NDLI: Effect of Taper Design on Trunnionosis in Metal on Polyethylene Total Hip Arthroplasty.

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Effect of Taper Design on Trunnionosis in Metal on Polyethylene Total Hip Arthroplasty.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tan, Sok Chuen Teeter, Matthew G. Del Balso, Christopher Howard, James L. Lanting, Brent A.
Description	Country affiliation: Canada Author Affiliation: Tan SC ( Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada.); Teeter MG ( Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada); Del Balso C ( Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada.); Howard JL ( Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada.); Lanting BA ( Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada.)
Abstract	This study examines how taper design affects corrosion and fretting at the head trunnion surface. All hip prostheses retrieved between 1999 and 2013 with 28mm/+0 heads were selected, resulting in 44 cobalt-chrome-on-polyethylene implants, representing six taper designs. Mean implantation time: 8.9±3.7years. The femoral head tapers were scored for fretting and corrosion using the Goldberg scale as both a combined score and by three zones (apex, central and base). There was no difference in age (P=0.34), BMI (P=0.29), or implantation time (P=0.19) between taper groups. The 11/13 taper had the highest combined corrosion and fretting score, but no difference (P=0.22) between groups for combined scores (P=0.22 for corrosion, P=0.19 for fretting). In a zone-specific analysis, the 11/13 taper had highest corrosion score at base zone (P=0.02). Taper design had a significant effect on corrosion at base of trunnion.
File Format	HTM / HTML
ISSN	08835403
Issue Number	7
Volume Number	30
e-ISSN	15328406
Journal	The Journal of Arthroplasty
Language	English
Publisher	Elsevier
Publisher Date	2015-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Instrumentation Cobalt Chemistry Femur Head Surgery Hip Prosthesis Metals Polyethylene Prosthesis Design Aged Aged, 80 And Over Chromium Alloys Corrosion Female Humans Male Middle Aged Prosthesis Failure Torque Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine

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