Evidence map›Paper›PMID 37088224›Full record

ArticleThe Journal of arthroplasty2023

Evaluation of Mechanically-Assisted Crevice Corrosion of Different Modular Dual Mobility Constructs.

John R Steele, Aarti A Shenoy, Ashley Pekmezian, Timothy Wright, Douglas E Padgett

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of arthroplasty, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

John R SteeleAdult Reconstruction and Joint Replacement Division, Hospital for Special Surgery, New York, New York; Towson Orthopaedic Associates, Orthopaedic Institute at St. Joseph's Medical Center, Towson, Maryland.
Aarti A ShenoyDepartment of Biomechanics, Hospital for Special Surgery, New York, New York.
Ashley PekmezianDepartment of Biomechanics, Hospital for Special Surgery, New York, New York.
Timothy WrightDepartment of Biomechanics, Hospital for Special Surgery, New York, New York.
Douglas E PadgettAdult Reconstruction and Joint Replacement Division, Hospital for Special Surgery, New York, New York.
Hospital for Special Surgery · US

Funding

Field Emission Scanning Electron MicroscopeS10OD026989 · OD · NEW YORK UNIVERSITY · PI BROMAGE, TIMOTHY G. · 2019 to 2019
$581k
NIH HHS S10 OD026989
6 · The paper itself

Abstract

backgroundModular dual mobility (MDM) acetabular component use is rising in total hip arthroplasty. However, concern of mechanically assisted crevice corrosion (MACC) at the shell-liner interface remains. We investigated shell-liner corrosion using retrieval analyses and corrosion chamber testing.

methodsWe analyzed fretting and corrosion on 10 matched pairs of 2 commercial MDM constructs (MDM1 and MDM2). Also, pristine pairs of Ti6Al4V shells and CoCrMo liners from 3 commercial dual mobility systems (MDM1, MDM2, and MDM3) were tested in vitro to model MACC performance. Three pairs of each were placed into an electrochemical chamber with stepwise increasing cyclic compression loads while measuring currents generated at the shell-liner taper. Onset fretting loads and fretting currents were calculated.

resultsCorrosion damage scores on retrieved components were low but higher in the MDM2 to MDM1 liners (P = .006), specifically outside the taper region (P = .00003). Fretting currents were higher in the MDM2 than in MDM1 or MDM3 (P = .011). Onset loads were also higher in the MDM2 (P = .001).

conclusionAmong retrieved liners, MDM2 tapers seem prone to non-mechanical corrosion modes. Higher onset loads and fretting currents in MDM2 tapers indicate greater MACC resistance but higher severity once corrosion begins. Differences among the devices were likely due to taper design and surface finish. Currents in all 3 were <5 μA, much lower than those observed with head-neck tapers. Our findings suggest that, among the types of corrosion observed in these MDM designs, mechanically driven corrosion may not be the most significant.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisAcetabulumCorrosionHumansProsthesis DesignProsthesis Failuremechanically assisted crevice corrosionmodular dual mobility acetabular tapersretrieval analysistaper corrosiontotal hip arthroplasty

Identifiers

PMID37088224
PMCPMC12375901
OpenAlexW4366779070

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.