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Dual mobility cups in revision total hip arthroplasty

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Abstract

Aim

The purpose of our study was to evaluate the dislocation and aseptic loosening rates of a dual mobility construct in revision total hip arthroplasty (THA).

Methods

Three hundred thirty-four revision THAs performed between 2006 and 2011, using a dual mobility cup, were included in this retrospective study. The indications for revision were aseptic loosening (70%), infection (21%) and recurrent instability (9%). The minimum follow-up was five years (mean 7 ± 2 years, maximum 10 years).

Results

At the latest follow-up, 11 episodes of dislocation occurred, seven of which were recurrent (1.3% for aseptic loosening, 2.8% for infection and 3.4% for recurrent dislocation). Ten cases of aseptic loosening occurred; in seven of them, a cemented cup into a reinforcement ring had been used (OR = 14, p = 0.0001).

Conclusion

This study provided evidence of the advantages of dual mobility cups in all revision THA indications.

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Authors and Affiliations

  1. Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service de Chirurgie Orthopédique et Traumatologique, 165 Chemin Grand Revoyet, 69495, Pierre Bénite Cedex, France

    Anthony Viste, Romain Desmarchelier & Michel-Henri Fessy

  2. IFSTTAR, UMRT_9406, Laboratoire de Biomécanique et Mécanique des Chocs, 69675, Bron, France

    Anthony Viste, Romain Desmarchelier & Michel-Henri Fessy

  3. Université Claude Bernard Lyon 1, 69100, Villeurbanne, France

    Anthony Viste, Romain Desmarchelier & Michel-Henri Fessy

  4. Université de Lyon, 69622, Lyon, France

    Anthony Viste, Romain Desmarchelier & Michel-Henri Fessy

Authors
  1. Anthony Viste
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  2. Romain Desmarchelier
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Corresponding author

Correspondence to Anthony Viste.

Ethics declarations

Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research and that consent for participation in a study was obtained.

Conflict of interest

MHF received royalties from Serf and DePuy, not related to this particular study.

Funding statement

This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

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Viste, A., Desmarchelier, R. & Fessy, MH. Dual mobility cups in revision total hip arthroplasty. International Orthopaedics (SICOT) 41, 535–542 (2017). https://doi.org/10.1007/s00264-016-3363-4

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