Fretting Wear and Corrosion-Related Risk Factors in Total Hip Replacement: A Literature Review on Implant Retrieval Studies and National Joint Replacement Registry Reports

Abstract

Fretting corrosion is a known failure mechanism of total hip replacement (THR) that can lead to revision surgery. Implant retrieval studies have thoroughly documented the occurrence of fretting corrosion in THR implants and its correlation with implant- and patient-related factors. Although implant retrieval studies benefit both clinicians and implant manufacturers, the limitations of these types of studies need to be acknowledged. For example, while some factors are routinely investigated for a possible correlation with failure due to fretting corrosion, other factors are often assumed to have no effect. To improve on these limitations, this review investigates the most significant patient- and implant-related risk factors for fretting corrosion of THR implants for both published retrieval studies and joint replacement registries. The findings and limitations are discussed critically. It is concluded that retrieval studies add significant insight into implant failure mechanisms and should be used in conjunction with joint replacement registry reports. It is suggested that the development of reliable predictive models based on implant failure risk factors and decision-making support systems could lead to enhanced implant longevity.

Comparative evaluation of antimicrobial efficacy of different combinations of calcium hydroxide against Enterococcus faecalis

“…The reason might be due to the enhanced stability of calcium ion binding to the surface of chitosan nanoparticles. Similar results were also observed in the study by Archana et al [70].…”

“…Savita et al reported that both agents showed the highest bacterial reduction against E. faecalis in case of persistent infections [69]. Literature evidence has also shown that 2% CHX to be more efficient in bacterial reduction than 2% chitosan [70]. The reason might be due to the increased diffusion of CHX into the dentinal tubules [48,71,72].…”

Does hormone replacement therapy impact implant osseointegration in females- A systematic review and meta-analysis

“…However, the effects of HRT on implant osseointegration specifically have not been extensively studied. Previous investigations examining the relationship between HRT and implant outcomes have yielded conflicting results ( Chhikara et al, 2023 , Ghadirinejad et al, 2023 , Soegiantho et al, 2023 , Wellington et al, 2023 ). Some studies suggest a detrimental impact of HRT on implant osseointegration, while others report no significant association ( Giro et al, 2007 , Giro et al, 2008 , Seratiuk Flores et al, 2023 ).…”