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What do we know about taper corrosion in total hip arthroplasty?

The Journal of arthroplasty (2014-03-25)
J J Jacobs, H J Cooper, R M Urban, R L Wixson, C J Della Valle
ZUSAMMENFASSUNG

Mechanically assisted crevice corrosion (MACC) at metal/metal modular junctions in which at least one of the components is fabricated from cobalt-chromium alloy, has reemerged as a potential clinically significant complication in total hip arthroplasty. The clinical manifestation of MACC may include the development of an adverse local tissue reaction (ALTR), similar to what has been described in association with metal-on-metal bearing total hip and resurfacing arthroplasty. The clinical presentation of MACC-associated ALTRs may include pain and possibly late recurrent dislocations. Abnormal metal artifact reduction sequence magnetic resonance images and elevated serum metal levels (cobalt elevations out of proportion to chromium elevations) can be helpful in the diagnosis of these MACC-associated ALTRs.

MATERIALIEN
Produktnummer
Marke
Produktbeschreibung

Sigma-Aldrich
Chrom, powder, ≥99% trace metals basis, <45 μm
Sigma-Aldrich
Kobalt, powder, 2 μm particle size, 99.8% trace metals basis
Sigma-Aldrich
Kobalt, powder, <150 μm, ≥99.9% trace metals basis
Sigma-Aldrich
Chrom, powder, 99.5%, −100 mesh
Sigma-Aldrich
Kobalt, granular, 99.99% trace metals basis
Sigma-Aldrich
Chrom, chips, 99.995% trace metals basis
Sigma-Aldrich
Kobalt, Carbon coated magnetic, nanopowder, <50 nm particle size (TEM), ≥99%
Sigma-Aldrich
Kobalt, pieces, 99.5% trace metals basis
Sigma-Aldrich
Kobalt, foil, thickness 0.1 mm, 99.95% trace metals basis
Sigma-Aldrich
Kobalt, rod, diam. 5.0 mm, 99.95% trace metals basis
Sigma-Aldrich
Kobalt, wire, diam. 1.0 mm, 99.995% trace metals basis
Kobalt, foil, 100x100mm, thickness 2.0mm, as rolled, 99.9%
Sigma-Aldrich
Chrom, chips, thickness ~2 mm, 99.5%
Chrom, foil, light tested, 25x25mm, thickness 0.025mm, permanent polyester support, 99.99+%
Kobalt, foil, 100x100mm, thickness 1.0mm, as rolled, 99.9%
Sigma-Aldrich
Kobalt, foil, thickness 1.0 mm, 99.95% trace metals basis
Chrom, rod, 25mm, diameter 2.0mm, 99.7+%
Kobalt, foil, light tested, 25x25mm, thickness 0.01mm, 99.9%
Sigma-Aldrich
Kobalt, foil, thickness 0.1 mm, ≥99.99%
Kobalt, wire reel, 0.5m, diameter 0.05mm, hard, 99.9%
Chrom, rod, 10mm, diameter 2.0mm, 99.7+%
Kobalt, foil, 8mm disks, thickness 0.01mm, 99.9%
Kobalt, foil, 8mm disks, thickness 0.007mm, 99.9%
Chrom, microfoil, disks, 10mm, thinness 1.0μm, specific density 719μg/cm2, permanent mylar 3.5μm support, 99.99+%
Chrom, microfoil, disks, 25mm, thinness 1.0μm, specific density 719μg/cm2, permanent mylar 3.5μm support, 99.99+%
Kobalt, foil, 100x100mm, thickness 0.25mm, as rolled, 99.9%
Chrom, bar, 100mm x 2mm x 2mm, 99.7+%
Kobalt, foil, 4mm disks, thickness 0.015mm, 99.9%
Kobalt, foil, 8mm disks, thickness 0.009mm, 99.9%
Kobalt, foil, light tested, 25x25mm, thickness 0.0125mm, 99.9%