Catastrophic Early Failure and Fragmentation of a Modern Moderately Cross-linked Polyethylene Acetabular Liner

Autor: Nadim Barakat, BA, James A. Browne, MD, Quanjun Cui, MD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Arthroplasty Today, Vol 22, Iss , Pp 101161- (2023)
Druh dokumentu: article
ISSN: 2352-3441
DOI: 10.1016/j.artd.2023.101161
Popis: A 60-year-old man who underwent uncomplicated staged bilateral total hip arthroplasty for femoral head osteonecrosis presented with mechanical catching of his left total hip arthroplasty 3 years after index surgery. Radiographs revealed eccentricity of the left femoral head, concerning the failure of a modern moderately cross-linked polyethylene liner. Catastrophic polyethylene liner failure with significant wear, fragmentation, and femoral head abrasion was noted during revision surgery. The original liner and head were replaced, and the patient has exhibited no complications, pain, or difficulty ambulating 6 months postoperatively. This report highlights one potential novel mechanism for the failure of the Exactech Connexion GXL liner (Exactech Inc., Gainesville, FL), an implant recently reported to have a higher-than-expected failure rate, potentially due to insufficient packaging and increased oxidative processes.
Databáze: Directory of Open Access Journals