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Use of a Dual Mobility Socket to Manage Total Hip Arthroplasty Instability

  • Original Article
  • Published:
Clinical Orthopaedics and Related Research

Abstract

Unconstrained tripolar hip implants provide an additional bearing using a mobile polyethylene component between the prosthetic head and the outer metal shell. Such a design increases the effective head diameter and therefore is an attractive option in challenging situations of unstable total hip arthroplasties. We report our experience with 54 patients treated using this dual mobility implant in such situations. We ascertained its ability to restore and maintain stability, and examined component loosening and component failure. At a minimum followup of 2.2 years (mean, 4 years; range, 2.2–6.8 years), one hip had redislocated 2 months postoperatively and was managed successfully without reoperation by closed reduction with no additional dislocation. Two patients required revision of the implant because of dislocation at the inner bearing. Technical errors were responsible for these failures. Three patients had reoperations for deep infections. The postoperative radiographs at latest followup showed very satisfactory osseointegration of the acetabular component because no radiolucent line or osteolysis was reported. Use of this unconstrained tripolar design was successful in restoring and maintaining hip stability. We observed encouraging results at short-term followup regarding potential for loosening or mechanical failures.

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 Professor Jean-Paul Carret for his contribution to this study.

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Authors and Affiliations

  1. Département de Chirurgie Orthopédique, Hôpital Edouard Herriot, Pavillon T, 5 Place d’Arsonval, 69437, Lyon Cedex 03, France

    Olivier Guyen MD, PhD, Vincent Pibarot MD, Gualter Vaz MD, Christophe Chevillotte MD & Jacques Béjui-Hugues MD

  2. Laboratoire de Biomécanique des Chocs, LBMC–INRETS URMT 9406, Université Claude Bernard, Lyon, France

    Olivier Guyen MD, PhD

Authors
  1. Olivier Guyen MD, PhD
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  2. Vincent Pibarot MD
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  3. Gualter Vaz MD
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  4. Christophe Chevillotte MD
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  5. Jacques Béjui-Hugues MD
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Corresponding author

Correspondence to Olivier Guyen MD, PhD.

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One or more of the authors (OG, VP, JBH) certifies that he has or may receive payments or benefits from a commercial entity (Amplitude, 01707 Neyron, France) related to this work.

Each author certifies that his institution either has waived or does not require approval for the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

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Guyen, O., Pibarot, V., Vaz, G. et al. Use of a Dual Mobility Socket to Manage Total Hip Arthroplasty Instability. Clin Orthop Relat Res 467, 465–472 (2009). https://doi.org/10.1007/s11999-008-0476-0

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  • DOI: https://doi.org/10.1007/s11999-008-0476-0

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