Good function and high patient satisfaction at mean 2.8 years after dual mobility THA following femoral neck fracture: a cross-sectional study of 124 patients

Tábori-Jensen, Steffan; Hansen, Torben Bæk; Bøvling, Søren; Aalund, Peter Kloster; Homilius, Morten; Stilling, Maiken

doi:10.2147/cia.s157671

Cited by 20 publications

(6 citation statements)

References 29 publications

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“…Covariates adjusted for Ochi et al 36 Age, Sex, BMI, Operative side, Follow-up duration, Surgery duration, Preoperative blood loss, Intraoperative complications, dislocations, postoperative complications and reoperations Boukebous et al 37 Age, Gender, CCI Mean value, ADL Mean value, Dementia, Operative time, Transfusion, Stem used, Dislocation, Infection, Femur fracture, Thromboembolism, 1 year survival before adjustment and life threatening complications Kim et al 35 Age, BMI, Male, ASA classification Tabori-Jensen et al 40 Age, Gender, Oxford hip score 31 1 1 1 1 0 4 Homma et al 34 1 1 1 1 0 4 Hwang et al 42 0 0 1 1 0 2 Andersen et al 32 1 1 1 1 0 4 Adam et al 20 1 1 1 1 0 4 Tarasevicius et al 19 1 1 0 1 0 4 Tarasevicius et al 33 1 1 1 1 0 4 Ochi et al 36 1 1 0 1 1 4 Reshed et al 38 1 1 1 1 0 4 Boukebous et al 37 1 1 1 1 1 5 Kim et al 35 1 1 1 1 1 5 Zagorov et al 42 1 1 1 1 0 4 Assi et al 39 1 1 1 1 0 4 Tabori-Jensen et al 41 1 0 1 1 1 4 Tabori-Jensen et al 40 1 1 1 1 0 4…”

Section: Studymentioning

confidence: 99%

Outcomes of total hip arthroplasty using dual-mobility cups for femoral neck fractures: a systematic review and meta-analysis

et al. 2020

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Objectives: Femoral neck fractures (FNFs), with up to 15% mortality, are prominent orthopaedic emergencies. After treating FNFs, dislocation is another challenge increasing morbidity, mortality and treatment costs substantially. The emerging dual-mobility cup (DMC) may decrease dislocation rates following total hip arthroplasty (THA) for FNFs. We performed a systematic review of literature reporting dislocation and mortality rates with DMC-THA for the treatment of FNFs. Methods: 2 authors independently searched PubMed (MEDLINE), Google Scholar and Cochrane library for studies reporting dislocation and mortality rates for FNFs treated with DMC-THA since inception up to January 2019. Data on outcomes of interest was extracted from all studies and assessed for eligibility for a meta-analysis. Results: Out of 522 search results, 18 studies were included in the systematic review and 4 in the meta-analysis. The mean rate of dislocation following DMC-THA for FNFs was found to be 1.87% ± 2.11, with a 1-year mortality rate of 14.0% ± 10.55. Results of meta-analysis showed that dislocation and 1-year postoperative mortality rates were significantly lower for DMC-THA with a risk ratio 0.31 (95% CI, 0.16–0.59; I2 = 0%, p = 0.0003) and 0.55 (0.40, 0.77; I2 = 0%, p = 0.003) respectively when compared to biploar hemiathroplasty (BHA). Conclusions: The mean dislocation and mortality rates in DMC-THA are lower than previously reported rates for THA with single cup and comparable to unipolar and bipolar hemiarthroplasty. Further research involving randomised control trials to assess differences in outcomes, longevity and cost-effectiveness needs to be conducted to make recommendations for the use of DMC in treating FNFs.

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Section: Studymentioning

confidence: 99%

Outcomes of total hip arthroplasty using dual-mobility cups for femoral neck fractures: a systematic review and meta-analysis

et al. 2020

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“…This study faced some limitations, most importantly, the lack of a control group. The participants were identified as the frailest and weakest out of a larger examined patient group [48], and we found it unethical not to offer some fall prophylaxis treatment in terms of training to all these patients. Another limitation was the variation in the participants' baseline function and the number of comorbidities, which may have limited the improvement for at least some of the participants.…”

Section: Limitationsmentioning

confidence: 86%

Improved Physical Function following a Three-Month, Home-Based Resistance Training Program for Fragile Patients with Poor Recovery Years after Femoral Neck Fracture—A Prospective Cohort Study

Frandsen,

Mechlenburg,

Birch

et al. 2024

Applied Sciences

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Patients sustaining a hip fracture experience reduced function and an increased risk of recurrent falls and institutionalization following surgical treatment. Rehabilitation programs that are feasible for home-based training could improve patient-reported outcomes and physical function while lowering the care need and social dependency of this patient group. In the present study, we designed and tested a home-based resistance training program on a group of patients with a femoral neck fracture (FNF) selected according to their poor post-operative functional recovery following an FNF. The results showed that the training program was feasible to perform for the patients, and after three months of training, the patients’ walking, physical activity, and patient-reported outcome measures improved. The patients were encouraged to continue walking and performing the training program, but twelve months after the FNF, the results were comparable to the baseline. Background: Femoral neck fracture (FNF) is associated with reduced function, often leading to an increased care need and a greater risk of recurrent falls. Thus, rehabilitation should be a priority. The present study investigated the training potential among fragile FNF patients with poor functional performance treated with total hip arthroplasty. Methods: In a prospective cohort study, 32 participants were included based on poor functional recovery following an FNF fracture. The participants completed a three-month, physiotherapy-guided, home-based resistance training program. At the baseline and three-month follow-up, physiotherapists performed functional tests and measured spatiotemporal parameters, muscle strength, and muscle mass. The Oxford hip score (OHS) questionnaire was administered and physical activity measurements were performed at baseline and at three-month and 12-month follow-ups. Results: Walking distance, step length, walking speed, and muscle strength increased at the three-month follow-up (p < 0.05). OHS scores increased from the baseline to the 12-month follow-up. Physical activity after three months showed more time spent standing (p = 0.02) and walks of 5–10 min (p = 0.002) compared to the baseline. At the 12-month follow-up, physical activity was similar to the baseline. Conclusions: Fragile patients with low functional performance following FNF displayed training potential with an improvement in function, strength, and physical activity. However, continued training is necessary in order to maintain the positive effects.

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“…There was a statistically signi cant difference in the rate of dislocation, with an incidence of 14.6% among bipolar HAs and of 4.6% for DM arthroplasties [41]. Patient outcome studies are also promising: in the cross-sectional study by Tabori-Jensen et al 89% of the 124 patients with dual mobility arthroplasties after a femoral neck fracture were satis ed with their surgical outcome, using health-related quality of life questionnaires comparable to the population norm with a mean FU of 2.8 years [42].…”

Section: Discussionmentioning

confidence: 99%

The use of Dual Mobility cups in primary Total Hip Arthroplasty: a bicentric, retrospective study of 196 implants

Ciatti

Quattrini

Caggiari

et al. 2023

Preprint

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Background Dual Mobility is based on two concentric joints: a head within a retentive polyethylene liner, which moves freely inside the acetabular cup. This paper aims to present our experience with the use of dual mobility in primary hip replacement, evaluating the patient’s outcome after surgery. Methods We conducted a retrospective bi-centre study, including all patients operated with a dual mobility hip replacement at “Centro Medico de Caracas” (Caracas, Venezuela) and “Guglielmo da Saliceto Hospital” (Piacenza, Italy), between August 2014 and August 2020 (6 years). Dualis® dual mobility cementless cup was used in all surgeries, coupled with different stems. Outcome assessment after hip replacements was determined with the Harris Hip Score at 3 months post surgery., then we registered any complications in the first two postoperative years. Results The total cohort was composed of 196 THAs: 35.4% male, 64.6% female (64.6%), mean age 63.6 years. We used 3 different stems: Korus (Gruppo Bioimpianti S.r.l.) (78.1%), Fin (Gruppo Bioimpianti S.r.l.) (3.1%) and Corail (DePuy Synthes) (18.9%). The femoral head was composed of ceramic (93.9%) or metal (6.1%); the size was always 28 mm. The average Harris Hip Score was 34.3 ± 15.8 (min 4 - max 69) preoperative, and 91.2 ± 6.7 (min 61 - max 100) at 3 months follow-up. The HHS grading was “Poor” in 1.0% cases, “Fair” in 6.1% cases, “Good” in 27.0% cases and “Excellent” in 65.8% cases. The outcome was significantly better in young patients: mean HHS of the 98 younger patients is 95.9 ± 2.8, while that of the 98 older patients is 86.5 ± 6.2 (p value < 0.001). We registered an overall dislocation rate of 0%, while we reported 8 revisions (4.1%), due to periprosthetic fracture (4), aseptic loosening (1, infection (1), component breakage (1) and pain (1). The coupling Dualis-Korus reported a failure rate of 3.3% (5/153), Dualis-Fin 16.7% (1/6) while Dualis-Corail 5.4% (2/37). Conclusion The dual mobility system is an effective solution within primary hip replacement: it reduces wear and loosening forces, increasing joint range and prosthesis stability, with a very low incidence of dislocation. In younger patients, and arthritic ones, even the best results can be expected.

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Good function and high patient satisfaction at mean 2.8 years after dual mobility THA following femoral neck fracture: a cross-sectional study of 124 patients

Cited by 20 publications

References 29 publications

Outcomes of total hip arthroplasty using dual-mobility cups for femoral neck fractures: a systematic review and meta-analysis

Outcomes of total hip arthroplasty using dual-mobility cups for femoral neck fractures: a systematic review and meta-analysis

Improved Physical Function following a Three-Month, Home-Based Resistance Training Program for Fragile Patients with Poor Recovery Years after Femoral Neck Fracture—A Prospective Cohort Study

The use of Dual Mobility cups in primary Total Hip Arthroplasty: a bicentric, retrospective study of 196 implants

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