Trunnion corrosion: what surgeons need to know in 2018

J R Berstock, M R Whitehouse, C P Duncan, J R Berstock, M R Whitehouse, C P Duncan

Abstract

Aims: To present a surgically relevant update of trunnionosis.

Materials and methods: Systematic review performed April 2017.

Results: Trunnionosis accounts for approximately 2% of the revision total hip arthroplasty (THA) burden. Thinner (reduced flexural rigidity) and shorter trunnions (reduced contact area at the taper junction) may contribute to mechanically assisted corrosion, exacerbated by high offset implants. The contribution of large heads and mixed metallurgy is discussed.

Conclusion: Identifying causative risk factors is challenging due to the multifactorial nature of this problem. Cite this article: Bone Joint J 2018;100-B(1 Supple A):44-9.

Keywords: Arthroplasty; Corrosion; Hip; Revision; Trunnionosis.

©2018 The British Editorial Society of Bone & Joint Surgery.

Figures

Fig. 1
Fig. 1
Study flow diagram: A total of 320 records were identified from searching the literature; two reviewers (JB and MW) independently screened the abstracts of these records to identify potentially relevant articles for inclusion in this review. After screening, 41 studies were included in this review and an additional 28 studies were identified via reference lists and other sources. There was no disagreement between reviewers.

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Source: PubMed

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