Dual mobility total hip replacement in a high risk population

Luthra, Jatinder Singh; Riyami, Amur Al; Allami, Mohamad

doi:10.1051/sicotj/2016037

Cited by 14 publications

(7 citation statements)

References 34 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study is in line with previous studies reporting excellent results of DMC in relation to stability and survivorship in high risk populations such as in hemiplegic patients [ 27 ], patients with displaced femoral neck fractures [ 28 ] and those who take their hips into hyperflexed position while sitting and praying [ 26 , 29 ].…”

Section: Discussionsupporting

confidence: 92%

Early results of total hip arthroplasty using dual-mobility cup in patients with osteonecrosis of the femoral head

Assi¹,

Kheir²,

Samaha³

et al. 2018

SICOT-J

View full text Add to dashboard Cite

Introduction: Osteonecrosis of the femoral head (ONFH) remains a therapeutic challenge for patients undergoing total hip arthroplasty (THA). The majority of these patients are young with high functional demand, and show an increased risk of dislocation following surgery than patients with osteoarthritis. The use of double mobility cup (DMC) has been linked with lower rates of complications when compared to conservative cups; however, the literature is scarce over DMC results in patients with ONFH. The aim of the study is to report the early outcomes of patients with ONFH treated with THA-DMC. Materials: A retrospective analysis of patients suffering from ONFH who underwent THA using DMC (THA-DMC) from 2006 to 2015 were evaluated for functional status and risk of post-operative complications. Thirty THA-DMC in 26 patients with a mean follow-up of 51 months were evaluated clinically (modified Hip Harris Score) and radiologically. Results: The mean age of the included patients was 54.9 years. At final follow-up, the mean modified Hip Harris score was 98.7 ± 2.7 and no dislocation episodes or revision surgeries were recorded. The radiological assessment revealed no signs of migration/tilting, radiolucent lines, periprosthetic osteolysis or heterotopic ossification over the DMC component and the femoral stem. The survival rate over 51 months of follow-up was 100%. Discussion: The use of the new generation of dual mobility cup in patients with ONFH showed excellent functional early results with no major complications such as dislocation.

show abstract

Section: Discussionsupporting

confidence: 92%

Early results of total hip arthroplasty using dual-mobility cup in patients with osteonecrosis of the femoral head

Assi¹,

Kheir²,

Samaha³

et al. 2018

SICOT-J

View full text Add to dashboard Cite

show abstract

“…Dual mobility cup (DMC) has also been shown as an effective solution for management of high risk cases undergoing total hip replacement (THR), in order to reduce the incidence of postoperative instability [19]. This technique shows that there is no impingement between the neck of prosthesis and acetabular shell at extremes of all movements [19].…”

Section: Discussionmentioning

confidence: 99%

“…This technique shows that there is no impingement between the neck of prosthesis and acetabular shell at extremes of all movements [19]. Nevertheless, the intraprosthetic dislocation (IPD) is peculiar to it [20], even though lower than in many other techniques.…”

Section: Discussionmentioning

confidence: 99%

Primary hemiarthroplasty for treatment of unstable pertrochanteric femoral fractures (AO/OTA Type 31 A2.3) in elderly osteoporotic patients

Ukaj

Gjyshinca

Podvorica

et al. 2017

SICOT-J

View full text Add to dashboard Cite

Introduction: The aim of this study was to prospectively analyze the role of primary hemiarthroplasty in unstable osteoporotic pertrochanteric fractures (AO/OTA Type 31 A2.3), with emphasis given to postoperative Functional Independent Measure (FIM) and Harris Hip Score (HHS). Methods: Fifty-six consecutive patients (average age 78.25 ± 5.45), out of which 24 males (79.29 ± 4.99) and 32 females (77.47 ± 5.72), with unstable pertrochanteric femoral fractures, operated with primary hemiarthroplasty procedure from 2012 to 2014 were included in this prospective study with a follow-up of two years. Primary outcomes were FIM and HHS. Secondary outcomes included duration of surgery, estimated intraoperative blood loss, time to first postoperative full weight-bearing, time to walking ability with and without crutches, average hospital stay, postoperative complications, and mortality. Results: The FIM score at 3 months was 85.9 ± 5.7. HHS at two years was excellent for 41 patients (73, 2%), good for eight (14.3%), fair for four (7.1%), and poor for three (5.4%). The mean duration of surgery was 62.6 min, estimated intraoperative blood loss 175.5 mL, time to first postoperative full weight-bearing 2.2 ± 0.4 days, ability to walk with crutches 6.3 ± 1.8 days and without crutches 44.2 ± 12.7 days, and the average hospital stay was 9.6 ± 2.7 days. Conclusion: This study highlighted good clinical postoperative outcome scores for primary hemiarthroplasty for the treatment of unstable pertrochanteric femoral fractures in elderly osteoporotic patients. This procedure seems to be secure and effective, and offers a good quality of life in terms of FIM and HHS.

show abstract

“…It is also used to decrease polyethylene rim damages due to contact between femoral neck and acetabular liner and to restore hip range of motion (ROM). [4][5][6] A schematic representation of ROM for standard and dual mobility prostheses is shown in Figure 1.…”

Section: Introductionmentioning

confidence: 99%

“…DMC combines Charnley's low‐friction principle with the McKee–Farrar concept of an increased femoral head‐to‐neck ratio to maximize stability. It is also used to decrease polyethylene rim damages due to contact between femoral neck and acetabular liner and to restore hip range of motion (ROM) 4‐6 . A schematic representation of ROM for standard and dual mobility prostheses is shown in Figure 1.…”

Section: Introductionmentioning

confidence: 99%

Dual mobility cup in hip arthroplasty: An in‐depth analysis of joint registries

et al. 2021

View full text Add to dashboard Cite

Although total hip arthroplasty (THA) has shown successful results, instability remains a major complication. In recent years, dual mobility cups (DMC) have gained interest among clinicians thanks to its low rate of dislocation and good clinical results. The main aim of this work was to describe the accuracy of data on DMC from national and regional joint registries (JRs) and the available worldwide literature. We identified topics on DMC among JRs to propose a new harmonized and standardized section for DMC with the aim to understand its surveillance over the time. We extracted survival and implant data for a separate analysis. After performing a critical exclusion process, nine JRs were considered eligible and included for final synthesis; these were the results from the available worldwide data from JRs. In our study, eight analyzed JRs reported a slight increase in DMC use in the last decade. In all the JRs evaluated and the available articles, dislocation remains one of the main reasons for revision and re-revision in hip arthroplasties. DMC is considered to be a valid construct increasingly used worldwide in primary and revision THA with the primary aim of reducing dislocation rates. Annual reports from JRs collect heterogeneous and low-quality information about outcomes and surveillance of DMC, creating a burden for clinicians to extract comparable data from different JRs. Longer follow-up and a systematic registering of DMCs with international registry harmonization are needed to monitor DMC outcomes.

show abstract

Dual mobility total hip replacement in a high risk population

Cited by 14 publications

References 34 publications

Early results of total hip arthroplasty using dual-mobility cup in patients with osteonecrosis of the femoral head

Early results of total hip arthroplasty using dual-mobility cup in patients with osteonecrosis of the femoral head

Primary hemiarthroplasty for treatment of unstable pertrochanteric femoral fractures (AO/OTA Type 31 A2.3) in elderly osteoporotic patients

Dual mobility cup in hip arthroplasty: An in‐depth analysis of joint registries

Contact Info

Product

Resources

About