Achilles Allograft Reconstruction for Recurrent Dislocation in Total Hip Arthroplasty
Abstract Recurrent dislocation secondary to posterior soft tissue deficiency is a challenging complication of total hip arthroplasty. We describe the use of an Achilles allograft sling to improve hip stability. Eight patients treated with the sling were followed an average of 5 years. Seven patients...
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| Veröffentlicht in: | The Journal of arthroplasty 2011-09, Vol.26 (6), p.941-948 |
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| container_title | The Journal of arthroplasty |
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| creator | Van Warmerdam, Jennifer M., MD McGann, William A., MD Donnelly, Joseph R., MD Kim, John, PAC Welch, Richard B., MD |
| description | Abstract Recurrent dislocation secondary to posterior soft tissue deficiency is a challenging complication of total hip arthroplasty. We describe the use of an Achilles allograft sling to improve hip stability. Eight patients treated with the sling were followed an average of 5 years. Seven patients had no recurrent instability and good postoperative range of motion. One graft failed in a patient with a neuropathic hip. Cadaveric biomechanical testing was also performed to investigate the stiffness and torque to failure of the sling in 6 specimens. Allograft slings can be used to improve hip stability. The technique is relatively easy to perform and does not limit postoperative range of motion. The graft decreases joint stiffness and has a greater torque to failure than the intact capsule. |
| doi_str_mv | 10.1016/j.arth.2010.12.014 |
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We describe the use of an Achilles allograft sling to improve hip stability. Eight patients treated with the sling were followed an average of 5 years. Seven patients had no recurrent instability and good postoperative range of motion. One graft failed in a patient with a neuropathic hip. Cadaveric biomechanical testing was also performed to investigate the stiffness and torque to failure of the sling in 6 specimens. Allograft slings can be used to improve hip stability. The technique is relatively easy to perform and does not limit postoperative range of motion. The graft decreases joint stiffness and has a greater torque to failure than the intact capsule.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2010.12.014</identifier><identifier>PMID: 21558051</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Achilles allograft ; Achilles Tendon - transplantation ; Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip ; Biomechanical Phenomena ; Cadaver ; Female ; Follow-Up Studies ; Hip Dislocation - epidemiology ; Hip Dislocation - prevention & control ; Hip Dislocation - surgery ; Hip Joint - physiology ; Hip Joint - surgery ; Humans ; Joint Instability - epidemiology ; Joint Instability - prevention & control ; Joint Instability - surgery ; Male ; Middle Aged ; Orthopedics ; Postoperative Complications ; Range of Motion, Articular - physiology ; recurrent dislocation ; Reoperation ; Retrospective Studies ; Secondary Prevention ; total hip arthroplasty ; Transplantation, Homologous ; Treatment Outcome</subject><ispartof>The Journal of arthroplasty, 2011-09, Vol.26 (6), p.941-948</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-8640854d0a71d88fc691d03d9415aa09ed78bad1075f48da4d902734c32630df3</citedby><cites>FETCH-LOGICAL-c410t-8640854d0a71d88fc691d03d9415aa09ed78bad1075f48da4d902734c32630df3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2010.12.014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21558051$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Warmerdam, Jennifer M., MD</creatorcontrib><creatorcontrib>McGann, William A., MD</creatorcontrib><creatorcontrib>Donnelly, Joseph R., MD</creatorcontrib><creatorcontrib>Kim, John, PAC</creatorcontrib><creatorcontrib>Welch, Richard B., MD</creatorcontrib><title>Achilles Allograft Reconstruction for Recurrent Dislocation in Total Hip Arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Recurrent dislocation secondary to posterior soft tissue deficiency is a challenging complication of total hip arthroplasty. We describe the use of an Achilles allograft sling to improve hip stability. Eight patients treated with the sling were followed an average of 5 years. Seven patients had no recurrent instability and good postoperative range of motion. One graft failed in a patient with a neuropathic hip. Cadaveric biomechanical testing was also performed to investigate the stiffness and torque to failure of the sling in 6 specimens. Allograft slings can be used to improve hip stability. The technique is relatively easy to perform and does not limit postoperative range of motion. The graft decreases joint stiffness and has a greater torque to failure than the intact capsule.</description><subject>Achilles allograft</subject><subject>Achilles Tendon - transplantation</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>Biomechanical Phenomena</subject><subject>Cadaver</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hip Dislocation - epidemiology</subject><subject>Hip Dislocation - prevention & control</subject><subject>Hip Dislocation - surgery</subject><subject>Hip Joint - physiology</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>Joint Instability - epidemiology</subject><subject>Joint Instability - prevention & control</subject><subject>Joint Instability - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Postoperative Complications</subject><subject>Range of Motion, Articular - physiology</subject><subject>recurrent dislocation</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Secondary Prevention</subject><subject>total hip arthroplasty</subject><subject>Transplantation, Homologous</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-LFDEQxYMo7rj6BTxI3zz1WNVJujMgwrD-WWFB0N1zyCbVbsZMZ0zSC_PtTTurBw-eCqree1T9irGXCGsE7N_s1iaVu3UHS6NbA4pHbIWSd60S0D9mK1CKt1IAP2PPct4BIEopnrKzrlYFElfsZmvvfAiUm20I8XsyY2m-ko1TLmm2xcepGWNaWnNKNJXmvc8hWvN74qfmOhYTmkt_aLZ1lxQPweRyfM6ejCZkevFQz9nNxw_XF5ft1ZdPny-2V60VCKVVvQAlhQMzoFNqtP0GHXC3ESiNgQ25Qd0ahzDIUShnhNtAN3BheddzcCM_Z69PuYcUf86Ui977bCkEM1Gcs1ZKKCGF6quyOyltijknGvUh-b1JR42gF5p6pxeaeqGpsdOVZjW9eoifb_fk_lr-4KuCtycB1SPvPSWdrafJkvOJbNEu-v_nv_vHboOfvDXhBx0p7-KcpopPo87VoL8t_1zeiQDQDyD4L_xRmso</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Van Warmerdam, Jennifer M., MD</creator><creator>McGann, William A., MD</creator><creator>Donnelly, Joseph R., MD</creator><creator>Kim, John, PAC</creator><creator>Welch, Richard B., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Achilles Allograft Reconstruction for Recurrent Dislocation in Total Hip Arthroplasty</title><author>Van Warmerdam, Jennifer M., MD ; McGann, William A., MD ; Donnelly, Joseph R., MD ; Kim, John, PAC ; Welch, Richard B., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-8640854d0a71d88fc691d03d9415aa09ed78bad1075f48da4d902734c32630df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Achilles allograft</topic><topic>Achilles Tendon - transplantation</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>Biomechanical Phenomena</topic><topic>Cadaver</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hip Dislocation - epidemiology</topic><topic>Hip Dislocation - prevention & control</topic><topic>Hip Dislocation - surgery</topic><topic>Hip Joint - physiology</topic><topic>Hip Joint - surgery</topic><topic>Humans</topic><topic>Joint Instability - epidemiology</topic><topic>Joint Instability - prevention & control</topic><topic>Joint Instability - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Postoperative Complications</topic><topic>Range of Motion, Articular - physiology</topic><topic>recurrent dislocation</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Secondary Prevention</topic><topic>total hip arthroplasty</topic><topic>Transplantation, Homologous</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Warmerdam, Jennifer M., MD</creatorcontrib><creatorcontrib>McGann, William A., MD</creatorcontrib><creatorcontrib>Donnelly, Joseph R., MD</creatorcontrib><creatorcontrib>Kim, John, PAC</creatorcontrib><creatorcontrib>Welch, Richard B., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Warmerdam, Jennifer M., MD</au><au>McGann, William A., MD</au><au>Donnelly, Joseph R., MD</au><au>Kim, John, PAC</au><au>Welch, Richard B., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Achilles Allograft Reconstruction for Recurrent Dislocation in Total Hip Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>26</volume><issue>6</issue><spage>941</spage><epage>948</epage><pages>941-948</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Recurrent dislocation secondary to posterior soft tissue deficiency is a challenging complication of total hip arthroplasty. We describe the use of an Achilles allograft sling to improve hip stability. Eight patients treated with the sling were followed an average of 5 years. Seven patients had no recurrent instability and good postoperative range of motion. One graft failed in a patient with a neuropathic hip. Cadaveric biomechanical testing was also performed to investigate the stiffness and torque to failure of the sling in 6 specimens. Allograft slings can be used to improve hip stability. The technique is relatively easy to perform and does not limit postoperative range of motion. The graft decreases joint stiffness and has a greater torque to failure than the intact capsule.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21558051</pmid><doi>10.1016/j.arth.2010.12.014</doi><tpages>8</tpages></addata></record> |
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| ispartof | The Journal of arthroplasty, 2011-09, Vol.26 (6), p.941-948 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Achilles allograft Achilles Tendon - transplantation Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip Biomechanical Phenomena Cadaver Female Follow-Up Studies Hip Dislocation - epidemiology Hip Dislocation - prevention & control Hip Dislocation - surgery Hip Joint - physiology Hip Joint - surgery Humans Joint Instability - epidemiology Joint Instability - prevention & control Joint Instability - surgery Male Middle Aged Orthopedics Postoperative Complications Range of Motion, Articular - physiology recurrent dislocation Reoperation Retrospective Studies Secondary Prevention total hip arthroplasty Transplantation, Homologous Treatment Outcome |
| title | Achilles Allograft Reconstruction for Recurrent Dislocation in Total Hip Arthroplasty |
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