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Dual Mobility Cemented Cups Have Low Dislocation Rates in THA Revisions

  • International Hip Society Symposium
  • Published:
Clinical Orthopaedics and Related Research

Abstract

THA revisions using standard cups are at risk of dislocation (5.1% to 14.4% incidence), especially in patients over 70 years of age. Constrained tripolar cups have reduced this risk (6% incidence) but are associated with substantial loosening rates (9%). The nonconstrained dual mobility cup was designed to improve prosthetic stability (polyethylene head ≥ 40 mm diameter) without increasing loosening rates by reducing wear and limiting impingement (rotation range of 108°). We implanted 88 cemented dual mobility cups for THA revisions in 82 patients at high risk of dislocation. Average patient age was 72 years (range, 65–86 years). Eighty-five of the 88 hips were reviewed at 2 to 5 years followup. One patient (1.1%) had a traumatic dislocation at 2 years postoperatively. Two patients (2.3%) had asymptomatic early loosening and three patients (3.5%) had localized radiographic lucencies. These results confirm those with press-fit dual mobility cups suggesting a low dislocation rate at 5 years and a cup survival of 94.6%. At middle term followup, cemented dual mobility cup achieved better results than constrained cups in cases at risk of dislocation and recurrent loosening.

Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgments

We thank Rajiv Kaila for his help in translating this manuscript.

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Authors and Affiliations

  1. University Hospital, 16 boulevard de Bulgarie, 35203, Rennes, France

    Frantz L. Langlais MD, Mickaël Ropars MD, François Gaucher MD, Thierry Musset MD & Olivier Chaix MD

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  1. Frantz L. Langlais MD
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  2. Mickaël Ropars MD
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  3. François Gaucher MD
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  4. Thierry Musset MD
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  5. Olivier Chaix MD
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Correspondence to Mickaël Ropars MD.

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†Prof Langlais died on June 16, 2007.

Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution has approved the reporting of this case report, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Langlais, F.L., Ropars, M., Gaucher, F. et al. Dual Mobility Cemented Cups Have Low Dislocation Rates in THA Revisions. Clin Orthop Relat Res 466, 389–395 (2008). https://doi.org/10.1007/s11999-007-0047-9

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  • DOI: https://doi.org/10.1007/s11999-007-0047-9

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