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The evolution of outcomes and indications for the dual-mobility cup: a systematic review

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Abstract

Purpose

Instability following total hip arthroplasty remains a common and disabling complication. The dual mobility cup (DMC) allows a reduction in the dislocation rate. An increasing number of studies have been undertaken to better understand DMC long term outcomes and complications. The goal of this systematic review was to clarify its different uses and outcomes according to the indications.

Methods

A comprehensive literature review was performed using the keywords ‘dual mobility’ and ‘tripolar cup’ with no limit regarding the year of publication. One hundred seventy six publications were identified.

Results

Current literature shows that “contemporary” dual mobility cup are a significant indication to manage instability following primary and revision hip arthroplasty. Survivorship at midterm is comparable to other articulations for primary THA, but is more difficult to evaluate in revision. Intra-prosthetic dislocation, wear, and loosening are now uncommon with new generations of DMC.

Conclusions

Compared to previous generations of DMC, the current “contemporary” DMC presents a significant improvement. Current literature reveals a tendency to increase the indications but further studies with long term follow up remain important to consolidate these findings.

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  1. Albert Trillat Center, Lyon, France

    Cécile Batailler, Camdon Fary, Régis Verdier, Thierry Aslanian, Jacques Caton & Sebastien Lustig

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  1. Cécile Batailler
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  2. Camdon Fary
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  3. Régis Verdier
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  5. Jacques Caton
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  6. Sebastien Lustig
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Correspondence to Sebastien Lustig.

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CB: No conflict of interest.

CF: Consultant for Amplitude, Institutional research support from Medacta and Stryker.

TA and RV: Employee of Groupe Lepine®.

JC: No conflict of interest.

SL: Consultant for Smith & Nephew and Medacta, Institutional research support from Tornier-Wright and Amplitude.

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Batailler, C., Fary, C., Verdier, R. et al. The evolution of outcomes and indications for the dual-mobility cup: a systematic review. International Orthopaedics (SICOT) 41, 645–659 (2017). https://doi.org/10.1007/s00264-016-3377-y

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