综述：导致模块化股骨头解离的股骨柄松动症
Review: Trunnionosis leading to modular femoral head dissociation.
作者信息
Dutta Agneish, Nutt James, Slater Guy, Ahmed Syed
机构信息
Tunbridge Wells Hospital, Royal Tunbridge Wells, United Kingdom.
出版信息
J Orthop. 2021 Jan 30;23:199-202. doi: 10.1016/j.jor.2021.01.008. eCollection 2021 Jan-Feb.
Abstract
Component dissociation secondary to trunnionosis is rare, and its causes are multifactorial. It is a major complication of total hip replacement, in most cases requiring revision arthroplasty. In this paper, we present a case of taper/head modular interface dissociation in a metal-on-metal total hip replacement. We review the literature of both trunnionosis, as well as a systematic review of modular dissociation of the femoral component in total hip arthroplasty, identifying commonalities with our own case.
摘要
由于股骨柄腐蚀导致的部件分离很少见，其病因是多因素的。它是全髋关节置换术的一种主要并发症，在大多数情况下需要进行翻修关节成形术。在本文中，我们报告了一例金属对金属全髋关节置换术中锥度/股骨头模块化界面分离的病例。我们回顾了股骨柄腐蚀的相关文献，以及对全髋关节置换术中股骨部件模块化分离的系统综述，确定了与我们自己病例的共性。
相似文献
1
Review: Trunnionosis leading to modular femoral head dissociation.
J Orthop. 2021 Jan 30;23:199-202. doi: 10.1016/j.jor.2021.01.008. eCollection 2021 Jan-Feb.
2
Gross trunnion failure in an elderly obese patient presenting 10 years after total hip arthroplasty with a cobalt chromium femoral head: A case report.
Int J Surg Case Rep. 2024 May;118:109525. doi: 10.1016/j.ijscr.2024.109525. Epub 2024 Mar 16.
3
Trunnionosis in total hip arthroplasty: a review.
J Orthop Traumatol. 2016 Mar;17(1):1-6. doi: 10.1007/s10195-016-0391-1. Epub 2016 Feb 11.
4
Clinical Impact of Trunnion Wear After Total Hip Arthroplasty.
JBJS Rev. 2016 Aug 23;4(8). doi: 10.2106/JBJS.RVW.15.00096.
5
Does the Additional Articulation in Retrieved Bipolar Hemiarthroplasty Implants Decrease Trunnionosis Compared to Total Hip Arthroplasty?
J Arthroplasty. 2018 Jan;33(1):268-272. doi: 10.1016/j.arth.2017.08.027. Epub 2017 Aug 31.
6
Spontaneous modular femoral head dissociation complicating total hip arthroplasty.
Orthopedics. 2014 Jun;37(6):e592-5. doi: 10.3928/01477447-20140528-62.
7
Trunnionosis in metal-on-polyethylene total hip arthroplasties: Report two cases.
Int J Surg Case Rep. 2023 Aug;109:108623. doi: 10.1016/j.ijscr.2023.108623. Epub 2023 Aug 3.
8
Gross trunnion failure after a metal-on-polyethylene total hip arthroplasty leading to dissociation at the femoral head-trunnion interface.
Arthroplast Today. 2019 Mar 13;5(1):5-10. doi: 10.1016/j.artd.2019.02.001. eCollection 2019 Mar.
9
A case example and literature review of catastrophic wear before catastrophic failure: identification of trunnionosis and metallosis in metal-on-polyethylene hip arthroplasty prior to frank failure or fracture.
Eur J Orthop Surg Traumatol. 2019 Apr;29(3):711-715. doi: 10.1007/s00590-018-2333-5. Epub 2018 Oct 29.
10
Trunnionosis: Does Head Size Affect Fretting and Corrosion in Total Hip Arthroplasty?
J Arthroplasty. 2016 Oct;31(10):2332-6. doi: 10.1016/j.arth.2016.03.009. Epub 2016 Mar 18.
引用本文的文献
1
Trace Elements-Role in Joint Function and Impact on Joint Diseases.
Int J Mol Sci. 2025 Aug 2;26(15):7493. doi: 10.3390/ijms26157493.
2
Mechanical Considerations and Clinical Implications of Joint Arthroplasty Metallosis.
Cureus. 2024 Dec 29;16(12):e76592. doi: 10.7759/cureus.76592. eCollection 2024 Dec.
3
Trunnionosis and prosthesis dissociation after total hip arthroplasty.
Radiol Case Rep. 2024 Jan 20;19(4):1506-1508. doi: 10.1016/j.radcr.2024.01.015. eCollection 2024 Apr.
4
Trunnionosis in Metal-on-Polyethylene Total Hip Arthroplasty With Periprosthetic Infection: A Case Report.
Cureus. 2023 Nov 25;15(11):e49401. doi: 10.7759/cureus.49401. eCollection 2023 Nov.
5
Large head metal-on-metal bearing surface with a TMZF titanium alloy femoral stem with high rates of revision and trunnion failure.
J Orthop. 2023 Nov 7;46:164-168. doi: 10.1016/j.jor.2023.11.002. eCollection 2023 Dec.
6
Low dislocation rates with the use of patient specific "Safe zones" in total hip arthroplasty.
J Orthop. 2021 Aug 21;27:41-48. doi: 10.1016/j.jor.2021.08.009. eCollection 2021 Sep-Oct.
本文引用的文献
1
Catastrophic failure of the Accolade I hip arthroplasty stem: a retrieval analysis study.
Hip Int. 2020 Jul;30(4):481-487. doi: 10.1177/1120700020919665. Epub 2020 Apr 23.
2
Femoral head disengagement from Accolade femoral stem in MOM Arthroplasty: a case study and literature review.
SICOT J. 2019;5:30. doi: 10.1051/sicotj/2019030. Epub 2019 Aug 20.
3
Effect of impact assembly on the interface deformation and fretting corrosion of modular hip tapers: An in vitro study.
J Orthop Res. 2018 Jan;36(1):405-416. doi: 10.1002/jor.23601. Epub 2017 Jun 26.
4
Increased Femoral Head Offset is Associated With Elevated Metal Ions in Asymptomatic Patients With Metal-on-Polyethylene Total Hip Arthroplasty.
J Arthroplasty. 2016 Dec;31(12):2814-2818. doi: 10.1016/j.arth.2016.05.047. Epub 2016 Jun 1.
5
Late Disassembly of Femoral Head and Neck of A Modular Primary Total Hip Arthroplasty.
J Orthop Case Rep. 2015 Jan-Mar;5(1):8-10. doi: 10.13107/jocr.2250-0685.243.
6
Trunnionosis in total hip arthroplasty: a review.
J Orthop Traumatol. 2016 Mar;17(1):1-6. doi: 10.1007/s10195-016-0391-1. Epub 2016 Feb 11.
7
Adverse local tissue reactions in metal-on-polyethylene total hip arthroplasty due to trunnion corrosion: the risk of misdiagnosis.
Bone Joint J. 2015 Aug;97-B(8):1024-30. doi: 10.1302/0301-620X.97B8.34682.
8
Otto Aufranc Award: Large Heads Do Not Increase Damage at the Head-neck Taper of Metal-on-polyethylene Total Hip Arthroplasties.
Clin Orthop Relat Res. 2016 Feb;474(2):330-8. doi: 10.1007/s11999-015-4468-6.
9
Taperosis: Does head length affect fretting and corrosion in total hip arthroplasty?
Bone Joint J. 2015 Jul;97-B(7):911-6. doi: 10.1302/0301-620X.97B7.35149.
10
Effect of Taper Design on Trunnionosis in Metal on Polyethylene Total Hip Arthroplasty.
J Arthroplasty. 2015 Jul;30(7):1269-72. doi: 10.1016/j.arth.2015.02.031. Epub 2015 Feb 28.
Zotero 插件