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J Orthop Res. 2013 Dec;31(12):2032-9. doi: 10.1002/jor.22461. Epub 2013 Aug 21.

Enhanced wear and corrosion in modular tapers in total hip replacement is associated with the contact area and surface topography.

Author information

1
Institute of Orthopaedics and Musculo-Skeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, United Kingdom.

Abstract

Widespread concern exists about adverse tissue reactions after metal-on-metal (MoM) total hip replacement (THR). Concerns have also been expressed with wear and corrosion of taper junctions in THR. We report the effect of surface finish and contact area associated with a single combination of materials of modular tapers. In an in vitro test, we investigated the head/neck (CoCrMo/Ti) interface of modular THRs using commercially available heads. Wear and corrosion of taper surfaces was compared following a 10 million loading cycle. Surface parameters and profiles were measured before and after testing. Electrochemical static and dynamic corrosion tests were performed under loaded and non-loaded conditions. After the load test, the surface roughness parameters on the head taper were significantly increased where the head/neck contact area was reduced. Similarly, the surface roughness parameters on the head taper were significantly increased where rough neck tapers were used. Corrosion testing showed breaching of the passive film on the rough but not the smooth neck tapers. Thus, surface area and surface finish are important factors in wear and corrosion at modular interfaces.

KEYWORDS:

corrosion; metal on metal; modular taper; total hip replacement; wear

PMID:
23966288
DOI:
10.1002/jor.22461
[Indexed for MEDLINE]
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