Dislocation after polyethylene liner exchange in total hip arthroplasty

Boucher, Henry R.; Lynch, Chris; Young, Anthony; Engh, Charles A.

doi:10.1016/s0883-5403(03)00266-3

Cited by 80 publications

(42 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nine articles remained after 460 were screened. One additional article was identified during the review of the bibliographies from the nine articles, resulting in a total of 10 articles for this topic [5,6,19,21,25,31,36,39,40,45] (Fig. 1).…”

Section: Search Strategy and Criteriamentioning

confidence: 99%

“…The most frequently reported procedures for treating hip polyethylene wear with or without osteolysis were cup revision and isolated polyethylene exchange (Table 1) [5,6,19,21,25,31,36,39,40,45]. The mean followup in these articles ranged from 2.5 to 4.8 years.…”

Section: Polyethylene Wear In the Hipmentioning

confidence: 99%

“…Six articles reported recurrent dislocation rerevision rates from 0% to 8% [5,6,19,21,25,31]. Two of the articles reported a time frame for these rerevisions of 2.3 to 6.5 years [6,21].…”

Section: Polyethylene Wear In the Hipmentioning

confidence: 99%

“…Six articles reported recurrent dislocation rerevision rates from 0% to 8% [5,6,19,21,25,31]. Two of the articles reported a time frame for these rerevisions of 2.3 to 6.5 years [6,21]. Seven articles reported rerevisions for aseptic cup loosening after the initial polyethylene exchange was done, with rates ranging from 0% to 8% [5,6,19,21,31,36,39].…”

Section: Polyethylene Wear In the Hipmentioning

confidence: 99%

“…Seven articles reported rerevisions for aseptic cup loosening after the initial polyethylene exchange was done, with rates ranging from 0% to 8% [5,6,19,21,31,36,39]. Four of the articles mentioned the timing of the rerevisions, which ranged from 2.3 to 6.5 years after the initial polyethylene exchange [6,21,36,39].…”

Section: Polyethylene Wear In the Hipmentioning

confidence: 99%

See 4 more Smart Citations

The Surgical Options and Clinical Evidence for Treatment of Wear or Corrosion Occurring With THA or TKA

Engh

Padgett

2014

Clin Orthop Relat Res

View full text Add to dashboard Cite

Background Wear and corrosion occurring in patients with hip and knee arthroplasty are common causes of failure leading to revision surgery. A variety of surgical approaches to these problems have been described, with varying efficacy. Polyethylene wear, metal-on-metal (MoM) hip bearing wear, and problems associated with modular taper corrosion are the areas of greatest clinical impact; results of revisions for these problems are likely to dictate a large portion of revision resources for the foreseeable future, and so they call for specific study. Questions/purposes We identified the most frequently reported procedures to treat hip polyethylene wear, knee polyethylene wear, MoM wear after THA, and modular taper corrosion and determined the timing and reasons these failed. Methods We performed systematic reviews of the published literature on the four topics using MEDLINE 1 and Embase in October 2013; searches were supplemented by hand searches of bibliographies. Prespecified criteria resulted in the identification of 38 relevant articles, of which 33 were either case reports or Level IV evidence. Followup was generally at short term and ranged from 0.2 to 8 years. Results The most frequently reported procedures for treating clinically important wear were a partial or complete revision. When treating polyethylene wear, the more frequently reported reasons for hip and knee rerevisions were loosening, continued wear, and instability. Soft tissue reactions were more common and occasionally extensive in patients with MoM or modular taper corrosion. Patients with soft tissue reactions had more complications and higher rerevision rates. Conclusions Studies with longer followup and higher levels of evidence are needed to direct the treatment of wear and corrosion. When soft tissue damage secondary to MoM wear or taper corrosion is present, the results of treatment can be poor. There is an urgent need to better understand these two mechanisms of failure.

show abstract

Section: Search Strategy and Criteriamentioning

confidence: 99%

Section: Polyethylene Wear In the Hipmentioning

confidence: 99%

“…Six articles reported recurrent dislocation rerevision rates from 0% to 8% [5,6,19,21,25,31]. Two of the articles reported a time frame for these rerevisions of 2.3 to 6.5 years [6,21].…”

Section: Polyethylene Wear In the Hipmentioning

confidence: 99%