Dislodgment of polyethylene liners in first and second-generation Harris-Galante acetabular components. A report of eighteen cases

The Journal of Bone and Joint Surgery. American Volume
A González della ValleEduardo A Salvati

Abstract

Dislodgment of the polyethylene liner is an increasingly common complication following total hip arthroplasty. The purposes of this study are to present the results in a series of patients with this complication and to analyze the mode of failure. Between November 1995 and January 2001, eighteen patients who had had a total hip arthroplasty presented with dislodgment of the polyethylene liner from a Harris-Galante metal acetabular shell. The medical records, radiographs, operative notes, and retrieved components were reviewed. In addition, scanning electron microscopy was used to study the fractured surfaces in a shell that had four broken tines. The components had been in situ for an average of seven years (range, three to eleven years). Seventeen components were second generation, and one was first generation. Symptoms developed spontaneously in sixteen patients, during sexual intercourse in one, and following a fall on the hip in one. Radiographs showed eccentric positioning of the head in all of the hips and broken tines in six. All of the shells were well fixed. Treatment consisted of revision of the shell in four patients, exchange of the liner in four, cementation of a new liner into the shell in seven, and cementation o...Continue Reading

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Citations

Oct 3, 2002·Acta Orthopaedica Scandinavica·Oliver NiggemeyerWolfgang Rüther
Apr 2, 2004·Clinical Orthopaedics and Related Research·Kazuo HirakawaTomoyuki Saito
Oct 22, 2005·Clinical Orthopaedics and Related Research·Alejandro González Della ValleEduardo A Salvati
Mar 29, 2006·Clinical Orthopaedics and Related Research·Alex LealiHarvey Insler
Aug 30, 2008·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Colin E PooleClifford W Colwell
Jan 1, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Kiyokazu FukuiTadami Matsumoto
Dec 4, 2004·Clinical Orthopaedics and Related Research·Letitia BradfordLisa A Pruitt
Nov 8, 2005·The Journal of the American Academy of Orthopaedic Surgeons·Alejandro González Della ValleEduardo A Salvati
Jun 5, 2003·The Journal of Bone and Joint Surgery. American Volume·Geoffrey F HaftJohn J Callaghan
May 5, 2009·The Journal of Bone and Joint Surgery. American Volume·Craig J Della ValleJorge O Galante
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May 13, 2014·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Benjamin A McArthurEduardo Salvati
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Sep 3, 2004·The Journal of Bone and Joint Surgery. American Volume·Alejandro González Della ValleEduardo A Salvati
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Feb 3, 2007·The Journal of Bone and Joint Surgery. American Volume·John A AndersonAlejandro González Della Valle
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Jan 7, 2016·The Bone & Joint Journal·A González Della ValleE A Salvati
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Jan 30, 2003·The Journal of Arthroplasty·Edwin P SuEduardo A Salvati

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