Constrained acetabular liners in hip revision surgery. A low-cost solution for senile patients
Published online: Sep 27 2016
Daniel HERNANDEZ-VAQUERO, Jimena LLORENS DE LOS RIOS, Ivan PEREZ-COTO, Susana IGLESIAS-FERNANDEZ, Jesús FERNANDEZ-LOMBARDIA, Maria Del CARMEN CUERVO-OLAY
From the Department of Orthopaedic Surgery and Traumatology, Hospital San Agustín in Avilés, Spain and the Department of Orthopaedic Surgery, School of Medicine, University of Oviedo, Spain
Abstract
The objective of this study was to analyze the results of a cemented polyethylene model that captures the hip prosthetic head. In a retrospective study we reviewed 36 cemented constrained acetabular liners implanted in patients older than 75 years (mean 83, SD : 4.4), of which 30 patients were aged 80-90 years and 26 were women. The average period of follow-up of our patients was 25.4 months (12-39 months, SD : 7.3). In 26 patients this model was implanted due to recurrent dislocation or instability, in 8 other cases this model was implanted during revision surgery for periprosthetic fractures, aseptic loosening of the acetabular component, wear of the polyethylene or replacement of the implant because of infection. There was a single case of recurrent dislocation (2.8%). Cemented acetabular constrained liners are a good option in revision surgery in senile patients in which the femoral stem is firmly fixed to the bone.