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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
Main Authors: Stanton, DA, Bruce, WJ, Goldberg, JA, Walsh, W
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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.
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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. 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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). 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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). 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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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