International Orthopaedics

, Volume 41, Issue 3, pp 499–506 | Cite as

Total hip arthroplasty using direct anterior approach and dual mobility cup: safe and efficient strategy against post-operative dislocation

  • Cécile Batailler
  • Camdon Fary
  • Pierre Batailler
  • Elvire Servien
  • Philippe Neyret
  • Sébastien LustigEmail author
Original Paper



We hypothesize that a dual mobility cup can be safely used via the direct anterior approach, without increasing the risk of complications or incorrect positioning.

Materials and methods

This retrospective study compared 201 primary total hip arthroplasties using a dual mobility cup performed via direct anterior approach without a traction table, to 101 arthroplasties performed via posterolateral approach. Implant positioning, function scores, and early complications were recorded.


Implant positioning was appropriate in both groups, with a higher cup anteversion in direct anterior approach. The complications rates were similar in both groups, with no dislocation or infection.


The direct anterior approach without traction table associated with a dual mobility cup does not increase the risk of complications or non-optimal positioning of implants. This strategy is interesting for patients with high risk of post-operative dislocation.


Direct anterior approach Dislocation Dual mobility cup Implants positioning Total hip arthroplasty 


Compliance with Ethical Standards

Conflict of interest

CB, CF, and PB declare that they have no conflict of interest.

ES: consultant for Smith & Nephew.

PN: consultant for Smith & Nephew, royalties from Tornier-Wright, institutional research support to Tornier-Wright and Amplitude.

SL: consultant for Smith & Nephew, consultant for Medacta, institutional research support to Tornier-Wright and Amplitude.


There is no funding source.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

For this type of study formal consent is not required.


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Copyright information

© SICOT aisbl 2016

Authors and Affiliations

  • Cécile Batailler
    • 1
  • Camdon Fary
    • 2
  • Pierre Batailler
    • 3
  • Elvire Servien
    • 1
  • Philippe Neyret
    • 1
  • Sébastien Lustig
    • 1
    Email author
  1. 1.Albert Trillat CenterLyon North University HospitalLyonFrance
  2. 2.Western HospitalMelbourneAustralia
  3. 3.Public Health CenterGrenoble University HospitalGrenobleFrance

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