Ten- to 16-Year Results of a Modern Cementless Dual-Mobility Acetabular Implant in Primary Total Hip Arthroplasty

2019 ◽  
Vol 34 (11) ◽  
pp. 2704-2710 ◽  
Author(s):  
Romain Gaillard ◽  
Raymond Kenney ◽  
Jean-Luc Delalande ◽  
Cécile Batailler ◽  
Sébastien Lustig
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Dual Mobility ◽  
Total Hip ◽  
Acetabular Implant ◽  
Primary Total Hip Arthroplasty

scholarly journals The usefulness of dual mobility cups in primary total hip arthroplasty patients at a risk of dislocation

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Nam Hoon Moon ◽  
Min Uk Do ◽  
Jung Shin Kim ◽  
Jae Seung Seo ◽  
Won Chul Shin
Keyword(s):  
Postoperative Complications ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Harris Hip Score ◽  
Dual Mobility ◽  
Total Hip ◽  
Early Results ◽  
Patient Reported ◽  
Primary Total Hip Arthroplasty

AbstractThis study aimed to evaluate the early results of primary total hip arthroplasty (THA) using dual mobility (DM) cups in patients at a risk of dislocation and compare them with that of fixed bearing (FB) THA. This retrospective study included patients who had undergone primary THA between January 2016 and December 2018 and were at a risk of dislocation. A propensity score-matched analysis was conducted for 63 THA procedures with vitamin-E infused highly cross-linked polyethylene (VEPE) DM bearing and 63 THA procedures performed with FB from the same manufacturer for a mean follow-up period of 3.1 and 3.5 years, respectively. The radiologic outcomes at the last follow-up and incidence of postoperative complications were evaluated and compared statistically between the two groups. The modified Harris hip score (mHHS) was used to assess patient-reported outcomes. Postoperative dislocation occurred in 4 cases (6.3%) in the FB group, but did not occur in the DM group (p = 0.042). There was no difference in the radiologic outcomes and postoperative complications between the two groups. The mHHS at the last follow-up showed satisfactory outcomes in both the groups (DM group, 90.5; FB group, 88.1), without a statistical difference between the groups. The early results of THA using VEPE DM bearing showed better outcomes than that of THA with FB for patients at a risk of dislocation. A longer follow-up period is recommended to assess the stability and overall outcomes.

scholarly journals Safety and Efficacy of Hemispherical with Flattened Pole Dual-Mobility Acetabular Cup in Primary Hip Arthroplasty: The SYMCOR-1 study

2020 ◽  
Author(s):  
Nicolas Bonin ◽  
Gilles Estour ◽  
Jean-Emmanuel Gedouin ◽  
Olivier Guyen ◽  
Frederic Christopher Daoud
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Cobalt Chromium ◽  
Acetabular Cup ◽  
Short Term ◽  
Dual Mobility ◽  
Safety And Efficacy ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

Abstract Background: This study estimated the short-term clinical safety and efficacy of hemispherical with flattened pole cobalt-chromium metal-back with porous outer hydroxyapatite coating dual-mobility acetabular cup (HFPC-DM-HA) in primary total hip arthroplasty.Methods: Single-center retrospective observational cohort study of consecutive patients undergoing total hip arthroplasty with a HFPC-DM-HA 2 years prior to study start. Prospective 2-year follow-up with letter and phone questionnaires.Results: Sampling frame: 361 patients including 59 patients (16.3%) in the cohort. 6 patients (10%) lost to follow-up. Median age 77.5 years (range: 67 ; 92), 32% female, median BMI 25.2 kg.m-2 (18.4 to 56.8). Clinical indications: Primary THA in all patients, resulting from primary osteoarthritis in 80% of them. Median follow-up 3.0 years (2.7 to 4.1). Primary endpoint: 2-year implant survival rate: 97% [87, 99]. Prosthetic dislocation: 0%. Secondary endpoint: Modified HHS (pain & functional subscore) improved from baseline 39.7 [34.6, 44.7] to 75.8 [72.1, 79.6] at 1-year and to 86.7 [83.7, 89.7] at 2-year follow-up (p<0.0001).Conclusions: The authors deemed the short-term outcomes of this acetabular cup in primary total hip arthroplasty to be satisfactory.Study registration: clinicaltrials.gov NCT04209374.

Causes for revision of dual-mobility and standard primary total hip arthroplasty

2015 ◽  
Vol 41 (3) ◽  
pp. 455-459 ◽  
Author(s):  
Jean-Louis Prudhon ◽  
◽  
Romain Desmarchelier ◽  
Moussa Hamadouche ◽  
Christian Delaunay ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Dual Mobility ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

scholarly journals Can dual mobility cups prevent dislocation without increasing revision rates in primary total hip arthroplasty? A systematic review

2020 ◽  
Vol 106 (3) ◽  
pp. 509-517 ◽  
Author(s):  
Ragna C. Jonker ◽  
Loes W.A.H. van Beers ◽  
Bart C.H. van der Wal ◽  
H. Charles Vogely ◽  
Sebastien Parratte ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Dual Mobility ◽  
Total Hip ◽  
Dual Mobility Cups ◽  
Primary Total Hip Arthroplasty

Primary total hip arthroplasty: mid-term outcomes of dual-mobility cups in patients at high risk of dislocation

2019 ◽  
pp. 112070001988903 ◽  
Author(s):  
Chahine Assi ◽  
Hanane Barakat ◽  
Jad Mansour ◽  
Camille Samaha ◽  
Kaissar Yammine
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Acute Infection ◽  
Dual Mobility ◽  
Total Hip ◽  
Dual Mobility Cups ◽  
The Impact ◽  
Primary Total Hip Arthroplasty

Introduction: Dual-mobility cups (DMC) are currently used in patients having risk factors of instability. Most of the studies report the use of DMC in patients having a single high-risk variable. The aim of the study was to analyse a continuous series of patients treated with primary total hip arthroplasty (THA) and DMC with different high risk for dislocation. Methods: This is a retrospective study analysing the outcomes of primary THA with DMC in patients at high-risk of dislocation. The sample consisted of 215 patients having 1 of 3 aetiologies or risk factors: (1) young subjects (<55 years); (2) osteonecrosis of the femoral head (ONFH); and (3) femoral neck fracture (FNF). Results: With a mean follow-up duration of 70 ± 24.7 months, the findings showed the following: 2 patients had dislocated their hip following motor vehicle accidents; 1 patient had a traumatic femoral peri-prosthetic fracture; and 1 patient had an acute infection. No intra-prosthetic dislocation or aseptic loosening were encountered. No radiolucent lines were observed on the acetabular side. The mean modified Hip Harris Score was 96.6 ± 7.4%. Out of 186 patients, 170 (90.1%) would label their operated hip as a “forgotten hip”. 78 out of the 84 patients (92.8%) who used to practice oriental sitting and/or ablution for prayers were able to return to their usual daily activities of extreme hip position and 74 out of the 84 patients (88%) described their operated hip as “a forgotten hip”. No correlation was found between any of the studied variables. Discussion: The findings of this series of patients at high risk of dislocation showed excellent clinical and radiological results with very few complications. The use of DMC seems to counteract the impact of some aetiologies/risk factors that could lead to higher instability. Most patients practising extreme hip positions resumed their usual practices.

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