Highly Cross-linked Polyethylene Liner Dissociation from a Cement-less Modular Acetabular Shell: Two Case Reports
نویسندگان
چکیده
Liner dissociation of polyethylene from a cementless acetabular socket following total hip arthroplasty (THA) is a rare complication. Cross-linked polyethylene liner dissociation from AMS-HA shell (KYOCERA Med, Osaka, Japan) occurred in 2 out of the 4153 (0.04%) cases approximately 10 years after undergoing surgery at our institute. First case was an 80-year-old female who underwent right THA along with subtrochanteric femoral shortening osteotomy due to complete dislocation hip, and second case was a 72-year-old male, who underwent right THA due to coxarthrosis. A 26 mm femoral head and CPE liner were used in both cases and the inclination degree of the acetabular socket was within 50°.There was no implant loosening in both cases. There was partial damage in the elevated rim on the alternative side and scratches on the back side in the both extracted CPE liner. It was surmised that liner dissociation was caused due to a problem in the liner fixing format of the push in type of the present model.
منابع مشابه
Delamination of a highly cross-linked polyethylene liner associated with titanium deposits on the cobalt-chromium modular femoral head following dislocation.
Retrieval studies of total hip replacements with highly cross-linked ultra-high-molecular-weight polyethylene liners have shown much less surface damage than with conventional ultra-high-molecular-weight polyethylene liners. A recent revision hip replacement for recurrent dislocation undertaken after only five months revealed a highly cross-linked polyethylene liner with a large area of visible...
متن کاملMetallosis after Exchange of the Femoral Head and Liner following Ceramic Acetabular Liner Dissociation in Total Hip Arthroplasty with a Modular Layered Acetabular Component
The type of bearing material that should be used in revision surgery after the failure of ceramic-on-ceramic total hip arthroplasty (THA) remains controversial. In the case of ceramic fracture, the residual ceramic particles can cause consequent metallosis when metal implants are used for revision THA. On the other hand, in the case of THA failure without ceramic fracture, revision THA with a m...
متن کاملDissociation of the S-ROM metal-backed polyethylene acetabular liner--a case report and literature review.
The authors report a case of early failure of a total hip arthroplasty with dissociation of the polyethylene liner of an S-ROM Oblong Cup*, which presented as a dislocation. Initial closed reduction of the dislocation was not possible. Open exploration of the hip revealed that the modular Poly Dial* polyethylene acetabular liner had become dislodged from the acetabular cup. The liner was revise...
متن کاملCementing polyethylene liners into non-modular acetabular components in revision total hip arthroplasty.
PURPOSE To review mid-term results after replacing the polyethylene liner in a well-fixed acetabular shell. METHODS 22 patients underwent replacement of the polyethylene liner in a well-fixed acetabular shell using cementation. The inner surface of the metal shell was scored with grooves (1 to 2 mm deep) for cement interdigitation. Trial liners were used to assess the appropriate size, with a...
متن کاملDisassembly of a one-piece metal-backed acetabular component. A case report.
We report a case of late dissociation of a one-piece metal-backed acetabular component, associated with a prolific soft-tissue reaction to the polyethylene debris. The polyethylene liner was not visible on the radiographs. The metal-backed shell could not be removed because of bone ingrowth. We recommend that modular systems be utilised in cementless arthroplasty of the hip and that radiographi...
متن کامل