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A detailed investigation was performed to characterize the fretting wear and corrosion damage to the neck component of a CoCrMo stem from a metal-on-polyethylene implant retrieved after 99 months.
The ROM of THR is governed by the following five factors, (1) The prosthetic ROM (oscillation angle: obtained from company data), (2) cup abduction (3) cup anterior opening, (4) the angle of the femoral neck component from the horizontal plane, and (5) the femoral neck anteversion.
To prevent this complication, the femoral neck component should be impacted firmly onto the tapered stem base during the operation.
One candidate for this bud neck component is Cdc10p as it interacts with both Bud3p and Bni4p.
We hypothesize that high-levels of Bud3p may titrate an important bud neck component away, leading to disassociation of septin filaments from the bud neck.
Next the selected definite neck component was permanently seated on the proximal end of the stem.
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Modularity of femoral stems and neck components has become a more frequently used tool for an optimized restoration of the hip joint center and improvement of patient biomechanics.
The goal of this study was to evaluate: revision-free survival of these implants after a minimum follow-up of 5 years; clinical and radiographic results; and the potential complications associated with the use of modular titanium neck components.
In this regard, 6 neck components showed significant fretting, and crevice corrosion of the neck-stem taper with an average implantation time of 39 months compared with the remaining retrievals, which showed no corrosion with and average time in situ of 2.7 months.
Although they have been in use since the end of the 1980s, modular titanium neck components are associated with a risk of wear or fracture, and their safety has recently become a subject of debate and has never been evaluated in a consecutive series of patients.
Hence, these brain, head, and neck components form 3D "blocks".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com