Treatment of recurrent dislocation of total hip arthroplasty using a ligament prosthesis

Barbosa, J.Kenneth; Khan, Akthar M; Andrew, JG

doi:10.1016/s0883-5403(03)00406-6

Cited by 19 publications

(12 citation statements)

References 15 publications

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“…Furthermore, employing the LARS ligament extra-articularly, as is the case with this augmented gluteal repair, may result in earlier and more extensive incorporation of the surrounding soft tissues than when it is used intra-articularly. Its use around the hip has been previously described (22-24).…”

Section: Discussionmentioning

confidence: 99%

Gluteal Tendon Repair Augmented with a Synthetic Ligament: Surgical Technique and a Case Series

et al. 2013

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We describe an augmented surgical repair technique for gluteus minimus and medius tears, along with a supportive case series. A consecutive series of 22 patients presenting with clinical and radiological findings consistent with hip abductor tears, who had undergone failed prior conservative treatments, were prospectively recruited. Patients underwent open bursectomy, Y-iliotibial release, debridement of the diseased tendon, decortication of the trochanteric foot-plate and reattachment augmented with a LARS ligament through a trans-osseous tunnel, together with suture anchors. All patients were assessed pre- and postoperatively to 12 months with the Oxford Hip Score (OHS), the Short-Form Health Survey (SF-36) and a Visual Analogue Pain Scale (VAS), while a satisfaction scale was employed at 12 months. A statistically significant improvement (p<0.05) was observed for all patient reported outcome measures, while all patients were at least 'satisfied' with the procedure at 12 months. One patient reported some lateral hip discomfort at 10 months, and removal of the LARS interference screw provided immediate relief. One patient had a urological catheter-related complication. With no other complications and no clinical failures of the repair, we believe the technique to be safe and reliable, whilst reducing the incidence of re-tears as reported in the existing literature.

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Section: Discussionmentioning

confidence: 99%

Gluteal Tendon Repair Augmented with a Synthetic Ligament: Surgical Technique and a Case Series

et al. 2013

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“…Accordingly, the cumulative risk of dislocation does not remain constant following THA, increasing with time due to trauma, polyethylene wear, increased pseudocapsule laxity and deteriorating muscle strength [20][21][22] . Improved understanding of the etiology of instability following THA and concordant improvements in surgical techniques have led to a documented decrease in the dislocation rate over time [23][24][25][26][27] .…”

Section: Topic Highlightmentioning

confidence: 99%

“…Barbosa et al [27] described the successful use of a synthetic ligament prosthesis to treat 4 patients with recurrent posterior dislocation of THA without ascertainable cause. At an average follow-up of over 2 years, none of the patients experienced further dislocation.…”

Section: Soft Tissue Reinforcementmentioning

confidence: 99%

Instability after total hip arthroplasty

Werner

Brown

2012

WJO

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Instability following total hip arthroplasty (THA) is an unfortunately frequent and serious problem that requires thorough evaluation and preoperative planning before surgical intervention. Prevention through optimal index surgery is of great importance, as the management of an unstable THA is challenging even for an experienced joints surgeon. However, even after well-planned surgery, a significant incidence of recurrent instability still exists. Non-operative management is often successful if the components are well-fixed and correctly positioned in the absence of neurocognitive disorders. If conservative management fails, surgical options include revision of malpositioned components; exchange of modular components such as the femoral head and acetabular liner; bipolar arthroplasty; tripolar arthroplasty; use of a larger femoral head; use of a constrained liner; soft tissue reinforcement and advancement of the greater trochanter.

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“…Reported methods of soft tissue reinforcement or reconstruction to treat dislocated THA due to a soft tissue defect include reinforcement with an Achilles tendon allograft (29,30) or an iliotibial band graft (31), as well as reinforcement with an artificial ligament (32,33). The methods of soft tissue reinforcement used to treat posterior dislocation can be broadly divided into 2 types.…”

Section: Discussionmentioning

confidence: 99%

Soft tissue reinforcement with a Leeds-Keio artificial ligament in revision surgery for dislocated total hip arthroplasty

et al. 2017

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soft tissue around hip joint have an important relation to the stability of THA, its repair to prevent dislocation is recommended not only after revision THA (19-22) as well as after primary THA (23-28). Patients with joint laxity or soft tissue defects are particularly prone to failure to recover despite treatment for dislocated THA (19, 23). We have been carrying out soft tissue reinforcement with the Leeds-Keio (LK) artificial ligament to treat intractable dislocation after THA in cases in which soft tissue defects have contributed to postoperative dislocation. Here we describe this procedure and its therapeutic outcomes. Materials and methods Patients Between January 2006 and June 2015, primary THA and revision THA were carried out for 2,667 hips at our hospital and related hospitals by the 1 st author (S.A.). Although dislocation was occurred in 46 hips in 46 patients, 23 hips were treated conservatively, and the remaining 23 hips underwent revision surgery for dislocated THA. In the same period, 30 hips of 30 patients who underwent THA primarily in other

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Treatment of recurrent dislocation of total hip arthroplasty using a ligament prosthesis

Cited by 19 publications

References 15 publications

Gluteal Tendon Repair Augmented with a Synthetic Ligament: Surgical Technique and a Case Series

Gluteal Tendon Repair Augmented with a Synthetic Ligament: Surgical Technique and a Case Series

Instability after total hip arthroplasty

Soft tissue reinforcement with a Leeds-Keio artificial ligament in revision surgery for dislocated total hip arthroplasty

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