Titanium neck-titanium stem taper corrosion in a modular neck stem.

Adverse local tissue reaction Dual modular stem Taper corrosion Total hip arthroplasty Zimmer Kinectiv

Journal

Arthroplasty today
ISSN: 2352-3441
Titre abrégé: Arthroplast Today
Pays: United States
ID NLM: 101681808

Informations de publication

Date de publication:
Jun 2019
Historique:
received: 29 12 2018
revised: 17 04 2019
accepted: 25 04 2019
entrez: 10 7 2019
pubmed: 10 7 2019
medline: 10 7 2019
Statut: epublish

Résumé

An 81-year-old woman presented with progressive groin pain after metal-on-polyethylene total hip arthroplasty with a modular neck stem and was found to have adverse local tissue reaction. As we report for the first time with this implant, we observed titanium neck-titanium stem taper corrosion intraoperatively. We also found head-neck taper corrosion. The patient underwent revision surgery to a modular fluted tapered stem with ceramic head and was asymptomatic at 3-year follow-up visit. In conclusion, consideration should be given to avoiding the routine use of this modular neck stem in total hip arthroplasty. Patients with this prosthesis should be closely monitored for adverse local tissue reaction.

Identifiants

pubmed: 31286033
doi: 10.1016/j.artd.2019.04.009
pii: S2352-3441(19)30042-1
pmc: PMC6588719
doi:

Types de publication

Case Reports

Langues

eng

Pagination

145-147

Références

J Bone Joint Surg Am. 2010 Jun;92(6):1522-5
pubmed: 20516330
Clin Orthop Relat Res. 2011 Feb;469(2):476-82
pubmed: 20865464
J Bone Joint Surg Br. 2011 Oct;93(10):1427-30
pubmed: 21969447
Clin Orthop Relat Res. 2014 Feb;472(2):471-81
pubmed: 23354460
J Arthroplasty. 2015 May;30(5):822-6
pubmed: 25573180
J Arthroplasty. 2015 Jul;30(7):1265-8
pubmed: 25737386
J Arthroplasty. 2016 Jan;31(1):264-8
pubmed: 26321628
J Arthroplasty. 2016 Sep;31(9):2064-71
pubmed: 27067752
J Arthroplasty. 2017 Oct;32(10):3191-3199
pubmed: 28552447
Arthroplast Today. 2017 Apr 15;3(4):211-214
pubmed: 29204482

Auteurs

Ronit Shah (R)

Department of Orthopaedic Surgery, The University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.

Carl Talmo (C)

Department of Orthopaedic Surgery, New England Baptist Hospital, Boston, MA, USA.

Sumon Nandi (S)

Department of Orthopaedic Surgery, The University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.

Classifications MeSH