Material loss at the taper junction of retrieved large head metal-on-metal total hip replacements

Ashley K. Matthies, Radu Racasan, Paul Bills, Liam Blunt, Suzie Cro, Anna Panagiotidou, Gordon Blunn, John A. Skinner, Alister J. Hart

Research output: Contribution to journalArticle

101 Citations (Scopus)

Abstract

It has been speculated that material loss, either as corrosion or wear, at the head-stem taper junction is implicated in the high revision rates reported for metal-on-metal total hip replacements. We measured the volume of material loss from the taper and bearing surfaces of retrieved devices, and investigated the associations with blood metal ion levels and the diagnosis of a cystic or solid pseudotumor. The median volumes of material lost from the female and male taper surfaces were 2.0 and 0.29 mm3, respectively, while the median volumes of wear from the cup and head bearing surfaces were 1.94 and 3.44 mm3, respectively. Material loss from the female taper was similar to that from the acetabular bearing surface (p = 0.55), but significantly less than that from the femoral bearing surface (p < 0.001). Material loss from the male taper was less than that from both bearing surfaces (p < 0.001). Multivariable analysis demonstrated no significant correlations between the volume of material lost from the taper surfaces and either blood cobalt or chromium ions, or the presence of pseudotumor. While a substantial volume of material is lost at the taper junction, the clinical significance of this debris remains unclear.

LanguageEnglish
Pages1677-1685
Number of pages9
JournalJournal of Orthopaedic Research
Volume31
Issue number11
DOIs
Publication statusPublished - Nov 2013

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Hip Replacement Arthroplasties
Metals
Head
Ions
Corrosion
Chromium
Thigh
Cobalt
Equipment and Supplies

Cite this

Matthies, Ashley K. ; Racasan, Radu ; Bills, Paul ; Blunt, Liam ; Cro, Suzie ; Panagiotidou, Anna ; Blunn, Gordon ; Skinner, John A. ; Hart, Alister J. / Material loss at the taper junction of retrieved large head metal-on-metal total hip replacements. In: Journal of Orthopaedic Research. 2013 ; Vol. 31, No. 11. pp. 1677-1685.
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Material loss at the taper junction of retrieved large head metal-on-metal total hip replacements. / Matthies, Ashley K.; Racasan, Radu; Bills, Paul; Blunt, Liam; Cro, Suzie; Panagiotidou, Anna; Blunn, Gordon; Skinner, John A.; Hart, Alister J.

In: Journal of Orthopaedic Research, Vol. 31, No. 11, 11.2013, p. 1677-1685.

Research output: Contribution to journalArticle

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