Constrained tripolar liner in patients with high risk of dislocation - Analysis of incidence and risk of failure

A Derksen; M Kluge; N Wirries; S Budde; M Schwarze; H Windhagen; T Floerkemeier

doi:10.1016/j.jor.2021.05.021

Constrained tripolar liner in patients with high risk of dislocation - Analysis of incidence and risk of failure

J Orthop. 2021 May 25:25:288-294. doi: 10.1016/j.jor.2021.05.021. eCollection 2021 May-Jun.

Authors

A Derksen¹, M Kluge¹, N Wirries¹, S Budde¹, M Schwarze², H Windhagen¹, T Floerkemeier^{1

3}

Affiliations

¹ Department of Orthopaedic Surgery at DIAKOVERE Annastift, Hannover Medical School, Anna-von-Borries-Str. 1-7, 30625, Hannover, Germany.
² Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery at DIAKOVERE Annastift, Hannover Medical School, Anna-von-Borries-Str. 1-7, 30625, Hannover, Germany.
³ go:h - Gelenkchirurgie Orthopädie Hannover, Bertastr. 10, 30159, Hannover, Germany.

Abstract

Introduction: The aim of this study was to determine number and type of failures and revisions after usage of a constrained tripolar acetabular liner in patients with high risk of dislocation. Potential correlations between these failures and the factors included were analyzed.

Materials and methods: In this retrospective study 55 participants in 68 cases were included after treatment with constrained tripolar acetabular liner. Patient specific data as well as surgery and implant specific data were collected. Radiological images were assessed. Furthermore, the gluteal function was analyzed. The parameters were statistically verified with regard to their influence on the failure of the constrained tripolar liner.

Results: This study included 16 cases (in nine participants) of postoperative failure. This results in a survival rate of 76.5% regarding the number of cases after 17 months. The statistical analysis of the different parameters considered that the number of previous surgeries has a significant (p = 0.027) influence on the failure.

Conclusions: This retrospective study shows that treatment with constrained tripolar acetabular liners is a satisfactory method of treatment in cases with a high risk of dislocation. However, in cases with an increasing number of previous surgeries, an increased risk of failure was found. Therefore, in such cases, this type of supply treatment should be treated critically.

Keywords: Constrained liner; Dual mobility; Hip revision; Tripolar acetabular liner; Tripolar liner.