The Patient With Chronic Total Hip Arthroplasty Dislocations: A Case Series of Five Patients Who Underwent Revision THA Using Polypropylene Mesh for Capsular Reconstruction

Joseph M Nessler; Joseph P Nessler

doi:10.1016/j.artd.2020.07.031

The Patient With Chronic Total Hip Arthroplasty Dislocations: A Case Series of Five Patients Who Underwent Revision THA Using Polypropylene Mesh for Capsular Reconstruction

Arthroplast Today. 2020 Aug 22;6(4):655-661. doi: 10.1016/j.artd.2020.07.031. eCollection 2020 Dec.

Authors

Joseph M Nessler¹, Joseph P Nessler²

Affiliations

¹ Department of Orthopedics and Rehabilitation, University of Wisconsin, Madison, WI, USA.
² St. Cloud Orthopedics, Sartell, MN, USA.

Abstract

We report a case series of 5 patients who underwent revision total hip arthroplasty (THA) using a polypropylene mesh for capsular reconstruction for chronic THA instability. The average follow-up is 16.6 months (range, 9-20 months). There were no postoperative dislocations in our series. Three patients had previous infections with two-stage revisions before final revision surgery and were infection free at their most recent follow-up. One patient developed a prosthetic joint infection 2 months postoperatively. The use of a polypropylene mesh appears to be another tool that surgeons can use when dealing with the difficult dilemma on how to treat the patient with chronic THA instability and severe abductor and capsular tissue loss.

Keywords: Capsular reconstruction; Dislocation; Instability; Polypropylene mesh; Revision total hip arthroplasty; Total hip arthroplasty (THA).

Publication types

Case Reports