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Published on: September 7, 2022
Posterior Capsule Reconstruction with Polypropylene Mesh After Total Hip Arthroplasty
James M Rizkalla1, Brian P Gladnick2, Tolulope F Obafemi1
1Baylor Univeristy Medical Center, Department of Orthopaedic Surgery, Dallas, Texas.
Abstract:
Instability remains a challenge after total hip arthroplasty (THA). We have previously utilized a monofilament polypropylene mesh to reconstruct the posterior capsule for unstable THA. This study identified 24 hips that underwent mesh reconstruction of the posterior capsule for instability. Survivorship was 70.8% at mean 6.5 years (range 6 weeks-20.1 years). Six patients underwent re-operation, and one patient had the mesh removed. Of eight hips, five (62.5%) with a history of prior revision re-dislocated, while only 2/16 hips (12.5%) with no previous revision history re-dislocated (p = 0.02). Posterior capsule reconstruction with polypropylene mesh has reasonable mid-term survivorship in this challenging population. (Journal of Surgical Orthopaedic Advances 32(2):092-096, 2023).
