Early Outcomes of Revision Surgery for Taper Corrosion of Dual Taper Total Hip Arthroplasty in 187 Patients

The Journal of Arthroplasty
Dimitris DimitriouYoung-Min Kwon

Abstract

Modular dual taper femoral neck designs have been associated with taper corrosion requiring revision surgery. However, outcomes after revision dual taper total hip arthroplasty in patients with symptomatic adverse local tissue reaction due to taper corrosion remain largely unknown. A total of 198 revision surgeries in 187 patients with dual taper femoral stem total hip arthroplasty with minimum 12-month follow-up were evaluated. At mean follow-up of 18 months, at least 1 complication had occurred in 39 patients (20%) of 198 revisions. Single episode of dislocation, treated with close reduction, occurred in 16, whereas 2 patients required rerevision due to multiple dislocations. Infection requiring rerevision occurred in 3 patients. Adverse local tissue reaction recurrence requiring reoperation occurred in 6 patients. Implant survivorship for revision for any cause was 86% at 30 months. The reoperation rate of revised dual taper was 8% (16 out of 198 hips). The median serum levels of cobalt, chromium, and cobalt/chromium ratio decreased (P < .01) from 5.3 μg/L (range: 2.3-48.5 μg/L), 2.6 μg/L (range: 0.2-64 μg/L), and 4.7 (range: 2.1-35) prerevision to 1.4 μg/L (range: 0.2-8.8 μg/L), 0.7 μg/L (range: 0.1-3.9 μg/L), and 2.2 (rang...Continue Reading

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Citations

Jul 23, 2016·The Journal of Arthroplasty·Young-Min KwonMing Han Lincoln Liow
Mar 2, 2018·Acta Orthopaedica·Gulraj S MatharuDavid W Murray
Oct 3, 2018·The Journal of Bone and Joint Surgery. American Volume·Anna Di LauraAlister J Hart
May 10, 2020·Archives of Orthopaedic and Trauma Surgery·Julian HaslerAlexander Antoniadis
Aug 17, 2018·Annals of Biomedical Engineering·Dominic MahWilliam Robert Walsh
Aug 9, 2019·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Carl T TalmoDaniel M Ward
Mar 20, 2020·World Journal of Orthopedics·Bhumit R DesaiGeorge F Chimento
Apr 11, 2021·Archives of Orthopaedic and Trauma Surgery·Christian KlemtYoung-Min Kwon

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