Purpose: To determine the feasibility of the use of flaps fromthe capsule surrounding porous polyethylene implants in repairing large or recurrent implant exposures. Design: Retrospective, noncomparative, intervention...Purpose: To determine the feasibility of the use of flaps fromthe capsule surrounding porous polyethylene implants in repairing large or recurrent implant exposures. Design: Retrospective, noncomparative, interventional case series. Participants: Sixteen patients with exposed porous polyethylene implants. Methods: Vertical and horizontal flaps were created from the implant capsule. These flaps were used to create a double layer of closure to seal the exposure. All patients had a minimum follow- up of at least 12 months. Main Outcome Measures: Repair of the exposure without recurrence during the follow- up interval, and assessment of complications. Results: At the last follow- up visit, the socket was completely healed in all but 2 patients. In 1 of them, the implantwas subsequently exchanged. Other complications included motility loss, conjunctival cyst, and granuloma formation. Conclusions: The use of the implant capsule to salvage exposed porous polyethylene implants is an effective technique; it is associated with some complications that can be minimized by careful case selection.展开更多
文摘Purpose: To determine the feasibility of the use of flaps fromthe capsule surrounding porous polyethylene implants in repairing large or recurrent implant exposures. Design: Retrospective, noncomparative, interventional case series. Participants: Sixteen patients with exposed porous polyethylene implants. Methods: Vertical and horizontal flaps were created from the implant capsule. These flaps were used to create a double layer of closure to seal the exposure. All patients had a minimum follow- up of at least 12 months. Main Outcome Measures: Repair of the exposure without recurrence during the follow- up interval, and assessment of complications. Results: At the last follow- up visit, the socket was completely healed in all but 2 patients. In 1 of them, the implantwas subsequently exchanged. Other complications included motility loss, conjunctival cyst, and granuloma formation. Conclusions: The use of the implant capsule to salvage exposed porous polyethylene implants is an effective technique; it is associated with some complications that can be minimized by careful case selection.
