Trunnion corrosion: what surgeons need to know in 2018.

Bone Joint J

Vancouver General Hospital, University of British Columbia, JP North 3rd floor, Room 3114, 910 West 10th Avenue, Vancouver, BC V5Z 4E3, Canada.

Published: January 2018

AI Article Synopsis

  • The article provides an update on trunnionosis, a complication that impacts about 2% of total hip arthroplasty revisions.
  • Thinner and shorter trunnions, along with factors like high offset implants and large heads, may increase the risk of mechanically assisted corrosion.
  • Recognizing the specific causes of trunnionosis is difficult due to its complex, multifactorial nature.

Article Abstract

Aims: To present a surgically relevant update of trunnionosis.

Materials And Methods: Systematic review performed April 2017.

Results: Trunnionosis accounts for approximately 2% of the revision total hip arthroplasty (THA) burden. Thinner (reduced flexural rigidity) and shorter trunnions (reduced contact area at the taper junction) may contribute to mechanically assisted corrosion, exacerbated by high offset implants. The contribution of large heads and mixed metallurgy is discussed.

Conclusion: Identifying causative risk factors is challenging due to the multifactorial nature of this problem. Cite this article: 2018;100-B(1 Supple A):44-9.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424439PMC
http://dx.doi.org/10.1302/0301-620X.100B1.BJJ-2017-0569.R1DOI Listing

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