück zum Zitat Massin P, Lopes R, Masson B, Mainard D, Society TFHaK. Does Biolox Delta ceramic reduce the rate of component fractures in total hip replacement. Orthop Tramatol: Surg Res. 2014;100(6):S317–321. Massin P, Lopes R, Masson B, Mainard D, Society TFHaK. Does Biolox Delta ceramic reduce the rate of component fractures in total hip replacement. Orthop Tramatol: Surg Res. 2014;100(6):S317–321.
27.
Zurück zum Zitat Hussenbocus S, Kosuge D, Solomon LB, Howie DW, Oskouei RH. Head-neck taper corrosion in hip arthroplasty. Biomed Research International. 2015;2015. Hussenbocus S, Kosuge D, Solomon LB, Howie DW, Oskouei RH. Head-neck taper corrosion in hip arthroplasty. Biomed Research International. 2015;2015.
Metadaten
Titel
Revision for taper corrosion at the head-neck junction: pearls and pitfalls
verfasst von
Brian J. McGrory
Brigham R. McKenney
Publikationsdatum
01.03.2016
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 1/2016
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-016-9325-z

Weitere Artikel der Ausgabe 1/2016

Current Reviews in Musculoskeletal Medicine 1/2016 Zur Ausgabe

Shoulder Arthroplasty (G Athwal, Section Editor)

Porous metals and alternate bearing surfaces in shoulder arthroplasty

Shoulder Arthroplasty (G Athwal, Section Editor)

The arthritic glenoid: anatomy and arthroplasty designs

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.