TY - JOUR
T1 - Evidence-Based Management of Trunnionosis in Metal-on-Polyethylene Total Hip Arthroplasty
T2 - A Systematic Review
AU - Sultan, Assem A.
AU - Cantrell, William A.
AU - Khlopas, Anton
AU - Berger, Ryan J.
AU - Sodhi, Nipun
AU - Molloy, Robert M.
AU - Krebs, Viktor E.
AU - Mont, Michael A.
N1 - Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2018/10
Y1 - 2018/10
N2 - Multiple recent reports have indicated a rising awareness of trunnionosis-related implant failures, accounting for up to 3% of all total hip arthroplasty revisions. Moreover, aseptic loosening and osteolysis from local release of metal debris can be the presenting manifestations, and thus the true incidence of trunnionosis is thought to be underreported. Furthermore, the relatively unclear and multifactorial pathogenesis and the widely variable clinical presentations pose a diagnostic challenge. A consensus regarding the ideal intervention and its timing is also lacking. Because of the relative paucity of reports regarding the diagnosis and management of trunnionosis, we conducted this evidence-based review to evaluate the (1) incidence, (2) pathogenesis, (3) diagnosis, and (4) treatment of trunnionosis in metal-on-polyethylene total hip arthroplasty. We then propose an algorithm for the diagnostic work-up and management of this condition.
AB - Multiple recent reports have indicated a rising awareness of trunnionosis-related implant failures, accounting for up to 3% of all total hip arthroplasty revisions. Moreover, aseptic loosening and osteolysis from local release of metal debris can be the presenting manifestations, and thus the true incidence of trunnionosis is thought to be underreported. Furthermore, the relatively unclear and multifactorial pathogenesis and the widely variable clinical presentations pose a diagnostic challenge. A consensus regarding the ideal intervention and its timing is also lacking. Because of the relative paucity of reports regarding the diagnosis and management of trunnionosis, we conducted this evidence-based review to evaluate the (1) incidence, (2) pathogenesis, (3) diagnosis, and (4) treatment of trunnionosis in metal-on-polyethylene total hip arthroplasty. We then propose an algorithm for the diagnostic work-up and management of this condition.
KW - management
KW - metal-on-polyethylene
KW - taper corrosion
KW - total hip arthroplasty
KW - trunnionosis
UR - http://www.scopus.com/inward/record.url?scp=85048779631&partnerID=8YFLogxK
U2 - 10.1016/j.arth.2018.05.035
DO - 10.1016/j.arth.2018.05.035
M3 - Review article
C2 - 29929829
AN - SCOPUS:85048779631
SN - 0883-5403
VL - 33
SP - 3343
EP - 3353
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 10
ER -