Titanium neck-titanium stem taper corrosion in a modular neck stem

oleh: Ronit Shah, BS, Carl Talmo, MD, Sumon Nandi, MD, FACS

Format: Article
Diterbitkan: Elsevier 2019-06-01

Deskripsi

An 81-year-old woman presented with progressive groin pain after metal-on-polyethylene total hip arthroplasty with a modular neck stem and was found to have adverse local tissue reaction. As we report for the first time with this implant, we observed titanium neck-titanium stem taper corrosion intraoperatively. We also found head-neck taper corrosion. The patient underwent revision surgery to a modular fluted tapered stem with ceramic head and was asymptomatic at 3-year follow-up visit. In conclusion, consideration should be given to avoiding the routine use of this modular neck stem in total hip arthroplasty. Patients with this prosthesis should be closely monitored for adverse local tissue reaction. Keywords: Total hip arthroplasty, Taper corrosion, Dual modular stem, Adverse local tissue reaction, Zimmer Kinectiv