Removing Cemented Dual Mobility Liners From Acetabular Components: A Technical Tip for a Challenging Surgical Problem

Dislocation remains the leading cause of failure following revision total hip arthroplasty. Dual mobility (DM) constructs, including monoblock cups designed for cementation, reduce but do not eliminate this risk. Cemented DM constructs offer several unique advantages in revision total hip arthroplas...

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Main Authors: Jacob M. Wilson, MD, Aleksander Mika, MD, J. Ryan Martin, MD
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Arthroplasty Today
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344123001164
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author Jacob M. Wilson, MD
Aleksander Mika, MD
J. Ryan Martin, MD
author_facet Jacob M. Wilson, MD
Aleksander Mika, MD
J. Ryan Martin, MD
author_sort Jacob M. Wilson, MD
collection DOAJ
description Dislocation remains the leading cause of failure following revision total hip arthroplasty. Dual mobility (DM) constructs, including monoblock cups designed for cementation, reduce but do not eliminate this risk. Cemented DM constructs offer several unique advantages in revision total hip arthroplasty, and as such, they have gained popularity. Despite their advantages, a portion of these implants will require revision for infection or recurrent dislocation. Removal of a cemented DM cup presents numerous challenges, and there is no effective published technique. Here, we present an effective technique for the safe removal of one design of cemented DM cup.
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spelling doaj.art-d48c2059a63c474a9ea9c33d68ea16f62023-10-21T04:22:50ZengElsevierArthroplasty Today2352-34412023-10-0123101211Removing Cemented Dual Mobility Liners From Acetabular Components: A Technical Tip for a Challenging Surgical ProblemJacob M. Wilson, MD0Aleksander Mika, MD1J. Ryan Martin, MD2Corresponding author. Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 1215 21stAvenue South, Nashville, TN 37232, USA. Tel.: +1 615 936 7846.; Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USADislocation remains the leading cause of failure following revision total hip arthroplasty. Dual mobility (DM) constructs, including monoblock cups designed for cementation, reduce but do not eliminate this risk. Cemented DM constructs offer several unique advantages in revision total hip arthroplasty, and as such, they have gained popularity. Despite their advantages, a portion of these implants will require revision for infection or recurrent dislocation. Removal of a cemented DM cup presents numerous challenges, and there is no effective published technique. Here, we present an effective technique for the safe removal of one design of cemented DM cup.http://www.sciencedirect.com/science/article/pii/S2352344123001164RemovalDual mobilityCementedRevisionTotal hip arthroplasty
spellingShingle Jacob M. Wilson, MD
Aleksander Mika, MD
J. Ryan Martin, MD
Removing Cemented Dual Mobility Liners From Acetabular Components: A Technical Tip for a Challenging Surgical Problem
Arthroplasty Today
Removal
Dual mobility
Cemented
Revision
Total hip arthroplasty
title Removing Cemented Dual Mobility Liners From Acetabular Components: A Technical Tip for a Challenging Surgical Problem
title_full Removing Cemented Dual Mobility Liners From Acetabular Components: A Technical Tip for a Challenging Surgical Problem
title_fullStr Removing Cemented Dual Mobility Liners From Acetabular Components: A Technical Tip for a Challenging Surgical Problem
title_full_unstemmed Removing Cemented Dual Mobility Liners From Acetabular Components: A Technical Tip for a Challenging Surgical Problem
title_short Removing Cemented Dual Mobility Liners From Acetabular Components: A Technical Tip for a Challenging Surgical Problem
title_sort removing cemented dual mobility liners from acetabular components a technical tip for a challenging surgical problem
topic Removal
Dual mobility
Cemented
Revision
Total hip arthroplasty
url http://www.sciencedirect.com/science/article/pii/S2352344123001164
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