Management of polyethylene wear associated with a well-fixed modular cementless shell during revision total hip arthroplasty

The Journal of Arthroplasty
Carl T TalmoHenrik Malchau

Abstract

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.

References

Aug 9, 2005·The Journal of Bone and Joint Surgery. American Volume·Craig J Della ValleJorge O Galante
Sep 6, 2005·The Journal of Arthroplasty·Byung-Woo MinKyung-Hoi Koo

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Citations

Mar 16, 2017·The Journal of the American Academy of Orthopaedic Surgeons·David William WalmsleyEmil H Schemitsch
Mar 8, 2019·The Journal of Bone and Joint Surgery. American Volume·Stephen M PetisDaniel J Berry
Oct 17, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Neil P ShethWayne G Paprosky
Dec 23, 2015·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Andrew J GrazetteAshley W Blom
Sep 10, 2020·Clinics in Orthopedic Surgery·Nobuhiro KakuHiroshi Tsumura
Jun 22, 2014·The Journal of Bone and Joint Surgery. American Volume·Muyibat A AdelaniRyan M Nunley
Oct 5, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Michael-Alexander MalahiasPeter K Sculco

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