Corrosion of modular hip prostheses.

Autor: Mathiesen EB; Karolinska Institute, Huddinge, Sweden., Lindgren JU, Blomgren GG, Reinholt FP
Jazyk: angličtina
Zdroj: The Journal of bone and joint surgery. British volume [J Bone Joint Surg Br] 1991 Jul; Vol. 73 (4), pp. 569-75.
DOI: 10.1302/0301-620X.73B4.2071637
Abstrakt: Nine uncemented hip prostheses of modular design were revised because of late infection (2 cases), femoral stem loosening or fracture (2), loosening of threaded cups (3) and protrusion of bipolar cups (2). At surgery we found tissue discoloration and macroscopic corrosion in four of the nine prostheses, located at the head-neck junction. Histological examination in most cases showed extensive necrosis associated with metal particles, indicating metal toxicity. Metallographic examination of the prosthetic heads revealed structural imperfections and inhomogeneity of the metal. We suggest that the crevice between the head and neck is a potential site of corrosion in modular designs.
Databáze: MEDLINE