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Dual Mobility Cups in Primary and Revision Total Hip Arthroplasty

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Hip Arthroplasty

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Abstract

The first dual mobility cup (DMC) was introduced in 1977, and since its inception, the concept of dual mobility hasn’t changed. DMC incorporates two basic principles and allows motion at two joints. A small joint; between femoral head and polyethylene (PE) liner, which works on Charnley’s “low-friction principle”, and a large joint, between PE liner and metallic shell, which works on McKee-Farrar’s “large diameter femoral head” concept. Smaller joint moves first and at its limit mobile liner is recruited to cause motion at the larger joint increasing the effective range of motion and improving the stability by increasing the jump distance. DMC total hip arthroplasty (THA) is performed in the same manner as standard THA; however, the surgeon must be acquainted with DMC implants and instruments. DMC was developed with the aim to address the issue of instability and thus improve longevity of THA. DMC is usually recommended for elderly patients and those ‘at risk’ of dislocation. Improved design and encouraging results have led to research in expanding the indication of DMC to younger active patients and those who demand a high range of motion. In this chapter, we have covered brief history and evolution of DMC, its mechanism, surgical aspects, compared DMC designs, complications, and our experience with DMC.

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Author information

Authors and Affiliations

  1. Orthopedics and Head Joint Reconstruction Unit, Max Smart Super Speciality Hospital, Saket, New Delhi, India

    Ramneek Mahajan

  2. Max Smart Super Speciality Hospital, Saket, New Delhi, India

    Piyush Nashikkar

  3. Sir Ganga Ram Hospital, New Delhi, India

    Varun Khanna

Authors
  1. Ramneek Mahajan
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  2. Piyush Nashikkar
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  3. Varun Khanna
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Editors and Affiliations

  1. Head of Orthopedics and Joint Replacement, Amrita Institute of Medical Sciences Amrita Vishwavidyapeetham, Faridabad, India

    Mrinal Sharma

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Mahajan, R., Nashikkar, P., Khanna, V. (2023). Dual Mobility Cups in Primary and Revision Total Hip Arthroplasty. In: Sharma, M. (eds) Hip Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-99-5517-6_45

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  • DOI: https://doi.org/10.1007/978-981-99-5517-6_45

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  • Online ISBN: 978-981-99-5517-6

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