Femoral Head and Liner Exchange in Patients with Atraumatic Dislocation. Results of a Retrospective Study with 6 Years Follow-Up
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patient Demographics and History
2.2. Preoperative Assessment
2.3. Surgical Procedure and Follow Up
- Incidence of postoperative dislocation.
- Implant survival with no further surgical intervention for dislocation; overall and for PTHA and RTHA groups separately.
- Implant survival from all causes.
2.4. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Pivec, R.; Johnson, A.J.; Mears, S.C.; Mont, M.A. Hip arthroplasty. Lancet 2012, 380, 1768–1777. [Google Scholar] [CrossRef]
- Charissoux, J.L.; Asloum, Y.; Marcheix, P.S. Surgical management of recurrent dislocation after total hip arthroplasty. Orthop. Traumatol. Surg. Res. 2014, 100, S25–S34. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Earll, M.D.; Fehring, T.K.; Griffin, W.L.; Mason, J.B.; McCoy, T.; Odum, S. Success rate of modular component exchange for the treatment of an unstable total hip arthroplasty. J. Arthroplast. 2002, 17, 864–869. [Google Scholar] [CrossRef] [PubMed]
- Lu, Y.; Xiao, H.; Xue, F. Causes of and treatment options for dislocation following total hip arthroplasty. Exp. Ther. Med. 2019, 18, 1715–1722. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Brooks, P.J. Dislocation following total hip replacement: Causes and cures. Bone Jt. J. 2013, 95, 67–69. [Google Scholar] [CrossRef] [PubMed]
- Dargel, J.; Oppermann, J.; Bruggemann, G.P.; Eysel, P. Dislocation following total hip replacement. Dtsch. Arztebl. Int. 2014, 111, 884–890. [Google Scholar] [CrossRef] [Green Version]
- Bruggemann, A.; Mallmin, H.; Hailer, N.P. Do dual-mobility cups cemented into porous tantalum shells reduce the risk of dislocation after revision surgery? Acta Orthop. 2018, 89, 156–162. [Google Scholar] [CrossRef] [Green Version]
- Biviji, A.A.; Ezzet, K.A.; Pulido, P.; Colwell, C.W., Jr. Modular femoral head and liner exchange for the unstable total hip arthroplasty. J. Arthroplast. 2009, 24, 625–630. [Google Scholar] [CrossRef]
- Parvizi, J.; Wade, F.A.; Rapuri, V.; Springer, B.D.; Berry, D.J.; Hozack, W.J. Revision hip arthroplasty for late instability secondary to polyethylene wear. Clin. Orthop. Relat. Res. 2006, 447, 66–69. [Google Scholar] [CrossRef]
- Carter, A.H.; Sheehan, E.C.; Mortazavi, S.M.J.; Purtill, J.J.; Sharkey, P.F.; Parvizi, J. Revision for Recurrent Instability. J. Arthroplast. 2011, 26, 46–52. [Google Scholar] [CrossRef]
- Walmsley, D.W.; Waddell, J.P.; Schemitsch, E.H. Isolated Head and Liner Exchange in Revision Hip Arthroplasty. J. Am. Acad. Orthop. Surg. 2017, 25, 288–296. [Google Scholar] [CrossRef] [PubMed]
- Lachiewicz, P.F.; Soileau, E.; Ellis, J. Modular revision for recurrent dislocation of primary or revision total hip arthroplasty. J. Arthroplast. 2004, 19, 424–429. [Google Scholar] [CrossRef]
- Toomey, S.D.; Hopper, R.H., Jr.; McAuley, J.P.; Engh, C.A. Modular component exchange for treatment of recurrent dislocation of a total hip replacement in selected patients. JBJS 2001, 83, 1529–1533. [Google Scholar] [CrossRef]
- Doyle, D.J.; Garmon, E.H. American Society of Anesthesiologists Classification (ASA Class); StatPearls Publishing LLC.: Treasure Island, FL, USA, 2020. [Google Scholar]
- Lazennec, J.Y.; Fourniols, E.; Lenoir, T.; Aubry, A.; Pissonnier, M.L.; Issartel, B.; Rousseau, M.A.; Surgery, S.F.S. Infections in the operated spine: Update on risk management and therapeutic strategies. Orthop. Traumatol. Surg. Res. 2011, 97, S107–S116. [Google Scholar] [CrossRef] [Green Version]
- Engh, C.A.; Massin, P.; Suthers, K.E. Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin. Orthop. Relat. Res. 1990, 257, 107–128. [Google Scholar] [CrossRef]
- Tompkins, G.S.; Jacobs, J.J.; Kull, L.R.; Rosenberg, A.G.; Galante, J.O. Primary total hip arthroplasty with a porous-coated acetabular component. Seven-to-ten-year results. JBJS 1997, 79, 169–176. [Google Scholar] [CrossRef] [PubMed]
- Lewinnek, G.E.; Lewis, J.L.; Tarr, R.; Compere, C.L.; Zimmerman, J.R. Dislocations after total hip-replacement arthroplasties. JBJS 1978, 60, 217–220. [Google Scholar] [CrossRef]
- Murphy, S.; Joyce, T. Recurrent dislocation: Management strategies. Semin. Arthroplast. 2016, 27, 250–252. [Google Scholar] [CrossRef]
- Gray, C.F.; Moore, R.E.; Lee, G.C. Spontaneous dissociation of offset, face-changing polyethylene liners from the acetabular shell: A report of four cases. JBJS 2012, 94, 841–845. [Google Scholar] [CrossRef]
- Kotwal, R.S.; Ganapathi, M.; John, A.; Maheson, M.; Jones, S.A. Outcome of treatment for dislocation after primary total hip replacement. J. Bone Jt. Surg. Br. 2009, 91, 321–326. [Google Scholar] [CrossRef]
- Demos, H.A.; Rorabeck, C.H.; Bourne, R.B.; MacDonald, S.J.; McCalden, R.W. Instability in primary total hip arthroplasty with the direct lateral approach. Clin. Orthop. Relat. Res. 2001, 393, 168–180. [Google Scholar] [CrossRef]
- Skytta, E.T.; Eskelinen, A.; Paavolainen, P.O.; Remes, V.M. Early results of 827 trabecular metal revision shells in acetabular revision. J. Arthroplast. 2011, 26, 342–345. [Google Scholar] [CrossRef]
- von Knoch, M.; Berry, D.J.; Harmsen, W.S.; Morrey, B.F. Late dislocation after total hip arthroplasty. JBJS 2002, 84, 1949–1953. [Google Scholar] [CrossRef] [PubMed]
- Abdel, M.P.; von Roth, P.; Jennings, M.T.; Hanssen, A.D.; Pagnano, M.W. What Safe Zone? The Vast Majority of Dislocated THAs Are Within the Lewinnek Safe Zone for Acetabular Component Position. Clin. Orthop. Relat. Res. 2016, 474, 386–391. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Alberton, G.M.; High, W.A.; Morrey, B.F. Dislocation after revision total hip arthroplasty: An analysis of risk factors and treatment options. JBJS 2002, 84, 1788–1792. [Google Scholar] [CrossRef]
- Sheth, N.P.; Paprosky, W.G. Chronic total hip arthroplasty instability—Causes and cures. Semin. Arthroplast. 2016, 27, 74–79. [Google Scholar] [CrossRef]
- Chalmers, B.P.; Arsoy, D.; Sierra, R.J.; Lewallen, D.G.; Trousdale, R.T. High Failure Rate of Modular Exchange With a Specific Design of a Constrained Liner in High-Risk Patients Undergoing Revision Total Hip Arthroplasty. J. Arthroplast. 2016, 31, 1963–1969. [Google Scholar] [CrossRef]
- Griffin, W.L.; Fehring, T.K.; Mason, J.B.; McCoy, T.H.; Odum, S.; Terefenko, C.S. Early morbidity of modular exchange for polyethylene wear and osteolysis. J. Arthroplast. 2004, 19, 61–66. [Google Scholar] [CrossRef]
- Dammerer, D.; Schneider, F.; Renkawitz, T.; Putzer, D.; Bogensperger, M.; Biedermann, R. High risk of hip dislocation following polyethylene liner exchange in total hip arthroplasty-is cup revision necessary? Arch. Orthop. Trauma Surg. 2020, 140, 1837–1845. [Google Scholar] [CrossRef]
- Blom, A.W.; Astle, L.; Loveridge, J.; Learmonth, I.D. Revision of an acetabular liner has a high risk of dislocation. J. Bone Jt. Surg. Br. 2005, 87, 1636–1638. [Google Scholar] [CrossRef]
- Boucher, H.R.; Lynch, C.; Young, A.M.; Engh, C.A., Jr.; Engh, C., Sr. Dislocation after polyethylene liner exchange in total hip arthroplasty. J. Arthroplast. 2003, 18, 654–657. [Google Scholar] [CrossRef]
- Smith, T.M.; Berend, K.R.; Lombardi, A.V., Jr.; Mallory, T.H.; Russell, J.H. Isolated liner exchange using the anterolateral approach is associated with a low risk of dislocation. Clin. Orthop. Relat. Res. 2005, 441, 221–226. [Google Scholar] [CrossRef]
- Guo, L.; Yang, Y.; An, B.; Yang, Y.; Shi, L.; Han, X.; Gao, S. Risk factors for dislocation after revision total hip arthroplasty: A systematic review and meta-analysis. Int. J. Surg. 2017, 38, 123–129. [Google Scholar] [CrossRef] [PubMed]
- Berry, D.J.; von Knoch, M.; Schleck, C.D.; Harmsen, W.S. The cumulative long-term risk of dislocation after primary Charnley total hip arthroplasty. JBJS 2004, 86, 9–14. [Google Scholar] [CrossRef]
- Jo, S.; Jimenez Almonte, H.J.; Sierra, R.J. The Cumulative Risk of Re-dislocation After Revision THA Performed for Instability Increases Close to 35% at 15years. J. Arthroplast. 2015, 30, 1177–1182. [Google Scholar] [CrossRef]
- Petis, S.M.; Kubista, B.; Hartzler, R.U.; Abdel, M.P.; Berry, D.J. Polyethylene Liner and Femoral Head Exchange in Total Hip Arthroplasty: Factors Associated with Long-Term Success and Failure. JBJS 2019, 101, 421–428. [Google Scholar] [CrossRef] [PubMed]
- Bookman, J.S.; Schwarzkopf, R.; Rathod, P.; Iorio, R.; Deshmukh, A.J. Obesity: The Modifiable Risk Factor in Total Joint Arthroplasty. Orthop. Clin. N. Am. 2018, 49, 291–296. [Google Scholar] [CrossRef]
- DelSole, E.M.; Vigdorchik, J.M.; Schwarzkopf, R.; Errico, T.J.; Buckland, A.J. Total Hip Arthroplasty in the Spinal Deformity Population: Does Degree of Sagittal Deformity Affect Rates of Safe Zone Placement, Instability, or Revision? J. Arthroplast. 2017, 32, 1910–1917. [Google Scholar] [CrossRef]
- Fessy, M.H.; Putman, S.; Viste, A.; Isida, R.; Ramdane, N.; Ferreira, A.; Leglise, A.; Rubens-Duval, B.; Bonin, N.; Bonnomet, F.; et al. What are the risk factors for dislocation in primary total hip arthroplasty? A multicenter case-control study of 128 unstable and 438 stable hips. Orthop. Traumatol. Surg. Res. 2017, 103, 663–668. [Google Scholar] [CrossRef] [PubMed]
- Bozic, K.J.; Kurtz, S.M.; Lau, E.; Ong, K.; Vail, T.P.; Berry, D.J. The epidemiology of revision total hip arthroplasty in the United States. JBJS 2009, 91, 128–133. [Google Scholar] [CrossRef]
- Lazennec, J.Y.; Thauront, F.; Robbins, C.B.; Pour, A.E. Acetabular and Femoral Anteversions in Standing Position are Outside the Proposed Safe Zone After Total Hip Arthroplasty. J. Arthroplast. 2017, 32, 3550–3556. [Google Scholar] [CrossRef] [PubMed]
- Esposito, C.I.; Gladnick, B.P.; Lee, Y.Y.; Lyman, S.; Wright, T.M.; Mayman, D.J.; Padgett, D.E. Cup position alone does not predict risk of dislocation after hip arthroplasty. J. Arthroplast. 2015, 30, 109–113. [Google Scholar] [CrossRef] [Green Version]
- Woo, R.Y.; Morrey, B.F. Dislocations after total hip arthroplasty. JBJS 1982, 64, 1295–1306. [Google Scholar] [CrossRef]
- Kwon, M.S.; Kuskowski, M.; Mulhall, K.J.; Macaulay, W.; Brown, T.E.; Saleh, K.J. Does surgical approach affect total hip arthroplasty dislocation rates? Clin. Orthop. Relat. Res. 2006, 447, 34–38. [Google Scholar] [CrossRef]
- Masonis, J.L.; Bourne, R.B. Surgical approach, abductor function, and total hip arthroplasty dislocation. Clin. Orthop. Relat. Res. 2002, 405, 46–53. [Google Scholar] [CrossRef]
- Aurigemma, P.; Bedair, H. Current evidence on dual mobility in patients at high-risk for dislocation. Semin. Arthroplast. 2018, 29, 308–313. [Google Scholar] [CrossRef]
- Cobb, T.K.; Morrey, B.F.; Ilstrup, D.M. The elevated-rim acetabular liner in total hip arthroplasty: Relationship to postoperative dislocation. JBJS 1996, 78, 80–86. [Google Scholar] [CrossRef]
- Noble, P.C.; Durrani, S.K.; Usrey, M.M.; Mathis, K.B.; Bardakos, N.V. Constrained cups appear incapable of meeting the demands of revision THA. Clin. Orthop. Relat. Res. 2012, 470, 1907–1916. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Hwang, J.H.; Kim, S.M.; Oh, K.J.; Kim, Y. Dislocations after use of dual-mobility cups in cementless primary total hip arthroplasty: Prospective multicentre series. Int. Orthop. 2018, 42, 761–767. [Google Scholar] [CrossRef] [PubMed]
- Plummer, D.R.; Christy, J.M.; Sporer, S.M.; Paprosky, W.G.; Della Valle, C.J. Dual-Mobility Articulations for Patients at High Risk for Dislocation. J. Arthroplast. 2016, 31, 131–135. [Google Scholar] [CrossRef]
- Lange, J.K.; Spiro, S.K.; Westrich, G.H. Utilizing Dual Mobility Components for First-Time Revision Total Hip Arthroplasty for Instability. J. Arthroplast. 2018, 33, 505–509. [Google Scholar] [CrossRef] [PubMed]
- De Martino, I.; D’Apolito, R.; Soranoglou, V.G.; Poultsides, L.A.; Sculco, P.K.; Sculco, T.P. Dislocation following total hip arthroplasty using dual mobility acetabular components: A systematic review. Bone Jt. J. 2017, 99-B, 18–24. [Google Scholar] [CrossRef] [PubMed]
- 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, 59–69. [Google Scholar] [CrossRef] [PubMed]
Primary Indication | Primary Operation | Primary Head Size (mm) | Gender | Age at Head + Liner Exchange | Index Surgery (Revision Head Size (mm)) | Inlay | Follow up (Months) | Complications |
---|---|---|---|---|---|---|---|---|
OA | THA | 28 | M | 50 | 32 | HXLPE lipped | 126 | - |
OA | THA | 32 | M | 62 | 36 | HXLPE | 65 | - |
OA | THA | 28 | M | 66 | 28 | UHMWPE | 145 | |
OA | THA | 28 | F | 71 | 36 | HXLPE | 93 | |
Dysplasia OA | THA | unknown | F | 58 | 32 | UHMWPE lipped | 104 | - |
OA | THA | unknown | F | 62 | 32 | UHMWPE | 9 | Loosening femoral stem |
OA | THA | MoM | M | 71 | 32 | HXLPE lipped | 54 | - |
Dysplasia OA | THA | 28 | M | 38 | 32 | UHMWPE lipped | 90 | Cup loosening |
OA | THA | MoM | F | 79 | 36 | HXLPE | 57 | - |
Femoral neck fracture | THA | 28 | F | 76 | 32 | UHMWPE lipped | 66 | - |
OA | THA | 28 | M | 69 | 36 | HXLPE | 114 | - |
OA | THA | 28 | M | 21 | 36 | HXLPE | 75 | - |
Prior to Index Procedure (Head and Liner Exchange) | Index Procedure (Head and Liner Exchange) | |||||||
---|---|---|---|---|---|---|---|---|
Indication for Arthroplasty | Surgery Performed | Prior Head Size (mm) | Gender | Age at Head + Liner Exchange | New Head Size (mm) | Liner | Follow-Up (Months) | Complications |
OA |
| |||||||
28 | F | 58 | 28 | HXLPE lipped | 142 | - | ||
OA |
| |||||||
28 | F | 75 | 32 | HXLPE Lipped | 50 | - | ||
OA |
| |||||||
28 | F | 59 | 32 | UHMWPE | 73 | - | ||
OA |
| |||||||
32 | F | 62 | 36 | HXLPE | 76 | - | ||
OA secondary to dysplasia |
| |||||||
28 | M | 61 | 36 | HXLPE Lipped | 12 | Dislocation, Re-revision | ||
OA |
| |||||||
32 | M | 73 | 28 | HXLPE Constrained | 18 | Dislocation, Re-revision | ||
OA secondary to acromegaly |
| |||||||
32 | M | 65 | 36 | HXLPE | 61 | Dislocation, Closed reduction | ||
Inter-trochanteric fracture |
| |||||||
28 | F | 77 | 32 | HXLPE | 1 | Dislocation, Re-revision |
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Hanslmeier, M.G.; Maier, M.W.; Feisst, M.; Beckmann, N.A. Femoral Head and Liner Exchange in Patients with Atraumatic Dislocation. Results of a Retrospective Study with 6 Years Follow-Up. Medicina 2021, 57, 1188. https://doi.org/10.3390/medicina57111188
Hanslmeier MG, Maier MW, Feisst M, Beckmann NA. Femoral Head and Liner Exchange in Patients with Atraumatic Dislocation. Results of a Retrospective Study with 6 Years Follow-Up. Medicina. 2021; 57(11):1188. https://doi.org/10.3390/medicina57111188
Chicago/Turabian StyleHanslmeier, Maximilian G., Michael W. Maier, Manuel Feisst, and Nicholas A. Beckmann. 2021. "Femoral Head and Liner Exchange in Patients with Atraumatic Dislocation. Results of a Retrospective Study with 6 Years Follow-Up" Medicina 57, no. 11: 1188. https://doi.org/10.3390/medicina57111188