Einsatz von Dual-Mobility-Pfannen beim Hüftprothesenwechsel

Röhner, Eric; Matziolis, Georg

doi:10.1007/s00132-016-3383-1

Cited by 3 publications

(2 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The use of DMCs is common in revision arthroplasty in cases such as the loss of proximal femur, insufficiency of the pelvitrochanteric muscle and recurrent dislocation of a total endoprosthesis (TEP) [7]; however, they are used sparingly cases of primary arthroplasty. Although many researchers, particularly in France, are presently pointing toward the possible advantages of DMC fittings in primary hip arthroplasty [8] and, in the USA, DMCs were used in 12 % of all primary TEPs in 2018 [9], the rate in Germany is only 1.2 % according to the EPRD Annual Report 2020 [1].…”

Section: Zusammenfassungmentioning

confidence: 99%

“…Während DMCs in der Revisionsendoprothetik u. a. bei Verlust des proximalen Femurs, bei insuffizienter pelvitrochantärer Muskulatur oder Rezidivluxation bei einliegender Hüft-TEP eine gängige Option sind [7], werden sie in der Primärendoprothetik noch mit Zurückhaltung eingesetzt. Zwar weisen mittlerweile viele Autoren, insbesondere im französischen Raum, auf mögliche Vorteile der DMC-Versorgung auch bei primärer Hüftendoprothese hin [8] und auch in den USA wurde bereits 2018 bei 12 % aller primären Hüft-TEPs eine DMC verwendet [9], aber in Deutschland liegt laut EPRD-Jahresbericht 2020 (EPRD: Endoprothesenregister Deutschland) die Rate bei nur 1,2 % [1].…”

unclassified

See 1 more Smart Citation

Dual-Mobility Cups in Primary Total Hip Arthroplasty

et al. 2021

View full text Add to dashboard Cite

Dual-mobility cups (DMCs) were introduced in France more than 40 years ago and are increasingly used not only in hip revision but also primary hip arthroplasty. Due to a simulated large-head articulation and increased jumping distance, DMCs can contribute to a high range of motion in the hip joint and reduce the risk of instability. Numerous studies have reported low dislocation rates and high survival rates in the mid-term follow-up. Nevertheless, long-term data, especially on primary hip replacement, remain limited, and the effect of recent designs and material innovations is still unclear. Therefore, primary DMCs are mainly proposed in patients at high risk for dislocation (i.e. pelvitrochanteric insufficiency, compromised spinopelvic mobility, neuromuscular disorders, obesity and femoral neck fractures). Based on a review of recently published studies referring to these indications, the current study discusses the advantages and disadvantages of DMCs.

show abstract

Section: Zusammenfassungmentioning

confidence: 99%

unclassified

Dual-Mobility Cups in Primary Total Hip Arthroplasty

et al. 2021

View full text Add to dashboard Cite

show abstract

Revisionsendoprothetik der Hüfte

et al. 2019

View full text Add to dashboard Cite

Unstable Total Hip Arthroplasty: Should It Be Revised Using Dual Mobility Implants? A Retrospective Analysis from the R.I.P.O. Registry

Martino

Brunello

Bordini

et al. 2023

JCM

View full text Add to dashboard Cite

Total hip arthroplasty (THA) is one of the most common surgical procedures in orthopedics; however, it is subjected to different kinds of failures, one of them being dislocation. Many different prosthetic designs have been developed to overcome this problem, such as dual mobility coupling. The main purpose of this article is to determine whether there are differences regarding the revision surgery of unstable THA comparing the risk of failure between dual mobility cup (DMC) implants, standard implants, and among different head sizes. A registry-based population study has been conducted by analyzing data collected by the Emilia Romagna Registry of Orthopedic Prosthetic Implants (RIPO), including a total of 253 implants failed for dislocation and instability that were operated on by cup revision surgery between 2000 and 2019. The selected population has been divided into two groups based on the insert type: standard and DMC. The age at revision surgery was significantly lower in the standard cup group with respect to DMC (p = 0.014 t-test), with an average age of 71.2 years (33–96 years range) for the standard cups and 74.8 years (48–92 years range) for the DMC group. The cumulative survival of DMC implants was 82.0% at 5-years, decreasing to 77.5% at a 10-year follow-up, which is not significantly different from standard cups (p = 0.676, Log-Rank test). DMC implants showed a significantly lower risk of re-revision for dislocation compared to standard cups (p = 0.049). Femoral heads ≥36 mm had a higher overall survival compared to smaller femoral heads (p = 0.030). This study demonstrated that DMC or femoral heads ≥36 mm are a valid choice to manage THA instability and to reduce the revision rate for dislocation at a mid-term follow-up; in those selected and targeted patients, these options should be taken into consideration because they are associated with better outcomes.

show abstract

Einsatz von Dual-Mobility-Pfannen beim Hüftprothesenwechsel

Cited by 3 publications

References 48 publications

Dual-Mobility Cups in Primary Total Hip Arthroplasty

Dual-Mobility Cups in Primary Total Hip Arthroplasty

Revisionsendoprothetik der Hüfte

Unstable Total Hip Arthroplasty: Should It Be Revised Using Dual Mobility Implants? A Retrospective Analysis from the R.I.P.O. Registry

Contact Info

Product

Resources

About