Outcomes of Dual Mobility Cups in a Young Middle Eastern Population and Its Influence on Life Style

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2017 Jan 12

PMID 28074257

Citations 13

Authors

Chahine Assi

Elie El-Najjar

Camille Samaha

Kaissar Yammine

Affiliations

Soon will be listed here.

Abstract

Dual mobility cups (DMC) in total hip arthroplasty (THA) are becoming popular among orthopaedic surgeons. Substantial benefit of their use has been reported among high risk patients, particularly in reducing post-operative hip instability (dislocation). Many reports stated some concern when implanted in young and active people where complications such as polyethylene wear and mechanical loosening could potentially be higher. This Middle Eastern study analyses a retrospective series of THA for any aetiology other than infection, using DMC for the acetabular component in 75 patients (85 implants) less than 70 years old. No instability, intra-prosthetic dislocation or mechanical failure was reported during a mean follow-up of five years. The only major complication was a post-operative infection. The mean post- operative modified Harris hip score was 97.1 out of 100. All patients resumed their daily activities and all religious practicing patients were able to accomplish their prayer positions without pain. DMC is found to be an interesting option in reducing dislocation events in young patients. Those excellent short-term results would encourage surgeons to use DMC in an active and highly demanding population. Further research is necessary to confirm maintenance of such results at long term follow-up.

Citing Articles

Outcomes of total hip arthroplasty using dual mobility cups following failed internal fixation of proximal femoral fractures at a mean follow-up of 6 years.

Assi C, Otayek J, Mansour J, Daher J, Caton J, Samaha C SICOT J. 2024; 10:3.

PMID: 38240729 PMC: 10798229. DOI: 10.1051/sicotj/2023038.

Dual Mobility Cup in Fractures of the Femoral Neck in Neuromuscular Disorders and Cognitive Dysfunction Patients above 60 years-old.

El-Deeb M, Said M, Abd El-Rahman T, Abdel Aziz Attalah A, Abdelaziz A, Hassan Y Arch Bone Jt Surg. 2023; 11(12):757-764.

PMID: 38146519 PMC: 10748812. DOI: 10.22038/ABJS.2023.65924.3157.

Comparing dislocation rates by approach following elective primary dual mobility total hip arthroplasty: a systematic review.

Butler J, Stegelmann S, Butler J, Bullock M, Miller R J Orthop Surg Res. 2023; 18(1):226.

PMID: 36945061 PMC: 10032016. DOI: 10.1186/s13018-023-03724-6.

Dual Mobility Total Hip Replacements in Young Patients- A Systematic Review.

Waseem S, Fong D, Onsa M, Khan W, Singh S Indian J Orthop. 2023; 57(2):203-210.

PMID: 36777127 PMC: 9880113. DOI: 10.1007/s43465-022-00787-1.

Major acetabular defects: outcomes of first revision total hip arthroplasty using Kerboull cross-plate with allograft and cemented dual mobility cup at a maximum follow-up of fourteen years.

Assi C, Mansour J, Boulos K, Caton J, Samaha C, El-Kayyem E Int Orthop. 2022; 46(11):2539-2546.

PMID: 36038654 DOI: 10.1007/s00264-022-05556-1.

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