Method of characterizing fretting and corrosion at the various taper connections of retrieved modular components from metal-on-metal total hip arthroplasty

Genymphas B. Higgs, Josa A. Hanzlik, Daniel W. MacDonald, William M. Kane, Judd S. Day, Gregg R. Klein, Javad Parvizi, Michael A. Mont, Matthew J. Kraay, John M. Martell, Jeremy L. Gilbert, Clare M. Rimnac, Steven M. Kurtz

Research output: Chapter in Book/Entry/PoemConference contribution

30 Scopus citations

Abstract

The purpose of this study was to determine the suitability of a fretting and corrosion scoring method for nondestructive evaluation of metal-on-metal (MOM) total hip systems. One hundred six (106) MOM bearing systems were collected between 2003 and 2012 in an NIH- supported, multi-institutional retrieval program. From these, 76 heads and 31 stems (22 modular necks) of 7 different bearing designs (5 manufacturers) were available for analysis, along with 10 modular CoCr acetabular liners and 5 corresponding acetabular shells. Explants were cleaned and scored at the head taper, stem taper, male neck taper (for modular stems), liner, and shell interfaces in accordance with the semi-quantitative method adapted from a previously published technique. Fretting and corrosion were observed on 68 of 76 (89 %) head tapers, 21 of 31 (68 %) stem tapers, 20 of 22 (91 %) male neck tapers, 10 of 10 (100 %) modular liners and 5 of 5 (100 %) modular shells. Adaptation of the method developed by Goldberg and colleagues is suitable for the variety of modular connections in contemporary MOM THA implants, which may incorporate modular femoral and/or acetabular components. These results support the inclusion of fretting and corrosion evaluation in standardized MOM retrieval inspection protocols.

Original languageEnglish (US)
Title of host publicationMetal-on-Metal Total Hip Replacement Devices
PublisherASTM International
Pages146-156
Number of pages11
ISBN (Print)9780803175464
DOIs
StatePublished - 2013
EventASTM Symposium on Metal-on-Metal Total Hip Replacement Devices - Phoenix, AZ, United States
Duration: May 8 2012May 8 2012

Publication series

NameASTM Special Technical Publication
Volume1560 STP
ISSN (Print)0066-0558

Other

OtherASTM Symposium on Metal-on-Metal Total Hip Replacement Devices
Country/TerritoryUnited States
CityPhoenix, AZ
Period5/8/125/8/12

Keywords

  • Corrosion
  • Fretting
  • Metal-on-metal (MOM)
  • Modularity
  • Mom
  • Total hip arthroplasty (THA)

ASJC Scopus subject areas

  • General Materials Science

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