Abstract
Dislocations following total hip arthroplasty, either primary or revision, are the causes of revision surgeries in a percentage of cases. Treatment can be as innocuous as a closed reduction or as radical as revision surgery. Though the etiology is multifactorial, it can be idiopathic; malpositioning of the components and abductor mechanism weakness are common primary etiologies. There are various strategies in managing a dislocating hip and acetabular revision, and the use of special acetabular liners is one such solution. Based on the designs, it can be a constrained acetabular liner or a tripolar constrained head.
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References
Aqil A, Shah N. Diagnosis of the failed total hip replacement. J Clin Orthop Trauma. 2020;11(1):2–8. https://doi.org/10.1016/j.jcot.2019.11.003.
Brown TS, Tibbo ME, Arsoy D, et al. Long-term outcomes of constrained liners cemented into retained, well-fixed acetabular components. J Bone Joint Surg Am. 2019;101(7):620–7. https://doi.org/10.2106/JBJS.18.00607.
The Sivash constrained total hip prosthesis. Orthopedics. 2009;32(3):157. https://doi.org/10.3928/01477447-20090301-24.
Parvizi J, Picinic E, Sharkey PF. Revision total hip arthroplasty for instability: surgical techniques and principles. Instr Course Lect. 2009;58:183–91.
Della Valle CJ, Chang D, Sporer S, Berger RA, Rosenberg AG, Paprosky WG. High failure rate of a constrained acetabular liner in revision total hip arthroplasty. J Arthroplast. 2005;20(7 Suppl 3):103–7. https://doi.org/10.1016/j.arth.2005.05.005.
Sathappan SS, Ginat D, Teicher M, Di Cesare PE. Failure of the constrained acetabular liner without metal ring disruption. Orthopedics. 2008;31(3):275.
Song JH, Kwon WH, Oh SB, Moon KH. Use of a constrained acetabular liner to prevent and treat recurrent dislocation after Total hip replacement arthroplasty. Orthop Surg. 2020;12(6):2004–12. https://doi.org/10.1111/os.12811.
Malik A, Maheshwari A, Dorr LD. Impingement with total hip replacement. J Bone Joint Surg Am. 2007;89(8):1832–42.
Miller MD, Thompson SR. Adult reconstruction. Miller’s review of orthopaedics. 7th ed. Elsevier; 2019. p. 426–30.
El-Husseiny M, Masri B, Duncan C, Garbuz DS. Long-term results of tripolar constrained total hip arthroplasty in revision hip arthroplasty: a minimum follow-up of ten years. Bone Joint J. 2019;101-B(6_Supple_B):123–6. https://doi.org/10.1302/0301-620X.101B6.BJJ-2018-1484.R1.
Zywiel MG, Mustafa LH, Bonutti PM, Mont MA. Are abductor muscle quality and previous revision surgery predictors of constrained liner failure in hip arthroplasty? Int Orthop. 2011;35(6):797–802. https://doi.org/10.1007/s00264-010-0962-3. Epub 2010 Feb 20.
Chalmers BP, Pallante GD, Taunton MJ, Sierra RJ, Trousdale RT. Can dislocation of a constrained liner be salvaged with dual-mobility constructs in revision THA? Clin Orthop Relat Res. 2018;476(2):305–12. https://doi.org/10.1007/s11999.0000000000000026.
Williams JT Jr, Ragland PS, Clarke S. Constrained components for the unstable hip following total hip arthroplasty: a literature review. Int Orthop. 2007;31(3):273–7. https://doi.org/10.1007/s00264-006-0191-y.
Thoms RJ, Marwin SE. A unique failure mechanism of constrained total hip arthroplasty: a brief review of the literature. J Arthroplast. 2008;23(2):293–8. https://doi.org/10.1016/j.arth.2006.12.099.
Niimi R, Sudo A, Hasegawa M, Uchida A. Failure mechanism of a constrained liner: a case report. Acta Orthop Belg. 2012;78(1):129–33.
Robertson WJ, Mattern CJ, Hur J, Su EP, Pellicci PM. Failure mechanisms and closed reduction of a constrained tripolar acetabular liner. J Arthroplast. 2009;24(2):322.e5–11. https://doi.org/10.1016/j.arth.2008.01.002.
Mountney J, Garbuz DS, Greidanus NV, Masri BA, Duncan CP. Cementing constrained acetabular liners in revision hip replacement: clinical and laboratory observations. Instr Course Lect. 2004;53:131–40.
Charissoux JL, Asloum Y, Marcheix PS. Surgical management of recurrent dislocation after total hip arthroplasty. Orthop Traumatol Surg Res. 2014;100(1 Suppl):S25–34. https://doi.org/10.1016/j.otsr.2013.11.008.
Chalmers BP, Ledford CK, Taunton MJ, Sierra RJ, Lewallen DG, Robert T. Cementation of a dual mobility construct in recurrently dislocating and high-risk patients undergoing revision total arthroplasty. J Arthroplasty. 2018;33(5):1501–6. https://doi.org/10.1016/j.arth.2017.11.055.
Carter AH, Sheehan EC, Mortazavi SM, Purtill JJ, Sharkey PF, Parvizi J. Revision for recurrent instability: what are the predictors of failure? J Arthroplast. 2011;26(6 Suppl):46–52. https://doi.org/10.1016/j.arth.2011.03.021.
Sikes CV, Lai LP, Schreiber M, Mont MA, Jinnah RH, Seyler TM. Instability after total hip arthroplasty: treatment with large femoral heads vs constrained liners. J Arthroplast. 2008;23(7 Suppl):59–63. https://doi.org/10.1016/j.arth.2008.06.032.
Berend KR, Lombardi AV Jr, Mallory TH, Adams JB, Russell JH, Groseth KL. The long-term outcome of 755 consecutive constrained acetabular components in total hip arthroplasty examining the successes and failures. J Arthroplast. 2005;20(7 Suppl 3):93–102. https://doi.org/10.1016/j.arth.2005.06.001.
Van Eecke E, Vanbiervliet J, Dauwe J, Mulier M. Comparison of constrained acetabular components and dual mobility cups in revision Total hip arthroplasty: a literature review. Hip Pelvis. 2020;32(2):59–69. https://doi.org/10.5371/hp.2020.32.2.59.
Madan S, Sekhar S, Fiddian NJ. Wroblewski wedge augmentation for recurrent posterior dislocation of the Charnley total hip replacement. Ann R Coll Surg Engl. 2002;84(6):399–403. https://doi.org/10.1308/003588402760978193.
Guyen O. Constrained liners, dual mobility, or large diameter heads to avoid dislocation in THA. EFORT Open Rev. 2017;1(5):197–204. https://doi.org/10.1302/2058-5241.1.000054.
Hoggett L, Cross C, Helm T. Experience of the posterior lip augmentation device in a regional hip arthroplasty unit as a treatment for recurrent dislocation. J Orthop. 2017;14(4):512–4. https://doi.org/10.1016/j.jor.2017.07.015.
Munro JT, Vioreanu MH, Masri BA, Duncan CP. Acetabular liner with a focal constraint to prevent dislocation after THA. Clin Orthop Relat Res. 2013;471(12):3883–90. https://doi.org/10.1007/s11999-013-2858-1.
Rajeev A, Banaszkiewicz P. Constrained captive acetabular cup for recurrent dislocation of hemiarthroplasty in elderly: a case series. Int J Surg Case Rep. 2016;23:141–5. https://doi.org/10.1016/j.ijscr.2016.04.030.
Hernigou P, Filippini P, Flouzat-Lachaniette CH, Batista SU, Poignard A. Constrained liner in neurologic or cognitively impaired patients undergoing primary THA. Clin Orthop Relat Res. 2010;468(12):3255–62. https://doi.org/10.1007/s11999-010-1340-6.
Jones SA. Constrained acetabular liners. J Arthroplast. 2018;33(5):1331–6. https://doi.org/10.1016/j.arth.2018.01.026.
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Vaishya, R., Suresh Babu, Y.S., Vaish, A. (2023). Acetabular Constraints in Revision Hip Arthroplasty. In: Sharma, M. (eds) Hip Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-99-5517-6_50
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