Dual-mobility Total Hip Arthroplasty in Patients Younger Than 55 years Old: a Systematic Review

Overview

Journal Arch Orthop Trauma Surg

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2023 Apr 16

PMID 37062001

Authors

Biagio Zampogna

Giuseppe Francesco Papalia

Augusto Ferrini

Guglielmo Torre

Ferruccio Vorini

Lorenzo Alirio Diaz Balzani

Pasquale Farsetti

Rocco Papalia

Affiliations

Soon will be listed here.

Abstract

Total hip arthroplasty (THA) is regarded as one of the most successful and cost-effective orthopedic procedures. However, THA is a surgical procedure with potential intraoperative and postoperative risks. Dislocation is one of the common postoperative complications and remains one of the main indications for THA revision. The purpose of this systematic review was to evaluate the role and the outcomes of dual-mobility implant to prevent dislocation in patients younger than < 55 years in primary THA. In this systematic review, we included observational, prospective, and retrospective studies that evaluated the outcome and the complications of the dual-mobility cup in < 55-year-old patients. After applying exclusion criteria (femoral neck fractures or THA revision, case series, reviews, and meta-analyses), ten articles were included in the study. The overall number of participants in all the studies was 1530. The mean age of the participants was 50 years. The mean follow-up was 11.7 years. A total of 46 patients (2.7%) reported intraprosthetic dislocations, in which the polyethylene liner dissociates from the femoral head, while 4.8% of revision was due to aseptic loosening. The mean revision rate at twelve years was 11%. The mean value of Harris Hip Score increased from 50.9 pre-operatively to 91.6 after surgery. Dual mobility is a valid option for young patients with extended survivorship and low rates of instability and dislocation after primary THA.

Citing Articles

Ten to 15-Year Outcomes of Monoblock Uncemented Dual Mobility Cups: Excellent Survival Rate and Outcome in Primary Total Hip Arthroplasty.

Batailler C, Lustig S, Balot E, Farizon F, Fessy M, Philippot R JB JS Open Access. 2025; 10(1).

PMID: 39991112 PMC: 11841846. DOI: 10.2106/JBJS.OA.24.00074.

Comparison of Outcomes in Dual-Mobility Versus Fixed-Bearing Implants in Primary Total Hip Arthroplasty: A Systematic Review and Meta-Analysis.

Lim B, Chai A, Shaalan M Cureus. 2024; 16(6):e61715.

PMID: 38975513 PMC: 11225095. DOI: 10.7759/cureus.61715.

Dual mobility in primary total hip arthroplasty: A temptation from the devil or a blessing from above.

Klumpp R, Boerci L, Buonanotte F, Zeppieri M World J Orthop. 2024; 15(6):512-519.

PMID: 38947268 PMC: 11212532. DOI: 10.5312/wjo.v15.i6.512.

[Estimation of acetabular cup prosthesis coverage rate in total hip arthroplasty based on X-ray films].

Li D, Zhang Y, Chen Z, Chang W, Ding H Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024; 38(4):461-465.

PMID: 38632067 PMC: 11024525. DOI: 10.7507/1002-1892.202401109.

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