A review of outcomes and modes of presentation following liner dissociation from Harris-Galante uncemented acetabular components

作者：Grazette Andrew J^*; Foote Julian; Whitehouse Michael R; Blom Ashley W

来源：HIP International, 2016, 26(2): 149-152.

DOI：10.5301/hipint.5000316

• Arthroplasty
• Liner dissociation
• Outcomes
• Revision

Purpose: Dissociation of the polyethylene liner is a known failure mechanism of the Harris Galante I and II uncemented acetabular components. The outcomes of revision surgery for this indication and the influence of time to diagnosis are not well described.
Methods: We report a series of 29 cases revised due to this failure mechanism. The median time from primary to revision surgery was 13 years.
Results: At a median of 4 years follow-up, the mean OHS was 34 (range 6-48) but results were poorer (mean 29; range 6-45) when the diagnosis and revision was delayed compared to when it was not (mean 39; range 20-48). A large proportion of our patients (n = 14) presented with sudden onset of symptoms with or without trauma. Osteolysis was common in this series but the cup was well fixed in 20/29 cases. There was macroscopic damage to the shell in all cases.
Conclusions: In our experience, prompt revision of liner dissociation optimises outcomes in this group of patients and radiology reporting alone is not sufficient to identify these cases.

• 出版日期2016-4