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2020, Number 1

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Acta Med 2020; 18 (1)

Acetabular liner disassociation after total hip arthroplasty

Ochoa CR, Cervantes OAC, Narváez CRG
Full text How to cite this article 10.35366/92005

DOI

DOI: 10.35366/92005
URL: https://dx.doi.org/10.35366/92005

Language: Spanish
References: 6
Page: 76-79
PDF size: 146.56 Kb.


Key words:

Liner dissociation, hip arthroplasty.

ABSTRACT

Dissociation of the acetabular liner is a rare complication after a total hip arthroplasty. However, when it happens, the integrity and functionality of the prosthesis is at risk. The clinician must be aware of this possible complication in patients that report a sudden onset of pain in a previously functional prosthesis, followed by an audible squeaking. Radiographs may be unnoticed because the changes usually not as remarkable as in a THA dislocation. The most important causes are the component design, malposition and impingement. A modular component is inevitably a risk for these events, and one always should check that the locking mechanism works and avoid interposed tissue before its impaction, and a correct anteversion and inclination of the acetabular component.


REFERENCES

  1. O’Neill CKJ, Napier RJ, Diamond OJ, O’Brien S, Beverland DE. Acetabular Liner Dissociation following Total Hip Arthroplasty: A Rare but Serious Complication That May Be Easily Misinterpreted in the Emergency Department. Care Rep Emerg Med. 2015; 2015: 1-4.

  2. Yun A, Koli EN, Moreland J, Iorio R, Tilzey JF, Mesko JW, Froimson M. Polyethylene Liner Dissociation Is a Complication of the DePuy Pinnacle Cup: A Report of 23 Cases. Clin Orthop Relat Res. 2015; 474: 441-446.

  3. Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007; 370: 1508-1519.

  4. Kagan R, Anderson MB, Peters C, Pelt C, Gililland J. Pinnacle polyethylene liner dissociation: a report of 3 cases. Arthroplast Today. 2018; 4: 441-446.

  5. Zou AH, Novikov D, Feng JE, Anoushiravani AA, Schwarzkopf R, Vigdorchik JM. Liner dissociation leading to catastrophic failure of an Oxinium femoral head. Arthroplast Today. 2019; 5: 21-25.

  6. Sporer SM, Chalmers PN. Cutaneous Manifestation of Metallosis in a Metal-on-Metal Total Hip Arthroplasty After Acetabular Liner Dissociation. J Arthroplasty. 2012; 27: 1580.e13-1580.e16.




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Acta Med. 2020;18