Cementation of a dual-mobility acetabular component into a well-fixed metal shell during revision total hip arthroplasty: a biomechanical validation.

Détails

ID Serval
serval:BIB_5756632E575F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Cementation of a dual-mobility acetabular component into a well-fixed metal shell during revision total hip arthroplasty: a biomechanical validation.
Périodique
Journal of Orthopaedic Research
Auteur⸱e⸱s
Wegrzyn J., Thoreson A.R., Guyen O., Lewallen D.G., An K.N.
ISSN
1554-527X (Electronic)
ISSN-L
0736-0266
Statut éditorial
Publié
Date de publication
2013
Volume
31
Numéro
6
Pages
991-997
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Validation StudiesPublication Status: ppublish
Résumé
Cementation of polyethylene (PE) liners into well-fixed metal shells has become a popular option during revision total hip arthroplasty (THA) particularly for older and frail patients. Although dramatic results were reported with dual-mobility acetabular components to manage hip instability during revision THA, no study evaluated the fixation strength of the cementation of dual-mobility components into well-fixed metal shells. Eight dual-mobility and eight all-PE components were cemented into a metal shell with a uniform 2- to 3-mm cement mantle. The cemented fixation strength was evaluated using lever-out and torsion testing. The interface at which failure occurred was determined. Lever-out testing showed that dual-mobility components failed at significantly higher maximum moment than the all-PE components. No direct comparison could be performed with torsion testing due to early failure of the all-PE component itself before failure of the cement fixation. However, the maximum moments measured were dramatically higher than the in vivo frictional moments classically reported in THA. In addition, failure was always observed at the metal shell/cement interface whenever it did occur. In conclusion, a dual-mobility acetabular component cemented into a well-fixed metal shell could constitute a biomechanically acceptable alternative to acetabular shell removal or PE liner cementation while simultaneously preventing instability of the THA revision. Clinical studies are warranted.
Mots-clé
Arthroplasty, Replacement, Hip/instrumentation, Arthroplasty, Replacement, Hip/methods, Biomechanical Phenomena, Hip Prosthesis, Humans, Reoperation
Pubmed
Web of science
Open Access
Oui
Création de la notice
26/08/2014 19:43
Dernière modification de la notice
17/01/2020 8:58
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