Failure of a Highly Cross-Linked Polyethylene Liner After Spine Fusion

Kimberly Roesler, Kevin L. Garvin

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


A 73-year-old woman, 11 years after total hip arthroplasty and 2 years after a multilevel lumbar spine fusion, presented with a 2-month history of anterior hip and gluteal pain. She was diagnosed with an acetabular liner fracture that occurred through the high wall, likely related to repetitive impingement on the neck of the femoral implant, as notable burnishing was observed on the explanted femoral head. The acetabulum was successfully revised to a dual-mobility articulation. Spinal fusion after total hip arthroplasty can alter the acetabular implant position and was seen in our patient whose previously functional high-walled liner failed. Surgeons may consider alternative techniques, including a change in acetabular implant's anteversion to mitigate the need for a high-walled liner or the use of a dual-mobility bearing.

Original languageEnglish (US)
JournalJournal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
Issue number3
StatePublished - Mar 1 2023

ASJC Scopus subject areas

  • General Medicine


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