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Related Experiment Video

Updated: Feb 13, 2026

Mapping Cortical Dynamics Using Simultaneous MEG/EEG and Anatomically-constrained Minimum-norm Estimates: an Auditory Attention Example
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Constrained Acetabular Liners.

Stephen A Jones1

  • 1Department of Trauma and Orthopaedics, Cardiff & Vale University Health Board, University Hospital of Wales and University Hospital Llandough, Wales, UK.

The Journal of Arthroplasty
|March 12, 2018
PubMed
Summary
This summary is machine-generated.

Constrained acetabular liners help prevent hip dislocation after total hip arthroplasty but have an 11.4% failure rate. These liners are best used as a salvage device in revision hip surgery.

Keywords:
constrained linersdislocationrecurrent hip instabilityrevision hip arthroplastysystematic review

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering

Background:

  • Dislocation is a common complication following total hip arthroplasty.
  • Constrained acetabular liners were developed to manage recurrent instability by capturing the femoral head.
  • These devices have been clinically utilized since the mid-1980s.

Purpose of the Study:

  • To review the mechanism, development, and advancements in constrained liner design.
  • To emphasize modes of failure and current indications for constrained liner use.
  • To provide authors' opinions on the clinical utility of these implants.

Main Methods:

  • A systematic literature review was conducted to summarize evidence on constrained liners.
  • Thirty-eight studies comprising 2852 constrained liners were analyzed.
  • Mean follow-up duration was 4.3 years.

Main Results:

  • The overall mean dislocation and/or constrained failure rate was 11.4% (95% CI 10.3–12.6).
  • The available evidence is of Level III quality at best.
  • Data from 2852 liners across 38 studies were analyzed.

Conclusions:

  • Constrained acetabular liners are a valuable salvage option for revision hip surgeons.
  • Current designs and outcomes suggest their use as a last resort.
  • Implantation should be considered only after optimizing all other total hip arthroplasty factors, particularly component positioning.