International Orthopaedics

, Volume 36, Issue 12, pp 2411–2418 | Cite as

Biomechanical concept and clinical outcome of dual mobility cups

  • Aron Grazioli
  • Eugene Teow Hin Ek
  • Hannes Andreas RüdigerEmail author
Review Article


Dual mobility cup systems in total hip arthroplasty consist of a metal back with a non-constrained liner, in which a constrained standard head articulates. While superior stability of such implants in comparison with standard total hip replacements is assumed, it is the purpose of this study to outline the biomechanical concept of dual mobility cups and to describe implant survival and dislocation rate based on the series published in the English-speaking and Francophone literature. A growing body of evidence indicates reduced dislocation rates in primary and revision total hip arthroplasty and in selected tumour cases. The limited availability of studies evaluating long-term implant survival and existing concerns with regard to increased wear rates and aseptic loosening, leads to the conclusion that such implants have to be used with prudence, particularly in standard primary hip arthroplasty and in young patients.


Wear Rate Aseptic Loosening Dislocation Rate Polyethylene Liner Volumetric Wear 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Aron Grazioli
    • 1
  • Eugene Teow Hin Ek
    • 2
  • Hannes Andreas Rüdiger
    • 1
    Email author
  1. 1.Department of Orthopaedics and TraumatologyCentre Hospitalier Universitaire Vaudois CHUVLausanneSwitzerland
  2. 2.Department of Orthopaedic SurgeryHospital for Special SurgeryNew YorkUSA

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