scholarly journals Analysis of the Stem-Sleeve Interface in a Modular Titanium Alloy Femoral Component for Total Hip Replacement

2000 ◽  
Author(s):  
S. M. Kurtz ◽  
S. Srivastav ◽  
K. Dwyer ◽  
J. Ochoa ◽  
S. Brown

Abstract Modular femoral components for total hip arthroplasty have been clinically available since the 1980s. Despite the widespread use of interlocking tapers in hip prostheses, researchers have raised concerns about fretting, which has been clinically observed at the tapered modular interface of retrieved femoral heads and the trunions, as well as at the stem-sleeve junctions of retrieved femoral stems. Fretting can lead to degradation of the modular interfaces by the mechanisms of fretting wear, fretting corrosion, and fretting fatigue, all of which have potentially negative consequences for a total hip arthroplasty.


Author(s):  
Finn E. Donaldson ◽  
James C. Coburn

Several modern Total Hip Arthroplasty (THA) implants have been associated with increased release of metallic debris through combined mechanical fretting wear and chemical corrosion. These particles can lead to painful Adverse Reaction to Metallic Debris, often requiring early revision [1]. While much research has focused on improving the performance of bearing surfaces, the key parameters driving release of metallic debris at modular junctions remains unclear.





2020 ◽  
Vol 4 (04) ◽  
pp. 155-157
Author(s):  
Michael Newman ◽  
David Hartwright

AbstractThe aim of this study was to assess a large, single-surgeon dataset of uncemented total hip arthroplasties that had been templated using software. This assessment compared preoperative templated predictions with what was implanted with regard to (1) femoral prosthesis size and (2) acetabular cup size. The operation notes for two types of uncemented total hip arthroplasty performed by a single surgeon between January 9, 2008, and March 21, 2019, were assessed. The data were refined so that only those that were fully templated on a correctly calibrated pelvic radiograph were included. This provided a total of 153 cases. The predicted software template was compared with actual implanted component sizes. With regard to the femoral stems, the templating software was exactly correct in 45.75% of cases and was accurate to within one size in 87.59% of cases. With regard to the acetabular component, the templating software was exactly correct in 52.94% of cases and was accurate to within one size (2 mm) in 86.94% of cases. Templating software offers an accurate prediction of the size of uncemented femoral and acetabular components. In addition, the benefits of templating include cognitive rehearsal, insight into potentially challenging aspects of surgery, and highlighting intraoperative issues where there is a large intraoperative deviation from what is templated. This study demonstrates the congruence and reproducibility of templating software when compared with other smaller studies performed in the literature.



1997 ◽  
Vol 2 (3) ◽  
pp. 166-170 ◽  
Author(s):  
Yasutaka Matsuda ◽  
Takashi Nakamura ◽  
Kazuhiro Ido ◽  
Masanori Oka ◽  
Hideo Okumura ◽  
...  


1981 ◽  
Vol &NA; (157) ◽  
pp. 215???224
Author(s):  
WILLIAM H. HARRIS ◽  
JOHN R. ALLEN




Orthopedics ◽  
1978 ◽  
Vol 1 (4) ◽  
pp. 291-293
Author(s):  
Michael S Zeide ◽  
James Pugh ◽  
William L Jaffe


2010 ◽  
Vol 20 (2) ◽  
pp. 261-264 ◽  
Author(s):  
Tae-Young Kim ◽  
Kee-Byoung Lee ◽  
Duck-Joo Kwon ◽  
Yong-Chan Ha ◽  
Kyung-Hoi Koo


2001 ◽  
Vol 16 (8) ◽  
pp. 49-54 ◽  
Author(s):  
Thomas H. Mallory ◽  
Adolph V. Lombardi ◽  
Joseph R. Leith ◽  
Hiroshi Fujita ◽  
Jodi F. Hartman ◽  
...  


1989 ◽  
Vol &NA; (249) ◽  
pp. 122???128 ◽  
Author(s):  
HAJIME SUGIYAMA ◽  
LEO A. WHITESIDE ◽  
ARIC D. KAISER


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