Trunnionosis and prosthesis dissociation after total hip arthroplasty

Abstract

Femoral neck trunnion dissociations are rare complications of total hip replacements. This hardware failure is often due to underlying trunnionosis which is important to recognize. We present a case of a patient with dissociation at the femoral head-neck junction of a total hip arthroplasty (THA) with a Stryker Accolade TMZF femoral stem. There was no significant preceding trauma. The complication was visualized on radiography and confirmed during revision arthroplasty.

Keywords

• Trunnion failure
• Trunnion dissociation
• Total hip arthroplasty
• Stryker Accolade TMZF
• Trunnionosis
• Metallosis