Revision for taper corrosion at the neck-body junction following total hip arthroplasty: pearls and pitfalls

Mitchell C. Weiser, Darwin D. Chen

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

The management of the patient with a recalled, modular neck-body total hip arthroplasty can be complex, as it involves a combination of clinical, technical, and medicolegal challenges. Management begins with a thorough history and physical exam, radiographic evaluation, infection workup, and serum metal ion levels. Three-dimensional imaging is obtained based on patient symptomatology and metal ion levels and is used to evaluate for the presence of an adverse local tissue response as well as the integrity of the existing soft tissue envelope. The decision to perform revision surgery is based on a combination of patient symptomatology, laboratory values, and imaging findings. Revision surgery involves the entire armamentarium of femoral revision techniques, and the acetabulum may need to be revised at the surgeon’s discretion. The femoral implant can often be removed without disrupting the femoral bone envelope; however, the surgeon should have a low threshold to perform an extended trochanteric osteotomy.

Original languageEnglish (US)
Pages (from-to)75-83
Number of pages9
JournalCurrent Reviews in Musculoskeletal Medicine
Volume9
Issue number1
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

Keywords

  • Adverse local tissue reaction
  • Corrosion
  • Modular neck
  • Revision hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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