Head-Neck Taper Corrosion in Metal-on-Polyethylene Total Hip Arthroplasty: Risk Factors, Clinical Evaluation, and Treatment of Adverse Local Tissue Reactions.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 32694319.
- Also identified by DOI 10.5435/JAAOS-D-20-00475.
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Abstract
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.
Medical subject headings
- Arthroplasty, Replacement, Hip
- Metals
- Polyethylene
- Prosthesis Design
- Prosthesis Failure
Anatomy
- hip