scholarly journals ELECTROCHEMICAL METHOD OF FRETTING CORROSION TESTING IN MODULAR HIP PROSTHESES

Author(s):  
CLAUDIO T. DOS SANTOS ◽  
IEDA M. V. CAMINHA ◽  
WELLINGTON G. FERNANDES ◽  
MAURÍCIO J. MONTEIRO ◽  
PATRÍCIA O. CUBILLOS ◽  
...  
Author(s):  
Claudio T. dos Santos ◽  
Cassio Barbosa ◽  
Maurício J. Monteiro ◽  
Ibrahim C. Abud ◽  
Ieda M.V. Caminha ◽  
...  

2017 ◽  
Vol 27 (6) ◽  
pp. 523-531 ◽  
Author(s):  
Christian M. Wight ◽  
Brent Lanting ◽  
Emil H. Schemitsch

Introduction This systematic review seeks to summarise the published studies investigating prosthetic design, manufacture and surgical technique's effect on fretting corrosion at the head-neck taper connection, and provide clinical recommendations to reduce its occurrence. Methods PubMed, MEDLINE and EMBASE electronic databases were searched using the terms taper, trunnion, cone and head-neck junction. Articles investigating prosthetic design, manufacture and surgical technique's effect on fretting corrosion were retrieved, reviewed and graded according to OCEBM levels of evidence and grades of recommendation. Results The initial search yielded 1,224 unique articles, and 91 were included in the analysis. Conclusions There is fair evidence to recommend against the use of high offset femoral heads, larger diameter femoral heads, and to pay particular consideration to fretting corrosion's progression with time and risk with heavier or more active patients. Particular to metal-on-metal hip prostheses, there is fair evidence to recommend positioning the acetabular component to minimise edge loading. Particular to metal-on-polyethylene hip prostheses, there is fair evidence to recommend the use of ceramic femoral heads, against use of cast cobalt alloy femoral heads, and against use of low flexural rigidity femoral stems. Evidence related to taper connection design is largely conflicting or inconclusive. Head-neck taper connection fretting corrosion is a multifactorial problem. Strict adherence to the guidelines presented herein does not eliminate the risk. Prosthesis selection is critical, and well-controlled studies to identify each design parameter's relative contribution to head-neck taper connection fretting corrosion are required.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Liliana-Laura Badita ◽  
Virgil Florescu ◽  
Constantin Tiganesteanu ◽  
Lucian Capitanu

Purpose The study aims to analyze the fretting phenomenon, manifested at the taper junctions of modular total hip prostheses (THP). Modularity of prostheses implies the micro-movement occurrence. Fractures can arise as a result of the fretting cracking of the prostheses components, affecting durability of modular THPs. Fretting corrosion is associated with the decrease in the clinical acceptance of hip modular implants. Design/methodology/approach Starting from the fretting phenomenon influence on modularity, monoblock THPs and prostheses with modular femoral head recovered from some review surgeries were investigated. Modular prostheses have a taper junction femoral head – femoral stem neck. Investigation consisted in the analysis of fretting wear and fretting corrosion, of the femoral heads’ taper and of the femoral stems’ trunnions. Findings The main result was that the micro-movement that provokes the fretting of the femoral head-femoral stem taper junction analyzed does not have the same direction. It is manifesting in the direction of the axis of the femoral head taper, around this axis or as a composed movement. The authors suspect that this is due to the different design of the taper. In this way, the inclination of the stem’s trunnion into the head hole has a different angular misalignment and may cause greater damages of the taper. Originality/value This result can be a starting point from the improvement of the future taper junctions design that will improve the quality, durability and modularity of THPs.


Author(s):  
I. Caminha ◽  
C. R. M. Roesler ◽  
H. Keide ◽  
C. Barbosa ◽  
I. Abud ◽  
...  

Author(s):  
Satya Nambu ◽  
Richard Obert ◽  
Michael Roark ◽  
Eleonora Delvechhio ◽  
Doug Linton ◽  
...  

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