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Adult Reconstruction
advanced
X-Type

Trunnionosis and Taper Corrosion - Modular Junction ALTR

THA Complications

A 58-year-old woman presents 6 years after primary THA with a large-diameter (36mm) cobalt-chromium femoral head on a titanium alloy stem. She reports progressive hip pain and a recent sensation of instability. There is no history of dislocation. Radiographs show well-fixed components without loosening. Serum cobalt level is 15 μg/L (normal less than 1 μg/L). Regarding trunnionosis and taper corrosion:

Mark each as TRUE or FALSE

A

Trunnionosis refers to corrosion and mechanical wear at the modular head-neck junction (taper) of a ...

B

Risk factors for trunnionosis include larger head size (increased lever arm and torque), CoCr head o...

C

Trunnionosis only occurs with metal-on-metal bearings and never with metal-on-polyethylene articulat...

D

Metal debris from taper corrosion causes adverse local tissue reactions (ALTR) similar to MoM bearin...

E

This patient's presentation (progressive pain, instability sensation, elevated cobalt with well-fixe...

Answer the questions to see explanations

Click T (True) or F (False) for each option