Long-term Wear of Dual Mobility Total Hip Replacement Cups: Explant Study

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2017 Jun 4

PMID 28577036

Citations 12

Authors

Bertrand Boyer

Thomas Neri

Jean Geringer

Alexandre Di Iorio

Remi Philippot

Frederic Farizon

Affiliations

Soon will be listed here.

Abstract

Purpose: Dual mobility THA implantations are increasing. THA survival of more than 15 years is considered long-term survival based on the Charnley prosthesis, which has a median wear rate of 39 to 98 mm/year. What is the median wear rate of dual mobility THA cups and its repartition on the liner volume? What are the factors influencing dual mobility wear?

Methods: Thirty-five explants were analysed. The liners were entirely mapped with a fully automatic stripe light scanner that uses green LED light.

Results: The liners had a median wear rate of 38 mm/year. The distribution of the wear between the two bearings varied greatly. No factor was found influencing wear volumes.

Conclusions: The median annual wear of dual mobility liners is at least as low as the wear of cemented polyethylene liners and lower than equivalent cementless liners. The two articulations of the dual mobility THA do not cause more wear.

Level Of Evidence: Level IV - case series.

Citing Articles

Comparing Stability, Gait, and Functional Score after 40-mm Dual-Mobility Hip Arthroplasty to 36-mm Head Hip Arthroplasty in Elderly Hip Fracture Patients.

Cha Y, Lee S, Bae J, Kang Y, Baek J, Kang J Clin Orthop Surg. 2025; 17(1):62-70.

PMID: 39912063 PMC: 11791493. DOI: 10.4055/cios24148.

Analysis of an explanted dual mobility cup after 21 years, parabolic wear pattern: A case report.

Fessy M, Fessy A, Viste A SICOT J. 2023; 9:3.

PMID: 36661475 PMC: 9878998. DOI: 10.1051/sicotj/2022052.

A review of the clinical and engineering performance of dual-mobility cups for total hip arthroplasty.

Yang S, Xie F, Cui W, Zhang Y, Jin Z Am J Transl Res. 2021; 13(8):9383-9394.

PMID: 34540057 PMC: 8430055.

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.

Comparison of radiographic changes in rectangular curved short stem with thin versus thick porous coating for cementless total hip arthroplasty: a retrospective study with a propensity score matching.

Munakata Y, Kuramitsu Y, Usui Y, Okazaki K J Orthop Surg Res. 2021; 16(1):247.

PMID: 33849591 PMC: 8042942. DOI: 10.1186/s13018-021-02397-3.

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