Short-term Outcome After Total Hip Arthroplasty Using Dual-mobility Cup: Report from Lithuanian Arthroplasty Register

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2017 Jan 13

PMID 28078363

Citations 10

Authors

Sarunas Tarasevicius

Alfredas Smailys

Kazimieras Grigaitis

Otto Robertsson

Justinas Stucinskas

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of the study was to investigate how the use of dual-mobility cups (DMCs) affected the risk of revision due to dislocation as well as overall risk of revision compared with a conventional total hip arthroplasty (THA) system in the short term.

Methods: A total of 12,657 primary THAs were registered from the start of 2011 to the end of 2014. 620 THAs were with DMCs. For comparison, we included all registered THAs with Exeter cup and a cemented Exeter stem combined with 28-mm femoral head. Patients were followed up with respect to revision and/or death until 1 January 2016. For survival analysis, we used revision as an endpoint. Cox proportional hazards models were used to analyse the influence of various covariates (age, gender, surgical approach, THA model and pre-operative diagnosis).

Results: Of the 620 dual-mobility THAs and 2170 Exeter THAs, 100 had been revised. The overall unadjusted cumulative revision rate (CRR) for any reason of revision at five years after surgery was 3.9% in the dual-mobility group and 5.2% in the Exeter group. Cox regression analysis, adjusting for age, gender, THA type, surgical approach and pre-operative diagnosis, showed that the risk of revision was less in patients operated with DMCs and in patients having their operation for osteoarthritis.

Conclusion: The DM implant had a lower short-term complication rate than a conventional well defined THA. Low dislocation rate suggests that it is a good choice for high risk patients.

Citing Articles

Dual-Mobility Total Hip Arthroplasty in Patients with Obesity, Morbid Obesity and Super-Obesity: Medium-Term Outcomes of a Series of 180 Hips.

Sharma A, Verghese S, Bindumadhavan S, Killampalli J, Killampalli V Indian J Orthop. 2024; 59(1):77-83.

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Risk factors and modes of failure in the modern dual mobility implant. A systematic review and meta-analysis.

Pai F, Ma H, Chou T, Huang T, Huang K, Tsai S BMC Musculoskelet Disord. 2021; 22(1):541.

PMID: 34126990 PMC: 8204435. DOI: 10.1186/s12891-021-04404-4.

Study protocol: Effectiveness of dual-mobility cups compared with uni-polar cups for preventing dislocation after primary total hip arthroplasty in elderly patients - design of a randomized controlled trial nested in the Dutch Arthroplasty Registry.

Van Beers L, van der Wal B, Glastra van Loon T, Moojen D, van Wier M, Klaassen A Acta Orthop. 2020; 91(5):514-519.

PMID: 32746668 PMC: 8023924. DOI: 10.1080/17453674.2020.1798658.

Postero-posterolateral approach in total hip arthroplasty.

Ait Mokhtar M Int Orthop. 2020; 44(12):2577-2585.

PMID: 32676781 PMC: 7679294. DOI: 10.1007/s00264-020-04679-7.

Dual mobility in primary total hip arthroplasty: current concepts.

Cuthbert R, Wong J, Mitchell P, Kumar Jaiswal P EFORT Open Rev. 2019; 4(11):640-646.

PMID: 31754471 PMC: 6851525. DOI: 10.1302/2058-5241.4.180089.

References

Tarasevicius S, Busevicius M, Robertsson O, Wingstrand H . Dual mobility cup reduces dislocation rate after arthroplasty for femoral neck fracture. BMC Musculoskelet Disord. 2010; 11:175. PMC: 2922087. DOI: 10.1186/1471-2474-11-175. View

Werner B, Brown T . Instability after total hip arthroplasty. World J Orthop. 2012; 3(8):122-30. PMC: 3425631. DOI: 10.5312/wjo.v3.i8.122. View

McKee G . Replacement of arthritic hips by the McKee-Farrar prosthesis. J Bone Joint Surg Br. 1966; 48(2):245-59. View

Berry D, von Knoch M, Schleck C, Harmsen W . Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am. 2005; 87(11):2456-63. DOI: 10.2106/JBJS.D.02860. View

Philippot R, Farizon F, Camilleri J, Boyer B, Derhi G, Bonnan J . Survival of cementless dual mobility socket with a mean 17 years follow-up. Rev Chir Orthop Reparatrice Appar Mot. 2008; 94(8):e23-7. DOI: 10.1016/j.rco.2007.10.013. View

Cross M . Dual mobility acetabular components for revision THA. J Orthop Traumatol. 2015; 16(1):21-2. PMC: 4348496. DOI: 10.1007/s10195-015-0347-x. View

CHARNLEY J . The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg Br. 1972; 54(1):61-76. View

Sadoghi P, Leithner A, Labek G . Overcoming boundaries of worldwide joint arthroplasty registers: the European Arthroplasty Register minimal dataset. J Arthroplasty. 2013; 28(8):1327-8. DOI: 10.1016/j.arth.2013.02.023. View

Hailer N, Weiss R, Stark A, Karrholm J . The risk of revision due to dislocation after total hip arthroplasty depends on surgical approach, femoral head size, sex, and primary diagnosis. An analysis of 78,098 operations in the Swedish Hip Arthroplasty Register. Acta Orthop. 2012; 83(5):442-8. PMC: 3488169. DOI: 10.3109/17453674.2012.733919. View

10.

Combes A, Migaud H, Girard J, Duhamel A, Fessy M . Low rate of dislocation of dual-mobility cups in primary total hip arthroplasty. Clin Orthop Relat Res. 2013; 471(12):3891-900. PMC: 3825881. DOI: 10.1007/s11999-013-2929-3. View

11.

Lautridou C, Lebel B, Burdin G, Vielpeau C . [Survival of the cementless Bousquet dual mobility cup: Minimum 15-year follow-up of 437 total hip arthroplasties]. Rev Chir Orthop Reparatrice Appar Mot. 2008; 94(8):731-9. DOI: 10.1016/j.rco.2008.06.001. View

12.

Tarasevicius S, Cebatorius A, Valaviciene R, Stucinskas J, Leonas L, Robertsson O . First outcome results after total knee and hip replacement from the Lithuanian arthroplasty register. Medicina (Kaunas). 2014; 50(2):87-91. DOI: 10.1016/j.medici.2014.06.004. View

13.

Enocson A, Hedbeck C, Tidermark J, Pettersson H, Ponzer S, Lapidus L . Dislocation of total hip replacement in patients with fractures of the femoral neck. Acta Orthop. 2009; 80(2):184-9. PMC: 2823165. DOI: 10.3109/17453670902930024. View

14.

dOrey F, Nasser S, Amstutz H . The need for confidence intervals in the presentation of orthopaedic data. J Bone Joint Surg Am. 1993; 75(12):1844-52. DOI: 10.2106/00004623-199312000-00017. View