Evidence map›Paper›PMID 35671932›Full record

ArticleJournal of shoulder and elbow surgery2022

Do total shoulder arthroplasty implants corrode?

Alexander L Hornung, Deborah J Hall, Mable Je, Jennifer L Wright, Gregory P Nicholson, Grant E Garrigues, Robin Pourzal

Open access · greenAbstract read
In one paragraph

Article in Journal of shoulder and elbow surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 48% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Alexander L HornungDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. Electronic address: alexander_l_hornung@rush.edu.
Deborah J HallDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Mable JeDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Jennifer L WrightDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Gregory P NicholsonDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA; Midwest Orthopedics at Rush, Chicago, IL, USA.
Grant E GarriguesDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA; Midwest Orthopedics at Rush, Chicago, IL, USA.
Robin PourzalDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Rush University Medical Center · US

Funding

Corrosion Induced Hip Implant Failure: Synergistic Interactions of Patient, Material, Design, and Surgical FactorsR01AR070181 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI LUNDBERG, HANNAH JEAN, MATHEW, MATHEW THOPPIL · 2016 to 2020
$2.3M
Pre and Post-Doctoral Training in Joint HealthT32AR073157 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI D Rick Sumner · 2019 to 2026
$2.3M
NIAMS NIH HHS R01 AR070181NIAMS NIH HHS T32 AR073157
6 · The paper itself

Abstract

backgroundTotal shoulder arthroplasty (TSA) has become the gold-standard treatment to relieve joint pain and disability in patients with glenohumeral osteoarthritis who do not respond to conservative treatment. An adverse reaction to metal debris released due to fretting corrosion has been a major concern in total hip arthroplasty. To date, it is unclear how frequently implant corrosion occurs in TSA and whether it is a cause of implant failure. This study aimed to characterize and quantify corrosion and fretting damage in a single anatomic TSA design and to compare the outcomes to the established outcomes of total hip arthroplasty.

methodsWe analyzed 21 surgically retrieved anatomic TSAs of the same design (Tornier Aequalis Pressfit). The retrieved components were microscopically examined for taper corrosion, and taper damage was scored. Head and stem taper damage was quantitatively measured with a non-contact optical coordinate-measuring machine. In selected cases, damage was further characterized at high magnifications using scanning electron microscopy. Energy-dispersive x-ray spectroscopy and metallographic evaluations were performed to determine underlying alloy microstructure and composition. Comparisons between groups with different damage features were performed with independent-samples t tests; Mann-Whitney tests and multivariate linear regression were conducted to correlate damage with patient factors. The level of statistical significance was set at P < .05.

resultsThe average material loss for head and stem tapers was 0.007 mm DISCUSSION: This study has shown not only that the metal components of TSA implants can corrode but also that the risk of corrosion can be reduced by (1) eliminating preferential corrosion sites and (2) ensuring distal engagement to prevent fluid infiltration into the modular junction.

Indexed as

Arthroplasty, Replacement, ShoulderHip ProsthesisAlloysHumansMetalsProsthesis DesignProsthesis FailureAlloysMetalscolumn damageimplant wearmaterial lossrevisionshoulder arthroplastyTaper corrosion

Identifiers

PMID35671932
PMCPMC9588611
OpenAlexW4281739696

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.