Canted seating of the Stryker Modular Dual Mobility liner within a Trident hemispherical acetabular shell

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Canted seating of the Stryker Modular Dual Mobility liner within a Trident hemispherical acetabular shell

A 75-year-old woman who suffered a left femoral neck fracture underwent a left total hip arthroplasty using a Stryker Trident (Kalamazoo, MI) hemispherical acetabular shell and Modular Dual Mobility (MDM) metal liner. Post-operative radiographs demonstrated canted seating of the liner. The patient was taken immediately back to the operating room where the acetabular liner appeared well seated s...

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Incomplete seating of the liner with the Trident acetabular system: a cause for concern?

We reviewed the initial post-operative radiographs of the Trident acetabulum and identified a problem with seating of the metal-backed ceramic liner. We identified 117 hips in 113 patients who had undergone primary total hip replacement using the Trident shell with a metal-backed alumina liner. Of these, 19 (16.4%) were noted to have incomplete seating of the liner, as judged by plain anteropos...

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Highly Cross-linked Polyethylene Liner Dissociation from a Cement-less Modular Acetabular Shell: Two Case Reports

Liner dissociation of polyethylene from a cementless acetabular socket following total hip arthroplasty (THA) is a rare complication. Cross-linked polyethylene liner dissociation from AMS-HA shell (KYOCERA Med, Osaka, Japan) occurred in 2 out of the 4153 (0.04%) cases approximately 10 years after undergoing surgery at our institute. First case was an 80-year-old female who underwent right THA a...

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Dissociation of Polyethylene Liner of the Dual Mobility Acetabular Component after Closed Reduction of Dislocation: A Case Report

A dual mobility acetabular component has a structure that combines a polyethylene liner and a femoral head, unlike the general design of acetabular cups, making the dissociation of a polyethylene liner highly unlikely. In addition, it increases the range of motion and reduces the possibility of dislocations by increasing a jump distance. A fifty-one-year-old male who had received total hip arth...

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Effects of Acetabular Shell Deformation and Liner Thickness on Frictional Torque in Polyethylene Acetabular Bearings

Introduction: Studies have shown that frictional forces in an acetabular component during the gait cycle may be a contributing factor to acetabular shell loosening.1,2 Recent publications have indicated that metal shell deformation can cause secondary forces attributed to insertion technique of press-fit components.3,4 In addition, it is also recognized that larger diameter femoral heads offer ...

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ژورنال

عنوان ژورنال: Arthroplasty Today

سال: 2016

ISSN: 2352-3441

DOI: 10.1016/j.artd.2015.05.003