Abstract
Dual mobility cups (DMC) in total hip arthroplasty (THA) are becoming popular among orthopaedic surgeons. Substantial benefit of their use has been reported among high risk patients, particularly in reducing post-operative hip instability (dislocation). Many reports stated some concern when implanted in young and active people where complications such as polyethylene wear and mechanical loosening could potentially be higher. This Middle Eastern study analyses a retrospective series of THA for any aetiology other than infection, using DMC for the acetabular component in 75 patients (85 implants) less than 70 years old. No instability, intra-prosthetic dislocation or mechanical failure was reported during a mean follow-up of five years. The only major complication was a post-operative infection. The mean post- operative modified Harris hip score was 97.1 out of 100. All patients resumed their daily activities and all religious practicing patients were able to accomplish their prayer positions without pain. DMC is found to be an interesting option in reducing dislocation events in young patients. Those excellent short-term results would encourage surgeons to use DMC in an active and highly demanding population. Further research is necessary to confirm maintenance of such results at long term follow-up.
Similar content being viewed by others
References
Bernd R, Doyle Y, Grundy E, McKee M (2009) How can health systems respond to population ageing? Heath Systems And Policy Analysis, WHO. ISSN 1997-8073
Nho SJ, Kymes SM, Callaghan JJ, Felson DT (2013) The burden of hip osteoarthritis in the United States: epidemiologic and economic considerations. J Am Acad Orthop Surg 21(Suppl 1):S1–S6
Dotinga R (2015) Number of hips replacements has skyrocketed, U.S Reports. Health Day, https://consumer.healthday.com/senior-citizen-information-31/demographic-arthritis-news-37/number-of-hip-replacements-has-skyrocketed-u-s-report-shows-696419.html
Bozic K, Kurtz S, Vail T, Berry D (2009) The Epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg Am 91(1):128–133. doi:10.2106/JBJS.H.00155
Swedish Hip Arthroplasty Register; Annual Report 2009; http://www.shpr.se/ Libraries
Australian Orthopaedic Association; 2011 Annual Report Hip and Knee Replacement http://www.dmac.adelaide.edu.au/aoanjrr
De Martino I, Konstantinos G, Sculo P, Sculo T (2014) Dual mobility cups in total hip arthroplasty. World J Ortho 5(3):180–187
Prudhon JL, Ferreira A, Verdier R (2013) Dual mobility cup: dislocation rate and survivorship at ten years of follow-up. IntOrthop 37(12):2345–2350
Leclercq S, Lemarechal P, Richter D, Aubriot JH (1999) Prothèses totales de hanche hybrides Charnley-Bousquet à plus de 10 ans. Rev Chir Orthop Reparatrice Appar Mot 85 :Suppl 3
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 whether a dual mobility cup has a decreased dislocation risk. Int Orthop 38(6):1125–9
Lachiewicz PF, Watters TS (2012) The use of dual-mobility components in total hip arthroplasty. J Am Acad Orthop Surg 20(8):481–486
Combes A, Migaud H, Girard J, Duhamel A, Fessy MH (2013) Low rate of dislocation of dual mobility cups in primary total hip arthroplasty. Clin Orthop Relat Res 471(12):3891–3900
Philippot R, Farizon F, Camilleri JP, Boyer B, Derhi G, Bonnan J, Fessy MH, Lecuire F (2008) Survival of cementless dual mobility socket with a mean 17 years follow-up. Rev Chir Orthop Reparatrice Appar Mot 94(8):e23
Vielpeau C, Lebel B, Ardouin L, Burdin G, Lautridou C (2011) The dual mobility socket concept: experience with 668 cases. IntOrthop 35(2):225–230
Epinette JA, Beracassat R, Tracol P, Pagazani P, Vandenbussche E (2014) Are modern dual mobility cups a valuable option in reducing instability after primary hip arthroplasty, even in younger patients? J Arthroplasty 29(6):1323–1328
Fessy MH (2006) Dual mobility: A Stéphanois concept (St Etienne area, France). Maitrise Orthopedique March 152
Lautridou C, Lebel B, Burdin G, Vielpeau C (2008) Survival of the cementless Bousquet dual mobility cup: minimum 15-year follow-up of 437 total hip arthroplasties. Rev Chir Orthop Reparatrice Appar Mot 94:731–739
Leclercq S, Benoit JY, de Rosa JP, Euvrard P, Leteurtre C, Girardin P (2008) Results of the Evora dual-mobility socket after a minimum follow-up of five years. Rev Chir Orthop Reparatrice Appar Mot 94(8):e17
Bouchet R, Mercier N, Saragaglia D (2011) Posterior approach and dislocation rate: a 213 total hip replacements case-control study comparing the dual mobility cup with a conventional 28-mm metal head/polyethylene prosthesis. Orthop Traumatol Surg Res 97:2–7
Puch JM, Derhi G, Descamps L, Verdier R, Caton JH (2016) Dual-mobility cup in total hip arthroplasty in patients less than fifty five years and over ten years of follow-up: a prospective and comparative series. Int Orthop. doi:10.1007/s00264-016-3325-x
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
Farizon F, de LAvison R, Azoulai JJ, Bousquet G (1998) Results with a cementless alumina-coated cup with dual mobility. A twelve-year follow-up study. IntOrthop 22(4):219–224
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(4):927
Boyer B, Philippot R, Geringer J, Farizon F (2012) Primary total hip arthroplasty with dual mobility socket to prevent dislocation: a 22-year follow-up of 240 hips. IntOrthop 36:511–518
Alberton GM, High WA, Morrey BF (2002) Dislocation after revision total hip arthroplasty: an analysis of risk factors and treatment options. J Bone Joint Surg Am 84-A:1788–1792
Khatod M, Barber T, Paxton E, Namba R, Fithian D (2006) An analysis of the risk of hip dislocation with a contemporary total joint registry. Clin Orthop Relat Res 447:19–23
Leiber-Wackenheim F, Brunschweiler B, Ehlinger M (2011) Treatment of recurrent THR dislocation using of a cementless dual-mobility cup: a 59 cases series with a mean 8 years’ follow-up. Orthop Traumatol Surg Res 97:8–13
Langlais FL, Ropars M, Gaucher F, Musset T, Chaix O (2008) Dual mobility cemented cups have low dislocation rates in THA revisions. Clin Orthop Relat Res 466(2):389–395
Prudhon JL, Steffann F, Ferreira A, Verdier R, Aslanian T, Caton J (2014) Cementless dual-mobility cup in total hip arthroplasty revision. Int Orthop 38(12):2463–8
Iorio R, Healy WL, Lemos DW, Appleby D, Lucchesi CA, Saleh KJ (2001) Displaced femoral neck fractures in the elderly: outcomes and cost effectiveness. Clin Orthop Relat Res 383:229–242
Tarasevicius S, Busevicius M, Robertsson O, Wingstrand H (2010) Dual mobility cup reduces dislocation rate after arthroplasty for femoral neck fracture. BMC Musculoskelet Disord 11:175
Adam P, Philippe R, Ehlinger M, Roche O, Bonnomet F, Molé D, Fessy MH (2012) Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly. A prospective, systematic, multicenter study with specific focus on postoperative dislocation. Orthop Traumatol Surg Res 98:296–300. doi:10.1016/j.otsr.2012.01.005
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Funding
There is no funding source.
Ethical approval
Consent obtained for each patient. Approval from the ethical boards of our institutions was obtained.
Rights and permissions
About this article
Cite this article
Assi, C., El-Najjar, E., Samaha, C. et al. Outcomes of dual mobility cups in a young Middle Eastern population and its influence on life style. International Orthopaedics (SICOT) 41, 619–624 (2017). https://doi.org/10.1007/s00264-016-3390-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00264-016-3390-1