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Dual-mobility total hip arthroplasty in patients younger than 55 years old: a systematic review

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Total hip arthroplasty (THA) is regarded as one of the most successful and cost-effective orthopedic procedures. However, THA is a surgical procedure with potential intraoperative and postoperative risks. Dislocation is one of the common postoperative complications and remains one of the main indications for THA revision. The purpose of this systematic review was to evaluate the role and the outcomes of dual-mobility implant to prevent dislocation in patients younger than < 55 years in primary THA. In this systematic review, we included observational, prospective, and retrospective studies that evaluated the outcome and the complications of the dual-mobility cup in < 55-year-old patients. After applying exclusion criteria (femoral neck fractures or THA revision, case series, reviews, and meta-analyses), ten articles were included in the study. The overall number of participants in all the studies was 1530. The mean age of the participants was 50 years. The mean follow-up was 11.7 years. A total of 46 patients (2.7%) reported intraprosthetic dislocations, in which the polyethylene liner dissociates from the femoral head, while 4.8% of revision was due to aseptic loosening. The mean revision rate at twelve years was 11%. The mean value of Harris Hip Score increased from 50.9 pre-operatively to 91.6 after surgery. Dual mobility is a valid option for young patients with extended survivorship and low rates of instability and dislocation after primary THA.

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Authors and Affiliations

  1. Department of Orthopaedic and Trauma Surgery, Università Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21-00128, Rome, Italy

    Biagio Zampogna, Giuseppe Francesco Papalia, Guglielmo Torre, Ferruccio Vorini, Lorenzo Alirio Diaz Balzani & Rocco Papalia

  2. Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200-00128, Rome, Italy

    Biagio Zampogna, Giuseppe Francesco Papalia, Guglielmo Torre, Ferruccio Vorini, Lorenzo Alirio Diaz Balzani & Rocco Papalia

  3. Department of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, Rome, Italy

    Augusto Ferrini & Pasquale Farsetti

Authors
  1. Biagio Zampogna
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  2. Giuseppe Francesco Papalia
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  3. Augusto Ferrini
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  4. Guglielmo Torre
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  6. Lorenzo Alirio Diaz Balzani
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Correspondence to Giuseppe Francesco Papalia.

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Zampogna, B., Papalia, G.F., Ferrini, A. et al. Dual-mobility total hip arthroplasty in patients younger than 55 years old: a systematic review. Arch Orthop Trauma Surg 143, 6821–6828 (2023). https://doi.org/10.1007/s00402-023-04882-2

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  • DOI: https://doi.org/10.1007/s00402-023-04882-2

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