O2516 THE POSTERIOR LIP AUGMENTATION DEVICE – A 7 YEAR EXPERIENCE

Abstract

Aims: To review the effectiveness of the Posterior Lip Augmentation Device (P.L.A.D.) in treating recurrent prosthetic total hip dislocation. Method: We reviewed 36 patients from 2 hip revision surgeons from 2 UK centres who underwent cup augmentation using this device since October 1995. Data were collected from case notes, X-rays and clinical review. All dislocations were posterior (minimum of 3 dislocations). In the majority of cases the abductors were poor or detached, and 35 of the 36 patients had undergone at least one major operation on their hip before a P.L.A.D. was þtted (mean 2.2 operations). Results: The mean age at the time of P.L.A.D. was 73 years (range 47–94). The longest P.L.A.D. follow up is 72 months, and is working well without problems reported by the patient or visible changes on x-ray. A total of 26 out of 36 patients (72.2%) have had a successful correction of their dislocation over this mean period of 21 months (range 8 days Ð 72 months). 10 patients (27.8%) developed signiþcant problems of which 7 (19.4%) required removal of the implant. There were 4 unrelated deaths in our cohort. Conclusions: We feel it has a place in the treatment of recurrent dislocation, particularly in the frail patient, with well-þxed and orientated components, where risks of revision surgery are high and there will be less loading postoperatively