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Salvaging Unstable or Recurrent Dislocating Total Hip Arthroplasty with the Constrained Acetabular Component
Purpose. To review cases of implantation of constraining acetabular components for unstable or recurrent dislocating total hip arthroplasty at the Department of Orthopaedics, Concord Hospital, Sydney. Methods. A retrospective analysis was performed on prospectively collected data of 13 consecutively...
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Published in: | Journal of orthopaedic surgery (Hong Kong) 2002-12, Vol.10 (2), p.165-169 |
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creator | Stanton, DA Bruce, WJ Goldberg, JA Walsh, W |
description | Purpose.
To review cases of implantation of constraining acetabular components for unstable or recurrent dislocating total hip arthroplasty at the Department of Orthopaedics, Concord Hospital, Sydney.
Methods.
A retrospective analysis was performed on prospectively collected data of 13 consecutively enrolled patients.
Results.
From 1989 to 2000, 13 constraining acetabular components were implanted into 13 patients as a revision procedure. The surgical approach for the implantation of the constrained liner was posterolateral in 11 cases; a modified Hardinge approach was applied in 2 cases. The mean clinical follow-up duration was 43 months (range, 14–121 months) and the mean age at the time of surgery was 73 years (range, 52–84 years). No patients were lost to follow-up. Indications for using the constrained acetabular component were recurrent dislocation in revision hip replacements (n=8), and intra-operative instability (n=5). There were no episodes of dislocation of the constrained arthroplasty. In 7 cases, the constrained component was implanted into a previously well-fixed shell.
Conclusion.
We recommend the judicious use of the constrained component in cases of hip instability during or after total hip arthroplasty when other methods are not successful. |
doi_str_mv | 10.1177/230949900201000210 |
format | article |
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To review cases of implantation of constraining acetabular components for unstable or recurrent dislocating total hip arthroplasty at the Department of Orthopaedics, Concord Hospital, Sydney.
Methods.
A retrospective analysis was performed on prospectively collected data of 13 consecutively enrolled patients.
Results.
From 1989 to 2000, 13 constraining acetabular components were implanted into 13 patients as a revision procedure. The surgical approach for the implantation of the constrained liner was posterolateral in 11 cases; a modified Hardinge approach was applied in 2 cases. The mean clinical follow-up duration was 43 months (range, 14–121 months) and the mean age at the time of surgery was 73 years (range, 52–84 years). No patients were lost to follow-up. Indications for using the constrained acetabular component were recurrent dislocation in revision hip replacements (n=8), and intra-operative instability (n=5). There were no episodes of dislocation of the constrained arthroplasty. In 7 cases, the constrained component was implanted into a previously well-fixed shell.
Conclusion.
We recommend the judicious use of the constrained component in cases of hip instability during or after total hip arthroplasty when other methods are not successful.</description><identifier>ISSN: 1022-5536</identifier><identifier>EISSN: 2309-4990</identifier><identifier>DOI: 10.1177/230949900201000210</identifier><identifier>PMID: 12493929</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acetabulum ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - adverse effects ; Female ; Hip Dislocation - diagnostic imaging ; Hip Dislocation - etiology ; Hip Dislocation - surgery ; Hip Prosthesis - adverse effects ; Humans ; Joint Instability - diagnostic imaging ; Joint Instability - etiology ; Joint Instability - surgery ; Male ; Middle Aged ; Prosthesis Design ; Prosthesis Failure ; Radiography ; Recurrence ; Reoperation ; Retrospective Studies ; Salvage Therapy - instrumentation ; Salvage Therapy - methods</subject><ispartof>Journal of orthopaedic surgery (Hong Kong), 2002-12, Vol.10 (2), p.165-169</ispartof><rights>2002 Asia Pacific Orthopaedic Association unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses.</rights><rights>Copyright Western Pacific Orthopaedic Association Dec 2002</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3910-a7d9a0ca941bcd306294084999bcf7ca22adc97471762e81d8d1306a17bf2e463</citedby><cites>FETCH-LOGICAL-c3910-a7d9a0ca941bcd306294084999bcf7ca22adc97471762e81d8d1306a17bf2e463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/220153072/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/220153072?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,21966,25753,27853,27924,27925,37012,37013,44590,44945,45333,75126</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/230949900201000210?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12493929$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stanton, DA</creatorcontrib><creatorcontrib>Bruce, WJ</creatorcontrib><creatorcontrib>Goldberg, JA</creatorcontrib><creatorcontrib>Walsh, W</creatorcontrib><title>Salvaging Unstable or Recurrent Dislocating Total Hip Arthroplasty with the Constrained Acetabular Component</title><title>Journal of orthopaedic surgery (Hong Kong)</title><addtitle>J Orthop Surg (Hong Kong)</addtitle><description>Purpose.
To review cases of implantation of constraining acetabular components for unstable or recurrent dislocating total hip arthroplasty at the Department of Orthopaedics, Concord Hospital, Sydney.
Methods.
A retrospective analysis was performed on prospectively collected data of 13 consecutively enrolled patients.
Results.
From 1989 to 2000, 13 constraining acetabular components were implanted into 13 patients as a revision procedure. The surgical approach for the implantation of the constrained liner was posterolateral in 11 cases; a modified Hardinge approach was applied in 2 cases. The mean clinical follow-up duration was 43 months (range, 14–121 months) and the mean age at the time of surgery was 73 years (range, 52–84 years). No patients were lost to follow-up. Indications for using the constrained acetabular component were recurrent dislocation in revision hip replacements (n=8), and intra-operative instability (n=5). There were no episodes of dislocation of the constrained arthroplasty. In 7 cases, the constrained component was implanted into a previously well-fixed shell.
Conclusion.
We recommend the judicious use of the constrained component in cases of hip instability during or after total hip arthroplasty when other methods are not successful.</description><subject>Acetabulum</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Female</subject><subject>Hip Dislocation - diagnostic imaging</subject><subject>Hip Dislocation - etiology</subject><subject>Hip Dislocation - surgery</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Humans</subject><subject>Joint Instability - diagnostic imaging</subject><subject>Joint Instability - etiology</subject><subject>Joint Instability - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Recurrence</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Salvage Therapy - instrumentation</subject><subject>Salvage Therapy - methods</subject><issn>1022-5536</issn><issn>2309-4990</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kV1rFDEUhoNY7Lr6B7yQ4IV3Y5MzH5lcLmtrC4WCttfhTJLZnSU7GZOMpf_ebHexoGAuEnh58iSHl5APnH3hXIgLKJmspGQMGGd55-wVWRzC4pC-JgvOAIq6Lptz8jbGHWNcQtu8IeccKllKkAvifqD7hZth3NCHMSbsnKU-0O9WzyHYMdGvQ3ReYzoQ9z6ho9fDRFchbYOfHMb0RB-HtKVpa-naZ0XAYbSGrrTNttlhyPF-8mOWvSNnPbpo35_OJXm4urxfXxe3d99u1qvbQpeSswKFkcg0yop32pSsAVmxNs8kO90LjQBotBSV4KIB23LTGp4p5KLrwVZNuSQ3R6_xuFNTGPYYnpTHQT0HPmwUhjRoZxWIsuYoTdvXvOpYJ61pKtsxkFCB7Ex2fT66puB_zjYmtR-its7haP0clQDRtmVeS_LpL3Dn5zDmORXkguqSCcgQHCEdfIzB9n9-x5k6lKr-LTVf-ngyz93empcrpxYzcHEEIm7sy7P_Uf4Gz9io6w</recordid><startdate>200212</startdate><enddate>200212</enddate><creator>Stanton, DA</creator><creator>Bruce, WJ</creator><creator>Goldberg, JA</creator><creator>Walsh, W</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><general>SAGE Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BVBZV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>DOA</scope></search><sort><creationdate>200212</creationdate><title>Salvaging Unstable or Recurrent Dislocating Total Hip Arthroplasty with the Constrained Acetabular Component</title><author>Stanton, DA ; Bruce, WJ ; Goldberg, JA ; Walsh, W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3910-a7d9a0ca941bcd306294084999bcf7ca22adc97471762e81d8d1306a17bf2e463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Acetabulum</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Female</topic><topic>Hip Dislocation - diagnostic imaging</topic><topic>Hip Dislocation - etiology</topic><topic>Hip Dislocation - surgery</topic><topic>Hip Prosthesis - adverse effects</topic><topic>Humans</topic><topic>Joint Instability - diagnostic imaging</topic><topic>Joint Instability - etiology</topic><topic>Joint Instability - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>Recurrence</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Salvage Therapy - instrumentation</topic><topic>Salvage Therapy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stanton, DA</creatorcontrib><creatorcontrib>Bruce, WJ</creatorcontrib><creatorcontrib>Goldberg, JA</creatorcontrib><creatorcontrib>Walsh, W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>East & South Asia Database</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Science Database (ProQuest)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Publicly Available Content database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of orthopaedic surgery (Hong Kong)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Stanton, DA</au><au>Bruce, WJ</au><au>Goldberg, JA</au><au>Walsh, W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Salvaging Unstable or Recurrent Dislocating Total Hip Arthroplasty with the Constrained Acetabular Component</atitle><jtitle>Journal of orthopaedic surgery (Hong Kong)</jtitle><addtitle>J Orthop Surg (Hong Kong)</addtitle><date>2002-12</date><risdate>2002</risdate><volume>10</volume><issue>2</issue><spage>165</spage><epage>169</epage><pages>165-169</pages><issn>1022-5536</issn><eissn>2309-4990</eissn><abstract>Purpose.
To review cases of implantation of constraining acetabular components for unstable or recurrent dislocating total hip arthroplasty at the Department of Orthopaedics, Concord Hospital, Sydney.
Methods.
A retrospective analysis was performed on prospectively collected data of 13 consecutively enrolled patients.
Results.
From 1989 to 2000, 13 constraining acetabular components were implanted into 13 patients as a revision procedure. The surgical approach for the implantation of the constrained liner was posterolateral in 11 cases; a modified Hardinge approach was applied in 2 cases. The mean clinical follow-up duration was 43 months (range, 14–121 months) and the mean age at the time of surgery was 73 years (range, 52–84 years). No patients were lost to follow-up. Indications for using the constrained acetabular component were recurrent dislocation in revision hip replacements (n=8), and intra-operative instability (n=5). There were no episodes of dislocation of the constrained arthroplasty. In 7 cases, the constrained component was implanted into a previously well-fixed shell.
Conclusion.
We recommend the judicious use of the constrained component in cases of hip instability during or after total hip arthroplasty when other methods are not successful.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>12493929</pmid><doi>10.1177/230949900201000210</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acetabulum Aged Aged, 80 and over Arthroplasty, Replacement, Hip - adverse effects Female Hip Dislocation - diagnostic imaging Hip Dislocation - etiology Hip Dislocation - surgery Hip Prosthesis - adverse effects Humans Joint Instability - diagnostic imaging Joint Instability - etiology Joint Instability - surgery Male Middle Aged Prosthesis Design Prosthesis Failure Radiography Recurrence Reoperation Retrospective Studies Salvage Therapy - instrumentation Salvage Therapy - methods |
title | Salvaging Unstable or Recurrent Dislocating Total Hip Arthroplasty with the Constrained Acetabular Component |
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