Study of a Titanium Dual-Mobility Socket with a Mean Follow-up of 18 Years

  • Remy Philippot
  • B. Boyer
  • F. Farizon


The concept of stainless steel dual-mobility cup in total hip arthroplasty has demonstrated a very low incidence of long-term instability and a 98% survival rate after 12 years. We systematically implanted titanium alloy dual-mobility acetabular cups during a 5-year period. The purpose of our retrospective study was to report the 18-year clinical results of a homogeneous and continuous series of 103 primary total hip replacements after implantation of a cementless titanium dual-mobility cup. The overall 18-year survival rate of the acetabular cup with a 95% confidence interval was 87.4%. At last follow-up, there was no evidence of implant instability. However, aseptic loosening of the acetabular component was reported in one case and high wear of the retentive liner in nine. The results of this investigation confirmed the long-term stability of dual-mobility implants. The main limitation of this system was early wear of the polyethylene liner in contact with the titanium metal back and third-body reaction associated with loss of the PE liner retentive rim. In our study, titanium demonstrated poor tribological characteristics.


Aseptic Loosening Acetabular Component Radiolucent Line Polyethylene Liner Dual Mobility 
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  1. 1.
    Adam P, Farizon F, Fessy MH (2005) Dual articulation retentive acetabular liners and wear: surface analysis of 40 retrieved polyethylene implants. Rev Chir Orthop Reparatrice Appar Mot 91:627–636PubMedCrossRefGoogle Scholar
  2. 2.
    Aldinger PR, Breusch SJ, Lukoschek M, Mau H, Ewerbeck V, Thomsen M (2003) A ten to 15 year follow up of the cementless spotorno stem. J Bone Joint Surg Br 85-B:1207–1211Google Scholar
  3. 3.
    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:9–14PubMedGoogle Scholar
  4. 4.
    Bousquet G, Gazielly D, Girardin P, Debiesse JL, Relave M, Israelia A (1985) The ceramic coated cementless total hip arthroplasty. Basic concepts and surgical technique. J Orthop Surg 1:15–28Google Scholar
  5. 5.
    Brooker AF, Bowerman JW, Robinson RA, Rileyl H (1973) Ectopic ossification following total hip replacement: incidence and a method of classification. J Bone Joint Surg Am 55-A:1629–1632Google Scholar
  6. 6.
    Crowe JF, Mani VJ, Ranawat CS (1979) Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am 61-A:15–23Google Scholar
  7. 7.
    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. Int Orthop 22(4):219–224PubMedCrossRefGoogle Scholar
  8. 8.
    Garellick G, Herberts P, Stromberg C, Malchau H (1994) Long-term results of Charnley arthroplasty. A 12–16-year follow-up study. J Arthroplasty 9(4):333–340PubMedCrossRefGoogle Scholar
  9. 9.
    Guyen O, Pibarot V, Vaz G, Chevillotte C, Béjui-Hugues J (2009) Use of a dual mobility socket to manage total hip arthroplasty instability. Clin Orthop Relat Res 467(2):465–472PubMedCrossRefGoogle Scholar
  10. 10.
    Hernandez JR, Keating EM, Faris PM, Meding JB, Ritter MA (1994) Polyethylene wear in uncemented acetabular components. J Bone Joint Surg Br 76(2):263–266PubMedGoogle Scholar
  11. 11.
    Kim YG, Kim SY, Park BC, Kim PT, Ihn JC, Kim ID (2005) Uncemented Harris-Galante total hip arthroplasty in patients with osteonecrosis of the femoral head. A 10–16-year follow-up study. Acta Orthop 76(1):42–48PubMedCrossRefGoogle Scholar
  12. 12.
    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(8):731–739PubMedCrossRefGoogle Scholar
  13. 13.
    Leclercq S, El Blidi S, Aubriot JH (1995) Traitement de la luxation récidivante de prothèse totale de hanche par le cotyle à double mobilité de Bousquet. A propos de 13 cas. Rev Chir Orthop Reparatrice Appar Mot 81:389–394PubMedGoogle Scholar
  14. 14.
    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(3):249–255PubMedGoogle Scholar
  15. 15.
    Merle d’Aubigne R (1990) Numerical classification of the function of the hip. Rev Chir Orthop Reparatrice Appar Mot 76(6):371–374PubMedGoogle Scholar
  16. 16.
    Mohan R, Grigoris P, Johnstone F, Hamblen DL (2003) Howse II cemented titanium metal-backed acetabular cups. Poor 10 year results in 107 hips. Acta Orthop Scand 74(4):397–403PubMedCrossRefGoogle Scholar
  17. 17.
    Nashed RS, Becker DA, Gustilo RB (1995) Are cementless acetabular components the cause of excess wear and osteolysis in total hip arthroplasty. Clin Orthop Relat Res 317:19–28PubMedGoogle Scholar
  18. 18.
    Philippot R, Adam P, Farizon F, Fessy MH, Bousquet G (2006) Survival of cementless dual mobility sockets: ten-year follow-up. Rev Chir Orthop Reparatrice Appar Mot 92(4):326–331PubMedGoogle Scholar
  19. 19.
    Philippot R, Farizon F, Camilleri JP, Boyer B, Derhi G, Bonnan J, Fessy MH, Lecuire F (2008) Survival of dual mobility socket with a mean 17 years follow-up. Rev Chir Orthop Reparatrice Appar Mot 94(1):43–48PubMedCrossRefGoogle Scholar

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© EFORT 2012

Authors and Affiliations

  1. 1.Hôpital nord Saint-Etienne, Centre Hospitalier et UniversitaireSaint EtienneFrance

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