title: Corrosion at the interface. A possible solution to cobalt-chrome heads on titanium alloy stems.
abstract: The low-wear characteristics of cobalt-chrome femoral heads matched with the excellent biocompatibility and low modulus of titanium alloy femoral stems constitute the preferred combination used by many orthopaedic surgeons performing total hip arthroplasty. The combination of these materials in a synovial fluid environment, however, has proven to result in extensive crevice corrosion and metallosis of the surrounding tissues. This study investigates an alternative to the conventional mating of dissimilar metals at the head-neck junction. Five cobalt-chrome heads premated with titanium alloy sleeves were investigated by gross examination, dissecting microscopy, and scanning electron microscopy. Examination by both gross examination and dissecting microscope revealed no signs of corrosion. Scanning electron microscope examination revealed slight crevice corrosion in the only head with a +15-mm neck length.
authors.affiliation: Department of Orthopaedic Research, University of California, Davis 95817, USA.
authors.forename: S A
authors.initials: SA
authors.lastname: Yerby
authors.forename: J K
authors.initials: JK
authors.lastname: Taylor
authors.forename: J
authors.initials: J
authors.lastname: Park
authors.forename: J F
authors.initials: JF
authors.lastname: Shackelford
mesh_terms: D000497:Alloys; D002858:Chromium Alloys; D003343:Corrosion; D006622:Hip Prosthesis; D006801:Humans; D008855:Microscopy, Electron, Scanning; D011183:Postoperative Complications / Q000473:pathology / Q000517:prevention & control*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D013499:Surface Properties; D014025:Titanium
chemical_list: D000497:Alloys; D002858:Chromium Alloys; D014025:Titanium