Corrosion of Modular Dual-Mobility Acetabular Components Leading to Acetabular Bone Loss and Protrusio

Dual-mobility bearings are being increasingly utilized in total hip arthroplasty. Contemporary modular designs often feature inner cobalt-chromium liners that are seated in outer titanium acetabular shells. However, mating of these 2 dissimilar metals may lead to complications. We present a case rep...

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Bibliographic Details
Main Authors: JaeWon Yang, MD, Suhas P. Dasari, MD, Howard A. Chansky, MD, Nicholas M. Hernandez, MD
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Arthroplasty Today
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352344124002280
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Summary:Dual-mobility bearings are being increasingly utilized in total hip arthroplasty. Contemporary modular designs often feature inner cobalt-chromium liners that are seated in outer titanium acetabular shells. However, mating of these 2 dissimilar metals may lead to complications. We present a case report of a patient who was found to have osteolysis and acetabular protrusio due to an adverse local tissue reaction from corrosion between a cobalt-chromium liner and titanium acetabular shell that appeared to be well-seated clinically and radiographically. This case suggests that implant failure and associated adverse local tissue reactions may occur even in seemingly well-seated modular dual-mobility implants.
ISSN:2352-3441