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Total hip arthroplasty with dual mobility cup in osteonecrosis of the femoral head in young patients: over ten years of follow-up

  • Orthopaedic Heritage
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Abstract

Osteonecrosis of the femoral head affects mainly young patients with high functional needs this increases the risk of dislocation. Dual mobility cups known for low rate of dislocation and high mobility range seems indicated. We evaluate functional efficiency, survival and dislocation rate of dual mobility cup for total hip arthroplasty for osteonecrosis in young patients. Monocentric retrospective clinical study, from 2000 to 2008. With a clinical analysis in pre-operative and over ten years of follow-up of one cohort of patients under 55 years old with an indication of THA for ONFH. The judgement criteria was: clinical scores at the maximal follow-up, the dislocation rate, and the cumulate survival rate over ten years follow-up. Forty THA in 31 patients, nine bilateral cases, 23 males and eight females with average age of 44 (±4) years old. In pre-operative: PMA 11 (±3.3), HHS 50,8 (±15.5). At the final follow-up of 129.8 (±33.8) months: PMA (17.4 ± 1.12), HHS (95.7 ± 6.9), no dislocation. We had 11 deaths on average at 95.2 ± 47.3 months. The cumulate survival rate over ten years follow-up is 100% without revisions or long-term dislocation. Analysis concludes to very significant functional improvement without any dislocation despite the young population with high level of activity. Thus, dual mobility cups is a reliable choice preventing dislocation with a very good survival rate without premature wear, preserving mobility and activity.

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References

  1. Wang B-L, Sun W, Shi Z-C, Zhang N-F, Yue D-B, Guo W-S, Shi S-H, Li Z-R (2010) Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction grafting through a femoral neck window. Int Orthop 34:635–639. doi:10.1007/s00264-009-0822-1

    Article  PubMed  Google Scholar 

  2. Hernigou P (2009) Avascular necrosis of head of femur. Indian J Orthop 43:1–2. doi:10.4103/0019-5413.45316

    Article  PubMed  PubMed Central  Google Scholar 

  3. Cornell CN, Salvati EA, Pellicci PM (1985) Long-term follow-up of total hip replacement in patients with osteonecrosis. Orthop Clin N Am 16:757–769

    CAS  Google Scholar 

  4. Mont MA, Hungerford DS (1995) Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am 77:459–474

    Article  CAS  PubMed  Google Scholar 

  5. Bergh C, Fenstad AM, Furnes O, Garellick G, Havelin LI, Overgaard S, Pedersen AB, Mäkelä KT, Pulkkinen P, Mohaddes M, Kärrholm J (2014) Increased risk of revision in patients with non-traumatic femoral head necrosis. Acta Orthop 85:11–17. doi:10.3109/17453674.2013.874927

    Article  PubMed  PubMed Central  Google Scholar 

  6. Stavrakis AI, SooHoo NF, Lieberman JR (2015) A comparison of the incidence of complications following total hip arthroplasty in patients with or without osteonecrosis. J Arthroplast 30:114–117. doi:10.1016/j.arth.2014.08.010

    Article  CAS  Google Scholar 

  7. Hailer NP, Weiss RJ, Stark A, Karrholm J (2012) The risk of revision due to dislocation after total hip arthroplasty depends on surgical approach, femoral head size, sex, and primary diagnosis. Acta Orthop 83:442–448. doi:10.3109/17453674.2012.733919

    Article  PubMed  PubMed Central  Google Scholar 

  8. Johannson HR, Zywiel MG, Marker DR, Jones LC, McGrath MS, Mont MA (2011) Osteonecrosis is not a predictor of poor outcomes in primary total hip arthroplasty: a systematic literature review. Int Orthop 35:465–473. doi:10.1007/s00264-010-0979-7

    Article  PubMed  Google Scholar 

  9. Ulrich SD, Seyler TM, Bennett D, Delanois RE, Saleh KJ, Thongtrangan I, Kuskowski M, Cheng EY, Sharkey PF, Parvizi J, Stiehl JB, Mont MA (2008) Total hip arthroplasties: what are the reasons for revision? Int Orthop 32:597–604. doi:10.1007/s00264-007-0364-3

    Article  PubMed  Google Scholar 

  10. Boyer B, Philippot R, Geringer J, Farizon F (2011) Primary total hip arthroplasty with dual mobility socket to prevent dislocation: a 22-year follow-up of 240 hips. Int Orthop 36:511–518. doi:10.1007/s00264-011-1289-4

    Article  PubMed  PubMed Central  Google Scholar 

  11. Caton JH, Prudhon JL, Ferreira A, Aslanian T, Verdier R (2014) 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. Int Orthop 38:1125–1129. doi:10.1007/s00264-014-2313-2

    Article  PubMed  PubMed Central  Google Scholar 

  12. Vielpeau C, Lebel B, Ardouin L, Burdin G, Lautridou C (2010) The dual mobility socket concept: experience with 668 cases. Int Orthop 35:225–230. doi:10.1007/s00264-010-1156-8

    Article  PubMed  PubMed Central  Google Scholar 

  13. 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. doi:10.1007/s00264-008-0589-9

    Article  PubMed  Google Scholar 

  14. Arlet J, Ficat P, Lartigue G (1968) Mode of onset of primary osteonecrosis of the femoral head. (Stage I. Uncomplicated). Study of 20 cases histologically verified by punch biopsy. Rev Rhum Mal Osteoartic 35:239–249

    CAS  PubMed  Google Scholar 

  15. D’Aubigné RM, Postel M (1954) Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am 36-A:451–475

    Article  PubMed  Google Scholar 

  16. Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51:737–755

    Article  CAS  PubMed  Google Scholar 

  17. Nilsdotter AK, Lohmander LS, Klassbo M, Roos EM (2003) Hip disability and osteoarthritis outcome score (HOOS) — validity and responsiveness in total hip replacement. BMC Musculoskelet Disord 4:10. doi:10.1186/1471-2474-4-10

    Article  PubMed  PubMed Central  Google Scholar 

  18. Rabin R, de Charro F (2001) EQ-5D: a measure of health status from the EuroQol group. Ann Med 33:337–343

    Article  CAS  PubMed  Google Scholar 

  19. Schmolders J, Amvrazis G, Pennekamp PH, Strauss AC, Friedrich MJ, Wimmer MD, Rommelspacher Y, Wirtz DC, Wallny T (2016) Thirteen year follow-up of a cementless femoral stem and a threaded acetabular cup in patients younger than fifty years of age. Int Orthop 1–7. doi: 10.1007/s00264-016-3226-z

  20. Ortiguera CJ, Pulliam IT, Cabanela ME (1999) Total hip arthroplasty for osteonecrosis: matched-pair analysis of 188 hips with long-term follow-up. J Arthroplasty 14:21–28. doi:10.1016/S0883-5403(99)90197-3

    Article  CAS  PubMed  Google Scholar 

  21. Bedard NA, Callaghan JJ, Liu SS, Greiner JJ, Klaassen AL, Johnston RC (2013) Cementless THA for the treatment of osteonecrosis at 10-year follow-up: have we improved compared to cemented THA? J Arthroplast 28:1192–1199. doi:10.1016/j.arth.2012.09.008

    Article  Google Scholar 

  22. Kim S-M, Lim S-J, Moon Y-W, Kim Y-T, Ko K-R, Park Y-S (2013) Cementless modular total hip arthroplasty in patients younger than fifty with femoral head osteonecrosis: minimum fifteen-year follow-up. J Arthroplast 28:504–509. doi:10.1016/j.arth.2012.08.005

    Article  Google Scholar 

  23. Streit MR, Weiss S, Andreas F, Bruckner T, Walker T, Kretzer JP, Ewerbeck V, Merle C (2014) 10-year results of the uncemented Allofit press-fit cup in young patients. Acta Orthop 1–7. doi: 10.3109/17453674.2014.925351

  24. Gao Y-H, Li S-Q, Wang Y-F, Yang C, Liu J-G, Qi X (2015) Arthroplasty in patients with extensive femoral head avascular necrosis. Int Orthop 39:1507–1511. doi:10.1007/s00264-015-2693-y

    Article  PubMed  Google Scholar 

  25. Bozic KJ, Lau E, Ong K, Chan V, Kurtz S, Vail TP, Rubash HE, Berry DJ (2014) Risk factors for early revision after primary TKA in medicare patients. Clin Orthop Relat Res 472:232–237. doi:10.1007/s11999-013-3045-0

    Article  PubMed  Google Scholar 

  26. Prudhon J-L, Desmarchelier R, Hamadouche M, Delaunay C, Verdier R (2015) Causes for revision of dual-mobility and standard primary total hip arthroplasty: matched case–control study based on a prospective multicenter study of two thousand and forty four implants. Int Orthop. doi:10.1007/s00264-015-3064-4

    PubMed  Google Scholar 

  27. Mihalko WM, Wimmer MA, Pacione CA, Laurent MP, Murphy RF, Rider C (2014) How have alternative bearings and modularity affected revision rates in total hip arthroplasty? Clin Orthop Relat Res 472:3747–3758. doi:10.1007/s11999-014-3816-2

    Article  PubMed  PubMed Central  Google Scholar 

  28. Epinette J-A, Béracassat R, Tracol P, Pagazani G, Vandenbussche E (2013) Are modern dual mobility cups a valuable option in reducing instability after primary hip arthroplasty, even in younger patients? J Arthroplast. doi:10.1016/j.arth.2013.12.011

    Google Scholar 

  29. Cheung KW, Chiu KH, Chung KY (2015) Long-term result of cementless femoral stem in avascular necrosis of the hip. Hip Int 25:72–75. doi:10.5301/hipint.5000187

    Article  PubMed  Google Scholar 

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Acknowledgements

We thank Abderrahmane Bourredjem from INSERM CIC1432, Centre d’investigation clinique CHU de Dijon for his helpful review of the statistical analysis.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Dijon University Hospital, CHU Dijon, 14 rue Paul Gaffarel, 21079, Dijon, Cedex, France

    Pierre Martz, Alexandre Maczynski, Sebastien Elsair, Ludovic Labattut, Brice Viard & Emmanuel Baulot

  2. INSERM, U1093, Burgundy University, Dijon, France

    Pierre Martz, Brice Viard & Emmanuel Baulot

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  1. Pierre Martz
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  2. Alexandre Maczynski
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  3. Sebastien Elsair
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  6. Emmanuel Baulot
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Correspondence to Pierre Martz.

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Emmanuel Baulot is consultant and conceptor for SERF company. The others authors declare that they have no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Martz, P., Maczynski, A., Elsair, S. et al. Total hip arthroplasty with dual mobility cup in osteonecrosis of the femoral head in young patients: over ten years of follow-up. International Orthopaedics (SICOT) 41, 605–610 (2017). https://doi.org/10.1007/s00264-016-3344-7

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