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Benefit and risk in short term after total hip arthroplasty by direct anterior approach combined with dual mobility cup

  • Original Article • HIP - ARTHROPLASTY
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

No previous reports have described the benefits and risks associated with the dual mobility cup (DMC) in primary THA via direct anterior approach (DAA). The aim of this study was to compare the safety and rate of early postoperative complication of the DAA with the DMC for THA with those of the DAA with a single standard cup, and to investigate the influence of the learning curve of the use of DMC on intra- and perioperative outcomes.

Methods

We retrospectively investigated 60 hips treated in the single-DAA group and 60 hips treated in the dual-DAA group. A primary/secondary outcome variable was the presence of any intra- or perioperative complication within the first 6 months/the operative time and hip function at 6 months postoperatively. We also analyzed influence of the learning curve of the use of DMC on intra- and perioperative outcomes.

Results

No intraoperative complications were observed in either group. One anterior dislocation and one periprosthetic hip fracture were occurred in the single-DAA group. The surgical times in the single-DAA and dual-DAA groups were 112.0 ± 20.9 and 121.0 ± 26.9 min (p < 0.001). There was no significant difference in the 6-month postoperative hip function scores between the two groups. There was no influence of the learning curve of the use of DMC on intra- and perioperative outcomes.

Conclusion

We have demonstrated the short-term safety and lack of inferiority of using the DMC in the DAA compared with the standard single mobility cup.

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Authors’ contribution

YH and DA designed the study. YH, MM, HO, YO, and TB obtained and analyzed the data. YH wrote the initial draft. KK and TY ensured the accuracy of the data and analysis.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan

    Yasuhiro Homma, Tomonori Baba, Hideo Kobayashi, Asuka Desroches, Hironori Ochi, Yu Ozaki, Mikio Matsumoto, Takahito Yuasa & Kazuo Kaneko

  2. Department of Orthopaedic Surgery, Hôpital Henri Mondor, Créteil, France

    Asuka Desroches

Authors
  1. Yasuhiro Homma
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  2. Tomonori Baba
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  3. Hideo Kobayashi
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  5. Hironori Ochi
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  6. Yu Ozaki
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  8. Takahito Yuasa
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  9. Kazuo Kaneko
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Correspondence to Yasuhiro Homma.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the medical research ethics committee at our university.

Informed consent

Informed consent was obtained from all individual patients in this study.

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Homma, Y., Baba, T., Kobayashi, H. et al. Benefit and risk in short term after total hip arthroplasty by direct anterior approach combined with dual mobility cup. Eur J Orthop Surg Traumatol 26, 619–624 (2016). https://doi.org/10.1007/s00590-016-1808-5

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  • DOI: https://doi.org/10.1007/s00590-016-1808-5

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