Spontaneous loosening of hydroxyapatite peg sleeves.

Abstract

To report a new complication associated with pegging hydroxyapatite orbital implants: spontaneous loosening of the sleeve. Retrospective noncomparative case series. Four patients ranging in age from 38 to 60 years participated. Four patients are described who successfully received hydroxyapatite orbital implants with motility peg and sleeve systems. In each case spontaneous loosening of the sleeve developed. Clinical and surgical outcomes were assessed. Three patients had the peg and sleeve removed followed by repair of the peg hole, and one patient had placement of a larger diameter peg and sleeve system. All patients did well. Problems have been reported when motility coupling pegs are used with hydroxyapatite orbital implants. Spontaneous loosening of the sleeve is another potential complication to discuss with the patient considering an implant peg.