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Ann R Coll Surg Engl ; 104(5): e128-e132, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-34939858

RESUMEN

Total hip arthroplasty, one of the most successful orthopaedic procedures, is influenced by several variables. Corrosion at the modular junction is known as trunnionosis. Despite being reported infrequently, corrosion between the femoral head and the Morse taper can result in severe complications. Fracture of the femoral component in primary metal-on-metal (MoM) total hip arthroplasty at the Morse taper is an extremely rare event and can be associated with several risk factors. We report a case of corrosion at the Morse taper in a hybrid primary MoM total hip arthroplasty, resulting in Morse taper fracture with consequent femoral head entrapment inside the acetabular component. We hypothesise that some risk factors, such as age over 60years, active male patients, body mass index above 30kg/m2, large femoral heads, high-offset stems, 9/10 Morse taper and MoM-bearing surfaces, are associated with this mode of failure.


Asunto(s)
Artroplastia de Reemplazo de Cadera , Fracturas Óseas , Prótesis de Cadera , Prótesis Articulares de Metal sobre Metal , Artroplastia de Reemplazo de Cadera/efectos adversos , Artroplastia de Reemplazo de Cadera/métodos , Fracturas Óseas/etiología , Prótesis de Cadera/efectos adversos , Humanos , Masculino , Prótesis Articulares de Metal sobre Metal/efectos adversos , Metales , Persona de Mediana Edad , Diseño de Prótesis , Falla de Prótesis , Reoperación
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