Recurrent instability |
Multidirectional intraoperative instability (90° flexion, 20° adduction, 30° abduction, 15° rotation) |
Abductor insufficiency |
Neuromuscular disability |
Presence of an internal fixation device |
Intraoperative instability not related to component malposition |
Extensive acetabular bone loss |
Inability to repair the greater trochanter |
Massive femoral bone loss requiring allograft or replacement |
Revision following resection arthroplasty |
Neuromuscular disorders (Polio residual, Guillan Barre, Hemiparesis, Senile Dementia) |
Revision following periprosthetic fracture |
Failed previous attempts at stabilization |
Revision following hip arthrodesis |
Proximal insertion deficiency |
6 or more prior dislocations |