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Röttinger approach with dual-mobility cup to improve functional recovery in hip osteoarthritis patients: biomechanical and clinical follow-up

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Abstract

Purpose

We assumed that the combination of dual-mobility total hip arthroplasty (THA) using the minimally-invasive Röttinger anterolateral approach could guarantee hip stability with faster functional recovery. We objectively analyzed functional improvement after dual-mobility THA by quantitative gait analysis.

Methods

We compared the results achieved following two different surgical approaches: Röttinger’s versus Moore’s approach (posterolateral approach). We included 70 patients in an open prospective single-centre study: 38 by Rottinger’s approach (age = 67yo) and 32 by Moores’s approach (age = 68yo). Clinical and biomechanical analysis (kinematic and kinetic parameters of the hip) were conducted at the pre-operative period and at six months post-op

Results

We found a significant improvement in all clinical scores and all biomechanical parameters but no difference was found between the two approaches. However, the study showed marked clinical, biomechanical and functional improvements for patients treated with dual-mobility THA for osteoarthritis without complete hip recovery compared with a control group.

Conclusions

The combination of the Röttinger approach with a dual-mobility cup remains a valid choice for primary THA without functional advantage at midterm.

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Acknowledgments

We thank Philip Bastable from the ‘Pôle Recherche’ of Dijon University Hospital for helpful review of this article.

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Authors and Affiliations

  1. Department of Orthopaedic surgery, Dijon University hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France

    Pierre Martz, Ludovic Labattut & Emmanuel Baulot

  2. Burgundy University, INSERM U1093, Dijon, France

    Pierre Martz, Jean-Francis Maillefert, Emmanuel Baulot & Paul Ornetti

  3. Clinical Epidemiology unit, INSERM, CIC1432, Dijon, France

    Abderrahmane Bourredjem & Christine Binquet

  4. Clinical Investigation Center, Clinical Epidemiology/Clinical trials unit, Dijon University Hospital, Dijon, France

    Abderrahmane Bourredjem & Christine Binquet

  5. Plurithematic Unit, Technologic Investigation Platform, INSERM, CIC1432, Dijon, France

    Davy Laroche

  6. Geneve University Hospital, Genève, Suisse

    Marc Arcens

  7. Department of Rheumatology, Dijon University Hospital, Dijon, France

    Jean-Francis Maillefert & Paul Ornetti

Authors
  1. Pierre Martz
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  2. Abderrahmane Bourredjem
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  3. Davy Laroche
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  8. Emmanuel Baulot
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  9. Paul Ornetti
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Correspondence to Pierre Martz.

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Martz, P., Bourredjem, A., Laroche, D. et al. Röttinger approach with dual-mobility cup to improve functional recovery in hip osteoarthritis patients: biomechanical and clinical follow-up. International Orthopaedics (SICOT) 41, 461–467 (2017). https://doi.org/10.1007/s00264-016-3245-9

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  • DOI: https://doi.org/10.1007/s00264-016-3245-9

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