• BACKGROUND
    • The purpose of this study was to examine the outcomes of repeat revision after failure of a constrained liner.
  • METHODS
    • We reviewed 1212 consecutive revisions and identified 74 (6%) revisions of a failed constrained liner in 46 patients with a mean age of 65 years. The most common reasons for revision of a constrained liner were recurrent instability (64.9%) and infection (25.7%).
  • RESULTS
    • At a mean of 35 months, 42 of the 74 hips (57%) required repeat revision. Kaplan-Meier revision-free survival was 24% at 10 years. Thirty-two of the 74 revisions (43%) had a dislocation event after the index revision. Kaplan-Meier dislocation-free survival was 43% at 10 years. There was a higher failure rate among the 34 patients with abductor deficiency (hazard ratio 1.90, 95% confidence interval, 1.06-3.43; P = .032).
  • CONCLUSION
    • Patients undergoing revision of a failed constrained liner have a high likelihood of recurrent dislocation and repeat revision surgery.
  • LEVEL OF EVIDENCE
    • Level IV.