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Basic Science
intermediate
X-Type

Corrosion Mechanisms in Orthopaedic Implants

Biomaterials

A 58-year-old woman presents 3 years after total hip arthroplasty with a modular cobalt-chromium femoral head on a titanium stem. She reports progressive groin pain and a recent onset of clicking sensation. Serum cobalt and chromium levels are elevated. MRI shows a large fluid collection around the hip with metallosis. Revision surgery reveals significant corrosion at the head-neck taper junction. Regarding corrosion mechanisms in orthopaedic implants:

Mark each as TRUE or FALSE

A

Fretting corrosion occurs at modular junctions (head-neck taper, stem-neck junction) where micromoti...

B

Galvanic corrosion occurs when two dissimilar metals are coupled in an electrolyte (body fluid); the...

C

Corrosion only occurs with metal-on-metal bearings; titanium alloys are immune to corrosion; smaller...

D

Crevice corrosion occurs in confined spaces (under screw heads, in modular junctions) where oxygen c...

E

Clinical consequences of implant corrosion include adverse local tissue reactions (ALTR/ARMD), pseud...

Answer the questions to see explanations

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