Abstract: Material loss at the head-stem taper junction may contribute to the high early failure rates of stemmed large head metal-on-metal (LH-MOM) hip replacements. We sought to quantify both wear and corrosion and by doing so determine the main mechanism of material loss at the taper. This was a retrospective study of 78 patients having undergone revision of a LH-MOM hip replacement. All relevant clinical data was recorded. Corrosion was assessed using light microscopy and scanning electron microscopy, and graded according to a well-published classification system. We then measured the volumetric wear of the bearing and taper surfaces. Evidence of at least mild taper corrosion was seen in 90% cases, with 46% severely corroded. SEM confirmed the presence of corrosion debris, pits and fretting damage. However, volumetric wear of the taper surfaces was significantly lower than that of the bearing surfaces (p = 0.015). Our study supports corrosion as the predominant mechanism of material loss at the taper junction of LH-MOM hip replacements. Although the volume of material loss is low, the ionic products may be more biologically active compared to the particulate debris arising from the bearing surfaces.
|Number of pages||1|
|Issue number||Sup 13|
|Publication status||Published - 1 Mar 2013|
Matthies, A. K., Racasan, R., Bills, P., Panagiotidou, A., Skinner, J. A., Blunn, G., & Hart, A. J. (2013). Corrosion is the main mechanism of material loss at the taper junction of large head metal on metal hip replacements. Orthopaedic Proceedings, 95-B(Sup 13), 13. https://online.boneandjoint.org.uk/doi/abs/10.1302/1358-992X.95BSUPP_13.BORS2012-013