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Dual mobility cup: dislocation rate and survivorship at ten years of follow-up

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Abstract

Purpose

The dual mobility cup introduced in France by Gilles Bousquet has been used in total hip replacement in high-risk patients. This device acts as a large ball implant and significantly reduces the risk of dislocation following hip arthroplasty. Published French literature has focused on low rates of dislocation and long-term follow-up similar to the low-friction arthroplasty.

Methods

We retrospectively reviewed a continuous series of 105 cases of dual mobility cup Quattro (Groupe Lépine, Genay, France) implanted from 2000 to 2002. Selection of the patients requiring a primary hip replacement depended on risk criteria such as age, hip disease and activity score. The dual mobility cup was associated with a modular cemented femoral component and a 22.2-mm stainless steel head.

Results

One dislocation occurred one month after the index surgery requiring no revision surgery. According to the Kaplan-Meier method, survival probability was 95.0 % (95 % confidence interval 81.5–98.8) at ten years of follow-up.

Conclusions

Based on clinical outcome and patient assessment we conclude that the dual mobility cup is a reliable option to decrease dislocation risk without increasing polyethylene wear.

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Conflict of interest

Jean-Louis Prudhon and André Ferreira are consultants of Groupe Lépine. Régis Verdier is employed by Groupe Lépine as an epidemiologist.

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Authors and Affiliations

  1. Clinique des Cèdres, 21 rue Albert Londres, 38432, Echirolles, France

    Jean-Louis Prudhon

  2. Clinique du Parc, 155 Ter Boulevard de Stalingrad, 69006, Lyon, France

    André Ferreira

  3. Groupe Lépine, Genay, 175 rue Jacquard – CS 50307, 69727, Genay Cedex, France

    Régis Verdier

Authors
  1. Jean-Louis Prudhon
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  2. André Ferreira
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  3. Régis Verdier
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Correspondence to Jean-Louis Prudhon.

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Prudhon, JL., Ferreira, A. & Verdier, R. Dual mobility cup: dislocation rate and survivorship at ten years of follow-up. International Orthopaedics (SICOT) 37, 2345–2350 (2013). https://doi.org/10.1007/s00264-013-2067-2

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  • DOI: https://doi.org/10.1007/s00264-013-2067-2

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