Trunnionosis In Total Hip Arthroplasty: A Review
Jaydev B. Mistry, Morad Chughtai, Randa D K Elmallah, Aloise M. Diedrich, Sidney Le, Melbin Thomas, Michael A. Mont
Published 2016 · Medicine
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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.
This paper references
Trunion fracture of a fully porous-coated femoral stem. Case report.
Torey P Botti (2005)
Aufranc award : large heads do not increase damage at the head – neck taper of metalonpolyethylene total hip arthroplasties
GK Triantafyllopoulos (2015)
Risks and advantages in standardization of bores and cones for heads in modular hip prostheses.
Bernard Calès (1998)
Otto Aufranc Award: Large Heads Do Not Increase Damage at the Head-neck Taper of Metal-on-polyethylene Total Hip Arthroplasties
Georgios K. Triantafyllopoulos (2016)
Shorter, rough trunnion surfaces are associated with higher taper wear rates than longer, smooth trunnion surfaces in a contemporary large head metal-on-metal total hip arthroplasty system.
Timothy M. Brock (2015)
In vivo corrosion of modular hip prosthesis components in mixed and similar metal combinations. The effect of crevice, stress, motion, and alloy coupling.
Jeremy L Gilbert (1993)
Accelerating failure rate of the ASR total hip replacement.
David John Langton (2011)
Corrosion at the neck-stem junction as a cause of metal ion release and pseudotumour formation.
Indy S Gill (2012)
MRI of early symptomatic metal-onmetal total hip arthroplasty: a retrospective review of radiological findings
AP Toms (2008)
Material loss at the taper junction of retrieved large head metal-on-metal total hip replacements.
Ashley K Matthies (2013)
Adverse reaction to metal release from a modular metal-on-polyethylene hip prosthesis.
J. Urban Lindgren (2011)
An unusual lymphocytic perivascular infiltration in tissues around contemporary metal-on-metal joint replacements.
A. Paul Davies (2005)
Pseudotumor from modular neck corrosion after ceramic-on-polyethylene total hip arthroplasty.
Andrew R. Hsu (2012)
Dose-dependent cytotoxicity of clinically relevant cobalt nanoparticles and ions on macrophages in vitro.
Young-min Kwon (2009)
Local and distant products from modularity.
Joshua J. Jacobs (1995)
High failure rates with a large-diameter hybrid metal-on-metal total hip replacement: clinical, radiological and retrieval analysis.
Ben J.R.F. Bolland (2011)
Taper junction failure in large-diameter metal-on-metal bearings
David John Langton (2012)
Delanois RE, Mont MA (2015) Gross trunnion failure after primary total hip arthroplasty
S Banerjee (2015)
Early failure of metal-on-metal bearings in hip resurfacing and large-diameter total hip replacement: A consequence of excess wear.
David John Langton (2010)
Gross trunnion failure after primary total hip arthroplasty.
Samik Banerjee (2015)
Effect of Taper Design on Trunnionosis in Metal on Polyethylene Total Hip Arthroplasty.
Sok Chuen Tan (2015)
The influence of head size on corrosion and fretting behaviour at the head-neck interface of artificial hip joints.
Richard Dyrkacz (2013)
Trunnionosis: A pain in the neck.
Philip S Pastides (2013)
Ceramic-on-ceramic failure secondary to head-neck taper mismatch.
Donald W. Hohman (2011)
Head-Neck Taper Corrosion in Hip Arthroplasty
Saleem M Hussenbocus (2015)
Taper Design Affects Failure of Large-head Metal-on-metal Total Hip Replacements
Nader A. Nassif (2014)
Corrosion at the head-neck taper as a cause for adverse local tissue reactions after total hip arthroplasty.
H John Cooper (2012)
Pseudotumor Formation in a Metal-on-polyethylene Total Hip Arthroplasty Due to Trunnionosis at the Head-neck Taper.
Jake T Stahnke (2015)
Modular taper junction corrosion and failure: how to approach a recalled total hip arthroplasty implant.
Robert Pivec (2014)
Metal-on-metal bearings: the evidence so far.
Fares Sami Haddad (2011)
Necrotic and inflammatory changes in metal-on-metal resurfacing hip arthroplasties
Gayana Mahendra (2009)
Modern Trunnions Are More Flexible: A Mechanical Analysis of THA Taper Designs
David A. Porter (2014)
Modern trunnions are more flexible: a Table 4 Summary of studies reporting gross trunnion failure References Number of hip implants Implant description Results/findings
DA Porter (2014)
Migration of corrosion products from modular hip prostheses. Particle microanalysis and histopathological findings.
Robert M. Urban (1994)
Trunnion-Head Stresses in THA: Are Big Heads Trouble?
Carlos J. Lavernia (2015)
Metal-on-Metal Hip Arthroplasty: A Review of Adverse Reactions and Patient Management
James M. Drummond (2015)
MRI of early symptomatic metal-on-metal total hip arthroplasty: a retrospective review of radiological findings in 20 hips.
Andoni Paul Toms (2008)
Histological Features of Pseudotumor-like Tissues From Metal-on-Metal Hips
Patricia A Campbell (2010)
Severe corrosion after malpositioning of a metallic head over the Morse taper of a cementless hip arthroplasty. A case report.
Erwan Pansard (2012)
Pseudotumors associated with total hip arthroplasty.
Joseph Daniel (2012)
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Do oxidized zirconium heads decrease tribocorrosion in total hip arthroplasty?: A STUDY OF RETRIEVED COMPONENTS
C Hampton (2019)
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Metal ion release barrier function and biotribological evaluation of a zirconium nitride multilayer coated knee implant under highly demanding activities wear simulation.
Ana Laura Puente Reyna (2018)
Direct-Contact Cytotoxicity Evaluation of CoCrFeNi-Based Multi-Principal Element Alloys
Ryan Newell (2018)
Do Well-functioning THAs Retrieved at Autopsy Exhibit Evidence of Fretting and Corrosion?
Jeffrey K. Lange (2018)
Metal ion trend in patients with metal-on-metal total hip arthroplasty: a 10-year prospective study
Rudy Sangaletti (2018)
Chronic Systemic Metal Ion Toxicity from Wear on a Revised Cobalt-chromium Trunnion
Michael S. Reich (2019)
Gross trunnion failure after a metal-on-polyethylene total hip arthroplasty leading to dissociation at the femoral head-trunnion interface
Surajudeen A Bolarinwa (2019)
How to Proceed with Asymptomatic Modular Dual Taper Hip Stems in the Case of Acetabular Revision
Thomas M Grupp (2020)
Reducing fretting-initiated crevice corrosion in hip simulator tests using a zirconia-toughened alumina femoral head.
Masayuki Kyomoto (2018)
The Ideal Total Hip Replacement Bearing Surface in the Young Patient: A Prospective Randomized Trial Comparing Alumina Ceramic-On-Ceramic With Ceramic-On-Conventional Polyethylene: 15-Year Follow-Up.
Amit Atrey (2018)
The effect of altering head length on corrosion using a material loss method
Brent A. Lanting (2019)
Title Page Title: Low failure rate at short term for 40mm heads and second generation triple annealed HCLPE liners in hybrid Hip Replacements Running Title: Thin Second Generation Highly cross linked Polyethylene low revision rate and large diameter heads
Rajkumar Thangaraj (2018)
Solochrome cyanine: A histological stain for cobalt-chromium wear particles in metal-on-metal periprosthetic tissues
Ioanna Papadimitriou-Olivgeri (2019)
James Robert Berstock (2018)
Modern trunnion designs do not affect clinically significant patient-reported outcomes.
Ugonna N Ihekweazu (2019)
Fretting and Corrosion in Modular Shoulder Arthroplasty: A Retrieval Analysis
Johannes A Eckert (2016)
In vivo blood metal ion levels in patients after total shoulder arthroplasty.
Tobias Reiner (2019)
The effects of cobalt and chromium ions and nanoparticles on macrophage and fibroblast behaviour
Jing Xu (2018)
Exchangeable Femoral Neck (Dual-Modular) THA Prostheses Have Poorer Survivorship Than Other Designs: A Nationwide Cohort of 324,108 Patients
Sandrine Colas (2017)
Enhanced stability in total hip arthroplasty
Hayeem L. Rudy (2018)
A case of bilateral hip mechanically assisted crevice corrosion after staged total hip arthroplasty
Carl L. Herndon (2018)
Revision of ASR hip arthroplasty: analysis of two hundred and ninety six recalled patients at seven years
Giovanni Benelli (2018)
The Local and Systemic Effects of Cobalt-Chromium Nanoparticles on the Human Body: The Implications for Metal-on-Metal Hip Arthroplasty
James Drummond (2017)
Bearing Surfaces for Total Hip Arthroplasty.
Paul F. Lachiewicz (2018)
A single parameter approach to enhance the microstructural and mechanical properties of beta Ti-Nb alloy via open-air fiber laser nitriding
Chi Wai Chan (2020)
The Great Need of a Biomechanical-Based Approach for Surgical Methods of Giant Cell Tumor: A Critical Review
Azadeh Ghouchani (2017)
Negative Influence of Biofilm on CoCrMo Corrosion.
Philip Chuang (2019)
Profound Trunnion Wear Resulting in Femoral Head-Neck Dissociation in Total Hip Arthroplasty
Saif Shamshoon (2018)
Low failure rate at short term for 40 mm heads and second generation triple annealed HCLPE liners in hybrid hip replacements.
Rajkumar Thangaraj (2019)
Molecular Mechanisms Involved in Interleukin-1β Release by Macrophages Exposed to Metal Ions from Implantable Biomaterials
Zeina Salloum (2018)
Results of primary THA using 36 mm femoral heads on first-generation highly cross-linked polyethylene in patients less than 60 years of age: Minimum 10-year follow-ups
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