期刊
JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
卷 17, 期 1, 页码 1-6出版社
SPRINGER-VERLAG ITALIA SRL
DOI: 10.1007/s10195-016-0391-1
关键词
Trunnionosis; Trunnion; Total hip arthroplasty; Corrosion
类别
资金
- Sage Products
- TissueGene
- OnGoing Care Solutions
- DJO Global
- Microport
- Orthosensor
- National Institutes of Health
- Stryker
- Medical Compression Systems
- Johnson and Johnson
- Pacira Pharmaceuticals
- Merz
Trunnionosis is defined as wear of the femoral head-neck interface and has recently been acknowledged as a growing cause of total hip arthroplasty failure. Some studies have reported that it accounts for up to 3 % of all revisions. The exact cause of trunnionosis is currently unknown; however, postulated etiologies include modular junction wear, corrosion damage, and metal ion release. Additionally, implant design and trunnion geometries may contribute to the progression of component failure. In order to aid in our understanding of this phenomenon, our aim was to present the current literature on (1) the effect of femoral head size on trunnionosis, (2) the effect of trunnion design on trunnionosis, (3) localized biological reactions associated with trunnionosis, and (4) gross trunnion failures. It is hoped that this will encourage further research and interest aimed at minimizing this complication.
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