Late failure of the polyethylene liner fixation in an uncemented total hip arthroplasty

Louwerse, R. T.; Heyligers, Ide C.

doi:10.1016/s0883-5403(99)90070-0

Cited by 30 publications

(10 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, rotation of the liner in the metal shell would probably cause this particular pattern of wear, as reported by others (Jasty and Harris 1990, Louwerse and Heyligers 1999, Della Valle et al 2001.…”

Section: Discussionsupporting

confidence: 52%

“…Standing or walking places a load on the hip joint that amounts to several times the body weight (Brien et al 1990, Louwerse andHeyligers 1999). During walking motions in the hip induce tangential friction forces.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, some authors have reported destruction and dislodgement of the liner after 3 or more years (Louwerse andHeyligers 1999, Della Valle et al 2001 ). We present 6 patients with liner dislocation within 3 years of hip replacement.…”

Section: Abstract -We Revised 6 Patien Ts W Ith Early D Estru Cmentioning

confidence: 99%

See 2 more Smart Citations

Dislocation of the polyethylene liner in hip arthroplasty

Niggemeyer¹,

Fink²,

Rüther³

2002

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Dislocation of the polyethylene liner in hip arthroplasty

Niggemeyer¹,

Fink²,

Rüther³

2002

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

“…In our cases, the average patient age at revision was 71 years. Hip dislocation and reduction of a dislocated hip also have been described as a possible risk factor for implant dissociation [17,21], and one of our patients had a history of dislocation and reduction.…”

Section: Discussionmentioning

confidence: 70%

Dissociation of the Harris-Galante II polyethylene liner in rheumatoid arthritis patients

Kobayashi

Inaba

Mochida

et al. 2005

J Orthopaed Traumatol

View full text Add to dashboard Cite

We investigated the dissociation of polyethylene liner from the Harris-Galante II metal shell inarthritis patients with rheumatoid arthritis. A total of 41 total hip arthroplasties using Harris-Galante II cup in 34 patients were reviewed retrospectively. There were three cases with dissociation of the polyethylene liner and locking tine breakage of metal shell, and one case with locking tine breakage without dissociation of the polyethylene liner. In three cases with dissociation of the polyethylene liner, two cups had been placed relatively horizontally while the third had been placed relatively vertically. In general, high activity, heavy body weight, and young age are thought to be risk factors for polyethylene liner dissociation, but these patients generally have lower activity and lighter body weight compared to patients with osteoarthritis or avascular necrosis of the femoral head. The use of small femoral heads and either horizontal or vertical cup placement may have allowed impingement and tine damage, contributing to liner dissociation in these relatively inactive patients.

show abstract

“…9,10 Después, se realizará la preparación de la superficie interior de la copa. Ante una superficie lisa pulida se deberá efectuar un escariado circunferencial con una fresa de alta velocidad no más profundo de 2 mm para evitar dañar el metal.…”

Section: Planificación Preoperatoria Y Técnica Quirúrgicaunclassified

Revisión acetabular con conservación del componente metálico osteointegrado y cementado de un componente de poliestireno. Reporte de una serie de 40 casos

Bidolegui¹,

Pereira²,

Lugones³

et al. 2013

Rev. Asoc. Arg. Ort. y Traumatol

View full text Add to dashboard Cite

Re ci bi do el 22-11-2012. Acep ta do lue go de la eva lua ción el 26-7-2013. Co rres pon den cia:Dr. FERNANDO M. BIDOLEGUI fbidolegui@gmail.com Re su menIn tro duc ción: Un escenario cada vez más frecuente en la cirugía de revisión protésica de la cadera es hallar un cotilo no cementado fijo con una falla del componente modular de polietileno. Una completa revisión acetabular se presenta como demasiado agresiva cuando el componente metálico es salvable. Cementar un nuevo inserto de polietileno dentro del componente acetabular metálico osteointegrado es una alternativa. Comunicamos los resultados con esta técnica, y sus indicaciones, el modo de realización y las posibles limitaciones. MaterialesyMétodos: Entre 2001 y 2011, se cementaron 40 componentes de polietileno dentro de copas no cementadas. Se evaluó radiológicamente y clínicamente a todos los pacientes. El motivo por el que se cementó un inserto fue falla o rotura de mecanismo de captura (11 casos; 27,5%), ganar estabilidad (18 casos; 45%) y falta de disponibilidad del inserto correspondiente (11 casos, 27,5%). Resultados:La tasa de duración del implante sin reoperación a 46 meses de seguimiento fue del 92%. Un paciente (2,4%) sufrió una infección, y dos presentaron inestabilidad (4,8%). No se presentaron aflojamientos hasta el últi-mo seguimiento. El puntaje preoperatorio y posoperatorio en la escala de Harris fue de 59 y 80, respectivamente. Conclusiones: Los datos técnicos por considerar para tener éxito son: utilizar un inserto de menor tamaño que el de la copa, cementar insertos texturizados y dejar siempre como mínimo un manto de cemento uniforme de 2 mm.Nuestros resultados preliminares cementando un inserto de polietileno dentro de una copa acetabular osteointegrada parecerían justificar esta técnica de revisión en pos de prevenir la pérdida de capital óseo asociada a la necesidad de recambio de copas osteointegradas.Palabrasclave:Copaosteointegrada.Cementación. Componentedepolietileno. Acetabularrevisioncementingalinerinto astableacetabularshellAbstract Background: Modular liner component failure in fixed shells is an increasingly frequent scenario in prosthetic revision surgery. A complete acetabular revision is too aggressive when the metallic component can be saved. An alternative is to cement a liner within the fixed shell. We report our results using this technique, pointing out its indications, modus operandi and possible limitations. Methods: From 2001 to 2011, 40 polyethylene components were cemented within fixed shells. All patients were radiologically and clinically evaluated. The reasons for which a polyethylene component was cemented were: capture mechanism failure (11 cases, 27.5%), stability (18 cases, 45%) and liner unavailability (11 cases, 27.5%). Results:The survival rate without reoperation after 46 months of follow-up was 92%. One case (2.4%) developed an infection, and two cases evidenced instability (4.8%). The survival rate for aseptic loosening was 100%. The pre-operative Harris score was of 59, increasing up to 80 in the p...

show abstract

Late failure of the polyethylene liner fixation in an uncemented total hip arthroplasty

Cited by 30 publications

References 12 publications

Dislocation of the polyethylene liner in hip arthroplasty

Dislocation of the polyethylene liner in hip arthroplasty

Dissociation of the Harris-Galante II polyethylene liner in rheumatoid arthritis patients

Revisión acetabular con conservación del componente metálico osteointegrado y cementado de un componente de poliestireno. Reporte de una serie de 40 casos

Contact Info

Product

Resources

About