The relationship between increased hip range of motion, wear, and locking mechanism failure in the Harris-Galante acetabular component.
We performed both clinical and radiographic evaluations of 178 patients (190 hips) who had undergone cementless total hip arthroplasties using Harris-Galante I/II porous cups after an average 12-year follow-up period (range, 8-18 years). We revised 15 Harris-Galante I/II porous cups (7.8%), and the locking mechanism was broken in 10 revised cups (67%). There was a significant association between locking mechanism failure and linear polyethylene wear. We observed a significant positive correlation between linear polyethylene wear and increased ranges of motion such as flexion, adduction, and external rotation at the last follow-up visit after the primary operation. Increased ranges of motion seen in Asians induced higher linear polyethylene wear and locking mechanism failure due to impingement of the neck and cup.
Imai
Hiroshi
H
Department of Bone and Joint Surgery, Ehime University Graduate School of Medicine, Ehime, Japan.
Mashima
Naohiko
N
Takahashi
Toshiaki
T
Yamamoto
Haruyasu
H
D000077:Acetabulum; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000208:ethnology / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods; D044466:Asian People; D001696:Biomechanical Phenomena; D005260:Female; D005271:Femur Head Necrosis / Q000208:ethnology / Q000601:surgery; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000502:physiology*; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D007564:Japan; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D020959:Polyethylene; D011475:Prosthesis Failure; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*
D020959:Polyethylene