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Updated: Feb 16, 2026

Principles of Rodent Surgery for the New Surgeon
Published on: January 6, 2011
Trunnion corrosion: what surgeons need to know in 2018
J R Berstock1, M R Whitehouse1, C P Duncan2
1Musculoskeletal Research Unit, Bristol Medical School, 1st Floor Learning & Research Building, Southmead Hospital, Bristol BS10 5NB, UK.
Aims:
To present a surgically relevant update of trunnionosis.
Materials And Methods:
Systematic review performed April 2017.
Results:
Trunnionosis accounts for approximately 2% of the revision total hip arthroplasty (THA) burden. Thinner (reduced flexural rigidity) and shorter trunnions (reduced contact area at the taper junction) may contribute to mechanically assisted corrosion, exacerbated by high offset implants. The contribution of large heads and mixed metallurgy is discussed.
Conclusion:
Identifying causative risk factors is challenging due to the multifactorial nature of this problem. Cite this article: Bone Joint J 2018;100-B(1 Supple A):44-9.
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