Failure of Constrained Total Hip Arthroplasty with Intact Reinforcement Ring
One of the most common complications after total hip arthroplasty (THA) is dislocation. To avoid this unpleasant complication, we use constrained systems especially in patients at high risk of dislocation. We report two cases of failure of constrained hip system with intact reinforcement ring. We us...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2019-12-01
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| Series: | Haseki Tıp Bülteni |
| Subjects: | |
| Online Access: |
http://www.hasekidergisi.com/archives/archive-detail/article-preview/failure-of-constrained-total-hip-arthroplasty-with/31977
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| _version_ | 1828027239033208832 |
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| author | Doğan Atlıhan Fatih Günaydın |
| author_facet | Doğan Atlıhan Fatih Günaydın |
| author_sort | Doğan Atlıhan |
| collection | DOAJ |
| description | One of the most common complications after total hip arthroplasty (THA) is dislocation. To avoid this unpleasant complication, we use constrained systems especially in patients at high risk of dislocation. We report two cases of failure of constrained hip system with intact reinforcement ring. We used Trilogy® revision cup in both patients. One of the patients refused surgery. Other patient underwent surgery and we observed abrasion of constrained liner because of impingement. Malrotation of the constrained liner appears to cause impingement. When using constrained liners, caution should be exercised against the risk of impingement. Proper assessment of the constrained liner is mandatory. Otherwise, abrasion of the liner is not a surprise. Instructions of the manufacturer should be followed. The fact that such a small misplacement has such great consequences can also be accepted as a disadvantage of the product. It may be difficult to determine the proper rotation of the polyethylene liner during surgery. Therefore, it would be appropriate to have a wider range of correct polyethylene placement angles. |
| first_indexed | 2024-04-10T13:32:48Z |
| format | Article |
| id | doaj.art-ca9eab9ce48f42cbad7f1c2f56d04927 |
| institution | Directory Open Access Journal |
| issn | 1302-0072 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T13:32:48Z |
| publishDate | 2019-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-ca9eab9ce48f42cbad7f1c2f56d049272023-02-15T16:11:32ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882019-12-0157444544710.4274/haseki.galenos.2019.500013049054Failure of Constrained Total Hip Arthroplasty with Intact Reinforcement RingDoğan Atlıhan0Fatih Günaydın1 University of Health Sciences, Haseki Training and Research Hospital, Clinic of Orthopedics and Traumatology, İstanbul, Turkey Beytepe Murat Erdi Eker State Hospital, Clinic of Orthopedics and Traumatology, Ankara, Turkey One of the most common complications after total hip arthroplasty (THA) is dislocation. To avoid this unpleasant complication, we use constrained systems especially in patients at high risk of dislocation. We report two cases of failure of constrained hip system with intact reinforcement ring. We used Trilogy® revision cup in both patients. One of the patients refused surgery. Other patient underwent surgery and we observed abrasion of constrained liner because of impingement. Malrotation of the constrained liner appears to cause impingement. When using constrained liners, caution should be exercised against the risk of impingement. Proper assessment of the constrained liner is mandatory. Otherwise, abrasion of the liner is not a surprise. Instructions of the manufacturer should be followed. The fact that such a small misplacement has such great consequences can also be accepted as a disadvantage of the product. It may be difficult to determine the proper rotation of the polyethylene liner during surgery. Therefore, it would be appropriate to have a wider range of correct polyethylene placement angles. http://www.hasekidergisi.com/archives/archive-detail/article-preview/failure-of-constrained-total-hip-arthroplasty-with/31977 hipprothesisdislocationconstrained |
| spellingShingle | Doğan Atlıhan Fatih Günaydın Failure of Constrained Total Hip Arthroplasty with Intact Reinforcement Ring Haseki Tıp Bülteni hip prothesis dislocation constrained |
| title | Failure of Constrained Total Hip Arthroplasty with Intact Reinforcement Ring |
| title_full | Failure of Constrained Total Hip Arthroplasty with Intact Reinforcement Ring |
| title_fullStr | Failure of Constrained Total Hip Arthroplasty with Intact Reinforcement Ring |
| title_full_unstemmed | Failure of Constrained Total Hip Arthroplasty with Intact Reinforcement Ring |
| title_short | Failure of Constrained Total Hip Arthroplasty with Intact Reinforcement Ring |
| title_sort | failure of constrained total hip arthroplasty with intact reinforcement ring |
| topic | hip prothesis dislocation constrained |
| url |
http://www.hasekidergisi.com/archives/archive-detail/article-preview/failure-of-constrained-total-hip-arthroplasty-with/31977
|
| work_keys_str_mv | AT doganatlıhan failureofconstrainedtotalhiparthroplastywithintactreinforcementring AT fatihgunaydın failureofconstrainedtotalhiparthroplastywithintactreinforcementring |