Recurrent dislocation after reconstructive hip surgery remains a challenging problem to treat. Constrained acetabular components can provide an excellent solution, in selected patients. Failure of constrained components may still occur despite excellent component implantation and occurs at the liner-shell and shell-bone interfaces usually as a result of trauma or aseptic loosening. We describe the failure of a Trident bipolar acetabular component at its bipolar/insert interface, a previously unreported mode of failure.
SivashK.M.The development of a total metal prosthesis for the hip joint from a partial joint replacement.Reconstr Surg Traumatol1969; 11: 53–62.
2.
KhanR.J., FickD., AlakesonR.. A constrained acetabular component for recurrent dislocation.J Bone Joint Surg Br2006; 88: 870–6.
3.
KaperB.P., BerniniP.M.Failure of a constrained acetabular prosthesis of a total hip arthroplasty. A report of four cases.J Bone Joint Surg Am1998; 80: 561–5.
4.
LombardiAVJr., MalloryT.H., KrausT.J., VaughnB.K.Preliminary report on the S-ROM constrained acetabular insert: a retrospective clinical experience.Orthopedics1991; 14: 297–303.
5.
BremnerB.R., GoetzD.D., CallaghanJ.J., CapelloW.N., JohnstonR.C.Use of constrained acetabular components for hip instability: an average 10-year follow-up study.J Arthroplasty2003; 18(suppl 1): S131–7.
6.
ShapiroG.S., WeilandD.E., MarkelD.C., PadgettD.E., SculcoT.P., PellicciP.M.The use of a constrained acetabular component for recurrent dislocation.J Arthroplasty2003; 18: 250–8.
7.
ShraderM.W., ParviziJ., LewallenD.G.The use of a constrained acetabular component to treat instability after total hip arthroplasty.J Bone Joint Surg Am2003; 85: 2179–83.
8.
CallaghanJ.J., O'RourkeM.R., GoetzD.D., LewallenD.G., JohnstonR.L., CapelloW.N.Use of a constrained tripolar acetabular liner to treat intraoperative instability and postoperative dislocation after total hip arthroplasty: a review of our experience.Clin Orthop Relat Res2004; 429: 117–23.