Dual mobility acetabular construct with freedom constrained liner for treatment of recurrent dislocations after total hip arthroplasty: A case report and literature review

Onochi, Yuuki; Fukui, Kiyokazu; Kaneuji, Ayumi; Ichiseki, Toru; Kawahara, Norio

doi:10.1016/j.ijscr.2020.09.012

Cited by 3 publications

(4 citation statements)

References 35 publications

(36 reference statements)

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“…According to Gaillard et al [ 7 ], dual mobility articular surfaces are better than traditional bearing surfaces as they provide good stability and a high survival rate in both primary and revision surgeries. Onochi et al [ 8 ] in their study used freedom constrained liner for recurrent dislocation, in a schizophrenic patient who underwent dual mobility total hip arthroplasty already and concluded that freedom liner may provide salvage solution for joint instability in dual mobility total hip arthroplasty as in our case till the time no history of dislocation. Gianluca et al [ 9 ] found that dual mobility total hip arthroplasty in femur neck fracture has good clinical outcome and low rate of dislocation.…”

Section: Discussionmentioning

confidence: 59%

The Neck of Femur Fracture in an Elderly Patient with Schizophrenia and Parkinsonism Managed with Dual Mobility Total Hip Replacement – A Rare Case Report

Mahajan¹,

Gadod²,

Chandanwale³

et al. 2021

JOCR

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Introduction: Neck of femur fractures is the most common fractures in elderly people as they present with osteoporosis. There is a higher chance of proximal femur fracture in a schizophrenic patient as there is a loss of bone mineral density due to a drug-induced increase in the level of prolactin and immobility. Patients with Parkinson’s disease were at higher risk for the development of hip fractures due to gait disturbances and instability. Case Report: A 63-year-old male patient presented with complaints of the right arm pain, swelling, deformity of the right arm, and difficulty in extending the wrist for 3 days. The patient had a history of falls and trauma to the left arm at home. X-ray right arm showed distal one-third spiral humerus fracture for which intramedullary nailing was done. X-ray of the pelvis with both hips showed right neck of femur fracture with associated greater trochanter (GT) fracture. We managed with total hip replacement using a dual mobility cup and tension band wiring for GT fracture. Postoperatively, the patient has a good range of motion at the hip. The functional outcome is good as per Harris’s hip score. Conclusion: Neck femur fractures in elderly patients with associated comorbidities such as schizophrenia and parkinsonism are best managed with total hip replacement using a dual mobility cup. It avoids the risk of dislocation in high-risk patients and prevents secondary procedures. Careful clinical and radiological examination of the pelvis is very essential even in asymptomatic patients with a history of trauma to prevent delayed diagnosis of these types of fractures in patients with schizophrenia and parkinsonism. Keywords: Neck of femur fracture, Parkinsonism, schizophrenia, dual mobility cup, total hip replacement.

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Section: Discussionmentioning

confidence: 59%

The Neck of Femur Fracture in an Elderly Patient with Schizophrenia and Parkinsonism Managed with Dual Mobility Total Hip Replacement – A Rare Case Report

Mahajan¹,

Gadod²,

Chandanwale³

et al. 2021

JOCR

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“…Dual mobility cup (DMC) comprises a small head connected to a polyethylene liner. The aim of DMC is to enhance ROM and better stabilization [41]. It provides a lesser risk of dislocation in cases more prone to that complication-especially in case of neurological diseases, accompanied by increased or decreased muscle tonicity, e.g., multiple sclerosis, or bone defects [41].…”

Section: Discussionmentioning

confidence: 99%

Spinopelvic Alignment and Its Use in Total Hip Replacement Preoperative Planning—Decision Making Guide and Literature Review

Stępiński

Stolarczyk

Maciąg

et al. 2021

JCM

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Worldwide tendencies to perform large numbers of total hip arthroplasties in the treatment of osteoarthritis are observable over a long period of time. Every year, there is an observable increase in the number of these procedures performed. The outcomes are good but not ideal, especially in groups of patients with spine problems. In recent years, a growing interest in this field may be observed, since spinopelvic alignment seems to have a significant impact on total hip replacement (THR) results. The aim of this study is to describe relations between spine and pelvic alignment and provide practical information about its impact on total hip replacement. The authors performed a literature review based on PubMed, Embase, and Medline and provide practical guidelines based on them and their own experience.

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Section: Hip Implant Failuresmentioning

confidence: 99%

“…The basic mechanical properties of ceramics are illustrated in Table . Although ceramics provide several supporting properties, less than 10% of hip procedures are performed exclusively due to their complexity, high cost, risk of catastrophic failure, and lack of familiarity . Alumina and zirconia, which are discussed below in depth, are widely used ceramic materials for hip arthroplasty.…”

Section: Ceramic-based Hip Implantsmentioning

confidence: 99%

Comprehensive Review on Biomaterials and Their Inherent Behaviors for Hip Repair Applications

Sathishkumar,

Paulraj,

Chakraborti

et al. 2023

ACS Appl. Bio Mater.

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Developing biomaterials for hip prostheses is challenging and requires dedicated attention from researchers. Hip replacement is an inevitable and remarkable orthopedic therapy for enhancing the quality of patient life for those who have arthritis as well as trauma. Generally, five types of hip replacement procedures are successfully performed in the current medical market: total hip replacements, hip resurfacing, hemiarthroplasty, bipolar, and dual mobility systems. The average life span of artificial hip joints is about 15 years, and several studies have been conducted over the last 60 years to improve the performance and thereby increase the lifespan of artificial hip joints. Present-day prosthetic hip joints are linked to the wide availability of biomaterials. Metals, ceramics, and polymers are some of the most promising types of biomaterials; nevertheless, each biomaterial has advantages and disadvantages. Metals and ceramics fail in most applications owing to stress shielding and the emission of wear debris; ongoing research is being carried out to find a remedy to these unfavorable responses. Recent research found that polymers and composites based on polymers are significant alternative materials for artificial joints. With growing research and several biomaterials, recent reviews lag in effectively addressing hip implant materials' individual mechanical, tribological, and physiological behaviors. This Review comprehensively investigates the historical evolution of artificial hip replacement procedures and related biomaterials' mechanical, tribological, and biological characteristics. In addition, the most recent advances are also discussed to stimulate and guide future researchers as they seek more effective methods and synthesis of innovative biomaterials for hip arthroplasty application.

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Dual mobility acetabular construct with freedom constrained liner for treatment of recurrent dislocations after total hip arthroplasty: A case report and literature review

Cited by 3 publications

References 35 publications

The Neck of Femur Fracture in an Elderly Patient with Schizophrenia and Parkinsonism Managed with Dual Mobility Total Hip Replacement – A Rare Case Report

The Neck of Femur Fracture in an Elderly Patient with Schizophrenia and Parkinsonism Managed with Dual Mobility Total Hip Replacement – A Rare Case Report

Spinopelvic Alignment and Its Use in Total Hip Replacement Preoperative Planning—Decision Making Guide and Literature Review

Comprehensive Review on Biomaterials and Their Inherent Behaviors for Hip Repair Applications

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