Custom titanium sleeve for surgical treatment of mechanically assisted crevice corrosion in the well-fixed, noncontemporary stem in total hip arthroplasty

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Presentation transcript:

Custom titanium sleeve for surgical treatment of mechanically assisted crevice corrosion in the well-fixed, noncontemporary stem in total hip arthroplasty Thomas Leibiger, Brian J. McGrory, MD, MS Arthroplasty Today Volume 1, Issue 4, Pages 107-110 (December 2015) DOI: 10.1016/j.artd.2015.10.001 Copyright © 2015 The Authors Terms and Conditions

Figure 1 Anteroposterior pelvis radiograph of a 52-year-old man with a revision metal-on-polyethylene bearing surface THA and new diagnosis of MACC. The acetabulum and femoral stem appear to be well fixed. Osteolysis associated with his prior surgery has not increased over time. Arthroplasty Today 2015 1, 107-110DOI: (10.1016/j.artd.2015.10.001) Copyright © 2015 The Authors Terms and Conditions

Figure 2 Drawing sent for surgeon approval of a custom titanium sleeve. Arthroplasty Today 2015 1, 107-110DOI: (10.1016/j.artd.2015.10.001) Copyright © 2015 The Authors Terms and Conditions

Figure 3 Intraoperative photograph of blackened trunnion associated with MACC (a), trunnion after cleaning and removal of discolored material (b), placement of a custom titanium sleeve onto the cleaned trunnion (c), and placement of Biolox Option (CeramTec, Plochingen, Germany) ceramic femoral head (d). Arthroplasty Today 2015 1, 107-110DOI: (10.1016/j.artd.2015.10.001) Copyright © 2015 The Authors Terms and Conditions

Figure 4 Anteroposterior pelvis radiograph of the patient after revision using a custom titanium sleeve for conversion to a ceramic femoral head. Arthroplasty Today 2015 1, 107-110DOI: (10.1016/j.artd.2015.10.001) Copyright © 2015 The Authors Terms and Conditions