The clinical importance of material loss at the head–stem junction is unknown. Comparison of retrievals with different stem types can provide the opportunity to understand the importance of the taper junction. This was a case–control study involving 20 retrieved 36 mm metal-on-metal Pinnacle (DePuy) hips that were paired with either a Corail (n = 10) or S-ROM (n = 10) stem. The median head taper material loss rate for the Corail group was 0.238 (0.0002–2.178) mm3/year and was significantly greater than the S-ROM group (p = 0.042), which had a median material loss rate of 0.132 (0.015–0.518) mm3/year. The only significant difference between the groups was the stem taper roughness and length: this was rougher and shorter for the Corails. Long and smooth stem taper designs are preferred when used in conjunction with metal heads.
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