Management of Polyethylene Wear Associated With a Well-Fixed Modular Cement less Shell During Revision Total Hip Arthroplasty

被引：22

作者：

Talmo, Carl T. ^{[3
]}

Kwon, Young-Min ^{[1
,2
]}

Freiberg, Andrew A. ^{[1
,2
]}

Rubash, Harry E. ^{[1
,2
]}

Malchau, Henrik ^{[1
,2
]}

机构：

[1] Massachusetts Gen Hosp, Harris Orthopaed Biomech & Biomat Lab, Boston, MA 02114 USA

[2] Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USA

[3] New England Baptist Hosp, Boston, MA USA

来源：

JOURNAL OF ARTHROPLASTY | 2011年 / 26卷 / 04期

关键词：

total hip arthroplasty; revision; acetabular component; polyethylene; treatment options; FOLLOW-UP; ACETABULAR COMPONENT; LINER; PROSTHESIS;

D O I：

10.1016/j.arth.2010.05.028

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We identified 128 revision total hip arthroplasties from 1993 to 2005 involving a well-fixed Harris-Galante Porous (HGP)-I or HGP-II acetabular component with minimum 2-year post-revision follow-up. Three treatment cohorts were identified. Of the hips that underwent modular liner exchange at revision, 14 hips (25%) required re-revision of the acetabular component, 8 for liner dislodgement, 3 for osteolysis and poly-wear, 2 for dislocation, and 1 for aseptic loosening. Of the hips that underwent revision of the well-fixed shell, 4 (15%) required subsequent re-revision of the acetabular component; 2 for dislocation and 2 for aseptic loosening. Six hips (27%) in the cemented liner group were re-revised; 4 for dislocation and 2 for loosening. Complete revision of a well-fixed HGP acetabular component is more reliable than liner exchange or liner cementation.

引用

页码：576 / 581

页数：6

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