Subscribe to RSS
Download PDF
DOI: 10.1055/s-0038-1632758
Acetabular cup displacement after polyethylenecement interface failure: A complication of total hip replacement in seven dogs
This work was not supported by any grant. The authors thank Andrew Kohm for statistical analysis, and Tim Vojt and Marc Hardman for figures.
Publication History
Received:
17 September 2002
Accepted:
09 November 2002
Publication Date:
22 February 2018 (online)
Summary
Acetabular cup displacement (ACD) was identified as a complication of cemented modular total hip replacement in seven dogs. ACD is characterized by mechanical failure of the polyethylene-cement interface and subsequent cup migration, and is a clinical entity distinct from classical aseptic loosening. ACD is a sequela of extrusion of the cup and lateralization of the prosthetic load-bearing axis. The acetabular cup displacement ratio (ACDR) has a statistically significant effect on whether ACD develops (P <0.0005). If ACD should occur, acetabular revision arthroplasty generally results in a good clinical outcome, if not complicated by infection.
-
References
- 1 Dyce J, Wisner ER, Wang Q, Olmstead ML. Evaluation of risk factors for luxation after total hip replacement in dogs. Vet Surg 2000; 29: 524-32.
- 2 Dyce J, Olmstead ML. Removal of infected canine total hip prostheses using a femoral window technique in 12 dogs. Vet Surg. (In press)
- 3 Edwards MR, Egger EL, Schwarz PD. Aseptic loosening of the femoral implant after cemented total hip arthroplasty in dogs: 11 cases in 10 dogs (1991–1995). JAVMA 1997; 211 (05) 580-6.
- 4 El-Warrak AO, Olmstead ML, von Rechenberg B, Auer JA. A review of aseptic loosening in total hip arthroplasty. VCOT 2001; 14: 115-24.
- 5 Liska WD. Femur fractures associated with canine total hip replacement. Proceedings of Contemporary Issues in Canine Total Hip Replacement Conference: 2001
- 6 Marcellin-Little DJ, DeYoung DJ, Thrall DE, Merrill CL. Osteosarcoma at the site of bone infarction associated with total hip arthroplasty in a dog. Vet Surg 1999; 28: 54-60.
- 7 Niles JD, Dyce J, Mattoon JS, Lehman A, Olmstead ML. Radiographic evaluation of infection and aseptic loosening following canine cemented total hip replacement. Vet Surg 2002; 31: 492.
- 8 Olmstead ML. The canine cemented modular total hip prosthesis. JAAHA 1995; 31: 109-24.
- 9 Olmstead ML. Total hip replacement. Vet Clin NA 1987; 17 (04) 943-55.
- 10 Parker RB. Complications and revisions of total hip arthroplasty. Fifth ACVS Sympos. Proceedings 1995; 276-8.
- 11 Reindl S, Matis U. Detection of embolic events by capnography and transoesophageal echocardiography during total hip replacement. VCOT 1998; 11: 68-75.
- 12 Roe SC, DeYoung DJ, Weinstock D, Kyles A. Osteosarcoma eight years after total hip arthroplasty. Vet Surg 1996; 25: 70-4.
- 13 Rubash HE, Sinha RK, Shanbag AS. et al. Pathogenesis of bone loss after total hip arthroplasty. Orthop Clin NA 1998; 29: 173-85.
- 14 Schulz KS, Adin C, Jackson J, Montavon P. Clinical application of acetabular augmentation in four canine total hip replacements. Vet Surg 2000; 29 (05) 483.
- 15 Shields SL, Schulz KS, Hagan CE, Kass P. The effects of acetabular cup temperature and duration of cement pressurization on cement porosity in a canine total hip replacement model. Vet Surg 2002; 31: 167-73.
- 16 Volz RG, Wilson RJ. Factors affecting the mechanical stability of the cemented acetabular component in total hip replacement. J Bone Joint Surg (Am) 1977; 59: 501-4.