Achilles Allograft Reconstruction for Recurrent Dislocation in Total Hip Arthroplasty

Warmerdam, Jennifer M. Van; McGann, William A.; Donnelly, J.R.; Kim, John; Welch, Richard B.

doi:10.1016/j.arth.2010.12.014

Cited by 16 publications

(13 citation statements)

References 29 publications

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“…In their series of 10 patients, 6 had complete elimination of instability at 3-year follow up. Recently Van Warmerdam et al [82] described the use of an Achilles autograft sling to improve hip stability. In their series of 8 patients, 7 patients had no recurrent instability with maintenance of good postoperative range of motion at an average of 5 years' follow-up.…”

Section: Soft Tissue Reinforcementmentioning

confidence: 99%

Instability after total hip arthroplasty

Werner

Brown

2012

WJO

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Instability following total hip arthroplasty (THA) is an unfortunately frequent and serious problem that requires thorough evaluation and preoperative planning before surgical intervention. Prevention through optimal index surgery is of great importance, as the management of an unstable THA is challenging even for an experienced joints surgeon. However, even after well-planned surgery, a significant incidence of recurrent instability still exists. Non-operative management is often successful if the components are well-fixed and correctly positioned in the absence of neurocognitive disorders. If conservative management fails, surgical options include revision of malpositioned components; exchange of modular components such as the femoral head and acetabular liner; bipolar arthroplasty; tripolar arthroplasty; use of a larger femoral head; use of a constrained liner; soft tissue reinforcement and advancement of the greater trochanter.

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Section: Soft Tissue Reinforcementmentioning

confidence: 99%

Instability after total hip arthroplasty

Werner

Brown

2012

WJO

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“…12,13 Several other studies also have shown that the hip capsule influences biomechanical and clinical stability in patients after total hip arthroplasty. [14][15][16][17] Cooper et al 18 found that the thickest parts of the capsule in the acetabular origin are posterosuperior and superolateral and anterior at the femoral insertion. Bayne et al 19 performed a rotation and translation test in 13 cadavers before and after transverse capsulotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Capsular Reconstruction (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) 7. Preparing the capsular surface comprises 2 procedures: debridement of the scar tissue where the capsule once was and decortication of the acetabular and femoral beds for a better graft incorporation.…”

Section: Diagnostic Arthroscopy and Treatment To Address Pathology (5-6)mentioning

confidence: 99%

Arthroscopic Capsular Reconstruction of the Hip With Acellular Dermal Extracellular Matrix: Surgical Technique

Perets

Hartigan

Walsh

et al. 2016

Arthroscopy Techniques

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Atraumatic instability of the hip has become an increasingly studied occurrence in recent years. There are several established surgical techniques that help restore stability of the native hip joint. In some cases, these procedures are not an option. As the phenomenon has become recognized more frequently, a greater number of revision surgeries are warranted in patients with ligamentous laxity. A durable solution for irreparable microinstability needs to be formulated to address this vulnerable patient demographic. We describe the surgical technique for capsular reconstruction with acellular dermal extracellular matrix.

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“…Reported methods of soft tissue reinforcement or reconstruction to treat dislocated THA due to a soft tissue defect include reinforcement with an Achilles tendon allograft (29,30) or an iliotibial band graft (31), as well as reinforcement with an artificial ligament (32,33). The methods of soft tissue reinforcement used to treat posterior dislocation can be broadly divided into 2 types.…”

Section: Discussionmentioning

confidence: 99%

“…The 1 st is to use a tissue graft or artificial ligament as reinforcement between the ischium or the posterior acetabulum and the posterior greater trochanter, thus preventing dislocation by limiting hip internal rotation (29,31). The other method involves reinforcement from the posterior acetabulum to the anterior greater trochanter via behind the stem-neck, preventing dislocation by encouraging the formation of fibrous tissue to replace the posterior joint capsule and stabilizing the femoral head (30).…”

Section: Discussionmentioning

confidence: 99%

Soft tissue reinforcement with a Leeds-Keio artificial ligament in revision surgery for dislocated total hip arthroplasty

et al. 2017

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soft tissue around hip joint have an important relation to the stability of THA, its repair to prevent dislocation is recommended not only after revision THA (19-22) as well as after primary THA (23-28). Patients with joint laxity or soft tissue defects are particularly prone to failure to recover despite treatment for dislocated THA (19, 23). We have been carrying out soft tissue reinforcement with the Leeds-Keio (LK) artificial ligament to treat intractable dislocation after THA in cases in which soft tissue defects have contributed to postoperative dislocation. Here we describe this procedure and its therapeutic outcomes. Materials and methods Patients Between January 2006 and June 2015, primary THA and revision THA were carried out for 2,667 hips at our hospital and related hospitals by the 1 st author (S.A.). Although dislocation was occurred in 46 hips in 46 patients, 23 hips were treated conservatively, and the remaining 23 hips underwent revision surgery for dislocated THA. In the same period, 30 hips of 30 patients who underwent THA primarily in other

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Achilles Allograft Reconstruction for Recurrent Dislocation in Total Hip Arthroplasty

Cited by 16 publications

References 29 publications

Instability after total hip arthroplasty

Instability after total hip arthroplasty

Arthroscopic Capsular Reconstruction of the Hip With Acellular Dermal Extracellular Matrix: Surgical Technique

Soft tissue reinforcement with a Leeds-Keio artificial ligament in revision surgery for dislocated total hip arthroplasty

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