Abstract
Purpose
Mid- and long-term follow-up of Charnley total hip arthroplasty (THA) demonstrated good functional results with 85 % survivorship at 25-year follow-up. However, dislocation still remains an unsolved problem. Dislocation may occur throughout the patient’s and implant’s life. The aim of this study is to answer the question: does a dual mobility cup (DMC) decrease the dislocation risk?
Methods
We report comparative results at ten years of follow-up of two groups of primary cemented Charnley-type THA, one with a standard polyethylene cup (group 1, n = 215) and the other one with a DMC (group 2, n = 105).
Results
In group 1, 26 dislocations (12.9 %) occurred. In group 2 only one dislocation (0.9 %) occurred. This dislocation was successfully reduced by closed reduction, without any recurrence. This difference was statistically significant (p = 0.0018). In group 1, the reason for revision was recurrent dislocation in 21 cases. Five patients were revised for other reasons. The global revision rate was 12.9 %. In group 2, two patients needed revision surgery for aseptic loosening. The global revision rate was 2.1 %. This difference was statistically significant (p = 0.054). The goal was reached for the patients of group 2 who had more risks factors for dislocation (age, aetiology, American Society of Anesthesiologists and Devane scores) than those of group 1.
Conclusions
When using a DMC, we observed a low rate of dislocation in primary THA (0.9 %). This surgical choice seems to be a safe and effective technique in Charnley-type THA, especially in a high-risk population.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Caton J, Prudhon JL (2011) Over 25 years survival after Charnley’s total hip arthroplasty. Int Orthop 35:185–188
Caton J, Merabet Z (2004) Hip dislocation and outcome. In: MCI France (ed) La prothèse totale de hanche, pp 223–227. Lyon
Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2004) The cumulative long-term risk of dislocation after primary Charnley total hip arthroplasty. J Bone Joint Surg Am 86-A:9–14
Bozic KJ, Kurtz SM, Lau E, Ong K, Vail TP, Berry DJ (2009) The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg Am 91:128–133
Delaunay C, Hamadouche M, Girard J, Duhamel A, SoFCOT Group (2013) What are the causes for failures of primary hip arthroplasties in France? Clin Orthop Relat Res 471:3863–3869
Aubriot JH, Lesimple P, Leclercq S (1993) Study of Bousquet’s non-cemented acetabular implant in 100 hybrid total hip prostheses (Charnley type cemented femoral component). Average 5-year follow-up. Acta Orthop Belg 59(Suppl 1):267–271
Philippot R, Adam P, Farizon F, Fessy M-H, Bousquet G (2006) Survie à dix ans d'une cupule double mobilité non cimentée. Rev Chir Orthop 92:326–331
Prudhon JL, Ferreira A, Verdier R (2013) Dual mobility cup: dislocation rate and survivorship at ten years of follow-up. Int Orthop 37:2345–2350
D’Aubigne RM, Postel M (1954) Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am 36:451–475
Devane PA, Horne JG, Martin K, Coldham G, Krause B (1997) Three-dimensional polyethylene wear of a press-fit titanium prosthesis. Factors influencing generation of polyethylene debris. J Arthroplasty 12:256–266
Woolson ST, Rahimtoola ZO (1999) Risk factors for dislocation during the first 3 months after primary total hip replacement. J Arthroplasty 14:662–668
Peter R, Lübbeke A, Stern R, Hoffmeyer P (2011) Cup size and risk of dislocation after primary total hip arthroplasty. J Arthroplasty 26:1305–1309
Guyen O, Pibarot V, Vaz G, Chevillotte C, Carret JP, Bejui-Hugues J (2007) Unconstrained tripolar implants for primary total hip arthroplasty in patients at risk for dislocation. J Arthroplasty 22:849–858
Vielpeau C, Lebel B, Ardouin L, Burdin G, Lautridou C (2011) The dual mobility socket concept: experience with 668 cases. Int Orthop 35:225–230
Leclercq S, Benoit JY, de Rosa JP, Tallier E, Leteurtre C, Girardin PH (2013) Evora chromium-cobalt dual mobility socket: results at a minimum 10 years’ follow-up. Orthop Traumatol Surg Res 99:923–928
Lecuire F, Benareau I, Rubini J, Basso M (2004) Intra-prosthetic dislocation of the Bousquet dual mobility socket. Rev Chir Orthop Reparatrice Appar Mot 90:249–255
Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F (2009) The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years. Int Orthop 33:927–932
Girard J, Kern G, Migaud H, Delaunay C, Ramdane N, Hamadouche M (2013) Primary total hip arthroplasty revision due to dislocation: prospective French multicenter study. Orthop Traumatol Surg Res 99:549–553
(2013) The New Zealand Joint Registry. Fourteen year report. January 1999 to December 2012. In New Zealand Joint Registry
Lachiewicz PF, Watters TS (2012) The use of dual-mobility components in total hip arthroplasty. J Am Acad Orthop Surg 20:481–486
McArthur BA, Nam D, Cross MB, Westrich GH, Sculco TP (2013) Dual-mobility acetabular components in total hip arthroplasty. Am J Orthop (Belle Mead NJ) 42:473–478
Plummer DR, Haughom BD, Della Valle CJ (2014) Dual mobility in total hip arthroplasty. Orthop Clin North Am 45:1–8
Disclosures
Jacques H. Caton, Jean-Louis Prudhon and André Ferreira are consultants of Groupe Lépine. Thierry Aslanian and Régis Verdier are employed by Groupe Lépine.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Caton, J.H., Prudhon, J.L., Ferreira, A. et al. A comparative and retrospective study of three hundred and twenty primary Charnley type hip replacements with a minimum follow up of ten years to assess wether a dual mobility cup has a decreased dislocation risk. International Orthopaedics (SICOT) 38, 1125–1129 (2014). https://doi.org/10.1007/s00264-014-2313-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-014-2313-2