{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:48Z","timestamp":1787755308785,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"16","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,19]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The cementation of a new liner into a well-fixed acetabular component is common during revision total hip arthroplasty (THA) for many indications, but most commonly for lack of a modern, compatible, highly cross-linked polyethylene (HXLPE) liner. However, little is known about the intermediate-term to long-term durability of this strategy. The purpose of this study was to evaluate the implant survivorship, risk of complications, clinical outcomes, and radiographic results of cementing a new HXLPE liner into a well-fixed acetabular component.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively identified 323 revision THAs in which a nonconstrained HXLPE liner was cemented into a well-fixed acetabular component. The mean age at the time of the revision THA was 63 years, and 50% of patients were female. The most common indications for revision THA were polyethylene wear and osteolysis (48%), aseptic femoral loosening (35%), and hip instability (8%). The mean follow-up was 9 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Polyethylene liner failure occurred in 11 cases (3%). In all cases, the cemented liner dissociated from the acetabular component. At 10 years, the survivorship free from any revision was 80% (95% confidence interval [CI], 75% to 84%) and the survivorship free from any reoperation was 77% (95% CI, 72% to 82%). The most common reason for re-revision was dislocation (45% of reoperations). A dislocation occurred in 17% of cases. Hips that underwent revision for instability were significantly more likely to dislocate compared with hips that underwent revision for liner wear (hazard ratio [HR], 2.3 [95% CI, 1.2 to 4.5]; p = 0.02). Elevated rim or face-changing liners were significantly more likely to dissociate than flat liners (HR, 9.0 [95% CI, 1.2 to 70.6]; p = 0.04).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Cementation of a nonconstrained HXLPE liner into a well-fixed acetabular component during revision THA provided durable fixation with only a small number of failures at the cement interface (3%). Instability after this procedure remains a concern, but this is multifactorial in nature. These data support the continued use of this technique, when necessary, during revision THA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.19.01441","type":"journal-article","created":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T20:00:40Z","timestamp":1599595240000},"page":"1397-1404","source":"Crossref","is-referenced-by-count":19,"title":["Intermediate to Long-Term Follow-up of Cementing Liners into Well-Fixed Acetabular Components"],"prefix":"10.2106","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3151-877X","authenticated-orcid":false,"given":"Nicholas A.","family":"Bedard","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3584-9285","authenticated-orcid":false,"given":"Matthew W.","family":"Tetreault","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8093-1777","authenticated-orcid":false,"given":"Arlen D.","family":"Hanssen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3101-9129","authenticated-orcid":false,"given":"David G.","family":"Lewallen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4572-7540","authenticated-orcid":false,"given":"Robert T.","family":"Trousdale","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1422-0306","authenticated-orcid":false,"given":"Daniel J.","family":"Berry","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2398-1724","authenticated-orcid":false,"given":"Matthew P.","family":"Abdel","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,6,24]]},"reference":[{"issue":"3","key":"bib1-20230810","doi-asserted-by":"crossref","first-page":"234","DOI":"10.2106\/JBJS.K.00237","article-title":"Primary cementless acetabular fixation at a minimum of twenty years of follow-up: a concise update of a previous report","volume":"94","author":"Stefl","year":"2012","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib2-20230810","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.2106\/00004623-200306000-00019","article-title":"A biomechanical analysis of polyethylene liner cementation into a fixed metal acetabular shell","volume":"85","author":"Haft","year":"2003","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib3-20230810","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1016\/j.arth.2008.05.027","article-title":"Cementation of a polyethylene liner into a metal acetabular shell: a biomechanical study","volume":"24","author":"Hofmann","year":"2009","journal-title":"J Arthroplasty."},{"issue":"9","key":"bib4-20230810","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.2106\/00004623-200209000-00011","article-title":"Cementation of a polyethylene liner into a metal shell. Factors related to mechanical stability","volume":"84","author":"Bonner","year":"2002","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib5-20230810","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1054\/arth.2001.25501","article-title":"The strength of a cement acetabular locking mechanism","volume":"16","author":"Meldrum","year":"2001","journal-title":"J Arthroplasty."},{"issue":"6","key":"bib6-20230810","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1016\/j.arth.2007.07.002","article-title":"Cementation of polyethylene liners into well-fixed metal shells at the time of revision total hip arthroplasty","volume":"23","author":"Mauerhan","year":"2008","journal-title":"J Arthroplasty."},{"issue":"11","key":"bib7-20230810","doi-asserted-by":"crossref","first-page":"3142","DOI":"10.1007\/s11999-012-2380-x","article-title":"Cementing acetabular liners into secure cementless shells for polyethylene wear provides durable mid-term fixation","volume":"470","author":"Callaghan","year":"2012","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib8-20230810","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1016\/j.arth.2015.01.041","article-title":"Long term results of liner polyethylene cementation technique in revision for peri-acetabular osteolysis","volume":"30","author":"Rivkin","year":"2015","journal-title":"J Arthroplasty."},{"issue":"1","key":"bib9-20230810","first-page":"14","article-title":"[Polyethylene replacement by cementing a new component over the osseointegrated metal-back]","volume":"59","author":"Espinosa-Ruiz","year":"2015","journal-title":"Rev Esp Cir Ortop Traumatol."},{"issue":"3","key":"bib10-20230810","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.arth.2008.12.003","article-title":"Cementation of cross-linked polyethylene liner into well-fixed acetabular shells: mean 6-year follow-up study","volume":"25","author":"Wang","year":"2010","journal-title":"J Arthroplasty."},{"issue":"3","key":"bib11-20230810","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1016\/j.arth.2013.07.042","article-title":"Medium-term results of cementation of a highly cross-linked polyethylene liner into a well-fixed acetabular shell in revision hip arthroplasty","volume":"29","author":"Lim","year":"2014","journal-title":"J Arthroplasty."},{"issue":"2","key":"bib12-20230810","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1177\/230949901001800210","article-title":"Cementing polyethylene liners into non-modular acetabular components in revision total hip arthroplasty","volume":"18","author":"Khanuja","year":"2010","journal-title":"J Orthop Surg (Hong Kong)."},{"issue":"7","key":"bib13-20230810","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/S0883-5403(03)00287-0","article-title":"Cementation of an acetabular liner into a well-fixed acetabular shell during revision total hip arthroplasty","volume":"18","author":"Springer","year":"2003","journal-title":"J Arthroplasty."},{"issue":"7","key":"bib14-20230810","doi-asserted-by":"crossref","first-page":"620","DOI":"10.2106\/JBJS.18.00607","article-title":"Long-term outcomes of constrained liners cemented into retained, well-fixed acetabular components","volume":"101","author":"Brown","year":"2019","journal-title":"J Bone Joint Surg Am."},{"issue":"4","key":"bib15-20230810","doi-asserted-by":"crossref","first-page":"737","DOI":"10.2106\/00004623-196951040-00012","article-title":"Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation","volume":"51","author":"Harris","year":"1969","journal-title":"J Bone Joint Surg Am."},{"issue":"9","key":"bib16-20230810","doi-asserted-by":"crossref","first-page":"1813","DOI":"10.1007\/s00264-012-1583-9","article-title":"A new method of measuring acetabular cup anteversion on simulated radiographs","volume":"36","author":"Bachhal","year":"2012","journal-title":"Int Orthop."},{"issue":"2","key":"bib17-20230810","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1302\/0301-620X.75B2.8444942","article-title":"The definition and measurement of acetabular orientation","volume":"75","author":"Murray","year":"1993","journal-title":"J Bone Joint Surg Br."},{"key":"bib18-20230810","first-page":"20","article-title":"Radiological demarcation of cemented sockets in total hip replacement","volume":"121","author":"DeLee","year":"1976","journal-title":"Clin Orthop Relat Res."},{"issue":"282","key":"bib19-20230810","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1080\/01621459.1958.10501452","article-title":"Nonparametric estimation from incomplete observations","volume":"53","author":"Kaplan","year":"1958","journal-title":"J Am Stat Assoc."},{"issue":"5","key":"bib20-20230810","doi-asserted-by":"crossref","first-page":"421","DOI":"10.2106\/JBJS.18.00522","article-title":"Polyethylene liner and femoral head exchange in total hip arthroplasty: factors associated with long-term success and failure","volume":"101","author":"Petis","year":"2019","journal-title":"J Bone Joint Surg Am."}],"container-title":["Journal of Bone and Joint Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.19.01441","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:40:58Z","timestamp":1787751658000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.19.01441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,24]]},"references-count":20,"journal-issue":{"issue":"16","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.19.01441","relation":{},"ISSN":["0021-9355","1535-1386"],"issn-type":[{"value":"0021-9355","type":"print"},{"value":"1535-1386","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,24]]}}}