Análisis de los fracasos de un modelo de cotilo constreñido cementado en pacientes de alto riesgo de luxación

Abstract

ObjectiveTo evaluate the short-term results of an ultra high molecular weight polyethylene retentive cup in patients at high risk of dislocation, either primary or revision surgery. Material and methodRetrospective review of 38 cases in order to determine the rate of survival and failure analysis of a constrained cemented cup, with a mean follow-up of 27 months. We studied demographic data, complications, especially re-dislocations of the prosthesis and, also the likely causes of system failure analyzed. ResultsIn 21.05% (8 cases) were primary surgery and 78.95% were revision surgery (30 cases). The overall survival rate by Kaplan-Meier method was 70.7 months. During follow-up 3 patients died due to causes unrelated to surgery and 2 infections occurred. 12 hips had at least two previous surgeries done. It wasn’t any case of aseptic loosening. Four patients presented dislocation, all with a 22mm head (P=.008). Our statistical analysis didn’t found relationship between the abduction cup angle and implant failure (P=.22). ConclusionsThe ultra high molecular weight polyethylene retentive cup evaluated in this series has provided satisfactory short-term results in hip arthroplasty patients at high risk of dislocation.