ArticleClinical orthopaedics and related research2012
Corrosion at the cone/taper interface leads to failure of large-diameter metal-on-metal total hip arthroplasties.
Article in Clinical orthopaedics and related research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it, 154 citations in OpenAlex.
- How have new bearing surfaces altered the local biological reactions to byproducts of wear and modularity?Clinical orthopaedics and related research · 2014Pooled it
- Orthopedic implant allergies: a review of current knowledge on metal hypersensitivity and prosthesis failure.EFORT open reviews · 2026Article
- Metallosis-Induced Warm Antibody Auto-Immune Hemolytic Anemia After Bilateral, Large-Diameter Metal-on-Metal Total Hip Arthroplasty With Complete Remission After Revision.Arthroplasty today · 2024Article
- Influence of a Modified Procedure of Joining Ceramic Head and Adapter Sleeve on the Stem Taper in Revision: An Experimental Study.Bioengineering (Basel, Switzerland) · 2024Article
- Evaluating the Feasibility and Reproducibility of a Novel Insertion Method for Modular Acetabular Ceramic Liners.Bioengineering (Basel, Switzerland) · 2023Article
- Nickel-free high-nitrogen austenitic steel outperforms CoCrMo alloy regarding tribocorrosion in simulated inflammatory synovial fluids.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022Article
- Quantification of assembly forces during creation of head-neck taper junction considering soft tissue bearing: a biomechanical study.Arthroplasty (London, England) · 2021Article
- Favourable clinical outcomes following cemented arthroplasty after metal-on-metal total hip replacement: a retrospective study with a mean follow-up of 10 years.BMC musculoskeletal disorders · 2020Article
- Retention of metals in periprosthetic tissues of patients with metal-on-metal total hip arthroplasty is reflected in the synovial fluid to blood cobalt transfer ratio in the presence of a pseudotumour.BMC musculoskeletal disorders · 2020Article
- Influence of Different Damage Patterns of the Stem Taper on Fixation and Fracture Strength of Ceramic Ball Heads for Total Hip Replacement.BioMed research international · 2020Article
- A prospective comparative study of hip resurfacing arthroplasty and large-diameter head metal-on-metal total hip arthroplasty in younger patients-a minimum of five year follow-up.International orthopaedics · 2018Article
- Diagnostic guidelines for the histological particle algorithm in the periprosthetic neo-synovial tissue.BMC clinical pathology · 2018Article
- Ion release in ceramic bearings for total hip replacement: Results from an in vitro and an in vivo study.International orthopaedics · 2018Article
- [Spontaneous reposition of a hip prosthesis after atraumatic dislocation].Der Orthopade · 2017Article
- In Vivo Damage of the Head-Neck Junction in Hard-on-Hard Total Hip Replacements: Effect of Femoral Head Size, Metal Combination, and 12/14 Taper Design.Materials (Basel, Switzerland) · 2017Article
- The Role of Metal-on-Metal Bearings in Total Hip Arthroplasty and Hip Resurfacing: Review Article.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2017Article
- Surgical Approach May Influence Survival of Large-Diameter Head Metal-on-Metal Total Hip Arthroplasty: A 6- to 10-Year Follow-Up Study.BioMed research international · 2017Article
- Clinically insignificant trunnionosis in large-diameter metal-on-polyethylene total hip arthroplasty.Bone & joint research · 2017Article
- Ceramic Heads Decrease Metal Release Caused by Head-taper Fretting and Corrosion.Clinical orthopaedics and related research · 2016Article
- Histopathological characterization of corrosion product associated adverse local tissue reaction in hip implants: a study of 285 cases.BMC clinical pathology · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMetal-on-metal (MoM) THAs have reduced wear rates compared with metal-on-polyethylene. However, elevated serum metal ion levels and pseudotumors have been reported in large MoM articulations. QUESTIONS/PURPOSES: We therefore determined (1) if corrosion occurred at the cone/taper interface leading to instability in patients with large-diameter THAs; (2) how patients presented clinically and radiographically; (3) if adverse periprosthetic tissue reactions occurred; (4) whether metal was released from the implants into the periprosthetic tissues; and (5) if head size correlated with metal release.
methodsWe reviewed 114 patients who had revisions of large-diameter head MoM articulations. Mean time of implantation was 46 months. To identify adverse reactions and particle load, tissues were stained by hematoxylin and eosin and CD3/CD20/CD68 antibodies. Periprosthetic tissues were analyzed for metal content and distribution in different regions. Electrochemical reactions between the stem and adapter were investigated by a minicell electrode.
resultsElectrochemical studies on the stem and the head adapter showed a risk for galvanic corrosion. Ninety-four percent of patients had instability at the cone/taper interface. All patients presented with early clinical symptoms; 59 patients had radiographic signs of loosening. One hundred four patients had foreign body reactions and necrosis. The largest amounts of metal released were titanium or iron. We found no correlation between head size and metal ion release.
conclusionsThese findings suggest that in modular cone/taper connections, friction of the MoM articulations may cause failure of the cone/taper interface leading to galvanic corrosion and loosening. It is unclear whether the design of this MoM system provides sufficient stability at the taper.
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