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International Orthopaedics

Erschienen in:

01.11.2015 | Original Paper

Prospective longitudinal study of one hundred patients with total hip arthroplasty using a second-generation cementless dual-mobility cup

verfasst von: Thibault Vermersch, Anthony Viste, Romain Desmarchelier, Michel-Henri Fessy

Erschienen in: International Orthopaedics | Ausgabe 11/2015

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Abstract

Purpose

The aim of our study was to assess the radio-clinical results, mid-term survivorship and dislocation rate of a new-generation dual-mobility cup.

Methods

The first 100 patients (104 primary total hip arthroplasties) who were implanted with a new-generation cementless dual-mobility cup (Sunfit TH, Serf, Décines) were included in our study, with a minimum follow-up of five years.

Results

Average follow-up was six years ± 0.44 (5–7). At last follow-up, the Harris and PMA scores were significantly improved, from 56 to 94 and 13 to 17 respectively (p < 0.001). No radiolucent line could be observed. There were no cases of prosthetic or intraprosthetic dislocation in our series. Survivorship without cup loosening as the endpoint was 100 %.

Conclusions

This study confirmed the interest of dual mobility in preventing prosthetic hip dislocation. Intraprosthetic dislocation is a complication that seems to have been resolved in the mid-term follow-up.

Bozic KJ, Kurtz SM, Lau E, Ong K, Vail TP, Berry DJ (2009) The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg Am 91(1):128–133. doi:10.2106/JBJS.H.00155 CrossRefPubMed

Delaunay C, Hamadouche M, Girard J, Duhamel A, So FG (2013) What are the causes for failures of primary hip arthroplasties in France? Clin Orthop Relat Res 471(12):3863–3869. doi:10.1007/s11999-013-2935-5 PubMedCentralCrossRefPubMed

Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2005) Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am 87(11):2456–2463. doi:10.2106/JBJS.D.02860 CrossRefPubMed

Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F (2009) The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years. Int Orthop 33(4):927–932. doi:10.1007/s00264-008-0589-9 PubMedCentralCrossRefPubMed

Mertl P, Combes A, Leiber-Wackenheim F, Fessy MH, Girard J, Migaud H (2012) Recurrence of dislocation following total hip arthroplasty revision using dual mobility cups was rare in 180 hips followed over 7 years. HSS J 8(3):251–256. doi:10.1007/s11420-012-9301-0 PubMedCentralCrossRefPubMed

Charnley J, Kamangar A, Longfield MD (1969) The optimum size of prosthetic heads in relation to the wear of plastic sockets in total replacement of the hip. Med Biol Eng 7(1):31–39CrossRefPubMed

Lecuire F, Benareau I, Rubini J, Basso M (2004) Intra-prosthetic dislocation of the Bousquet dual mobility socket. Rev Chir Orthop Reparatrice Appar Mot 90(3):249–255CrossRefPubMed

Kobayashi S, Takaoka K, Tsukada A, Ueno M (1998) Polyethylene wear from femoral bipolar neck-cup impingement as a cause of femoral prosthetic loosening. Arch Orthop Trauma Surg 117(6–7):390–391CrossRefPubMed

Farizon F, de Lavison R, Azoulai JJ, Bousquet G (1998) Results with a cementless alumina-coated cup with dual mobility. A twelve-year follow-up study. Int Orthop 22(4):219–224PubMedCentralCrossRefPubMed

10.

DeLee JG, Charnley J (1976) Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 121:20–32PubMed

11.

Brooker AF, Bowerman JW, Robinson RA, Riley LH Jr (1973) Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am 55(8):1629–1632PubMed

12.

Massin P, Schmidt L, Engh CA (1989) Evaluation of cementless acetabular component migration. An experimental study. J Arthroplast 4(3):245–251CrossRef

13.

Bauchu P, Bonnard O, Cypres A, Fiquet A, Girardin P, Noyer D (2008) The dual-mobility POLARCUP: first results from a multicenter study. Orthopedics 31 (12 Suppl 2)

14.

Leclercq S, Benoit JY, de Rosa JP, Euvrard P, Leteurtre C, Girardin P (2008) Results of the Evora dual-mobility socket after a minimum follow-up of five years. Rev Chir Orthop Reparatrice Appar Mot 94(8):e17–e22. doi:10.1016/j.rco.2007.10.015 CrossRefPubMed

15.

Vielpeau C, Lebel B, Ardouin L, Burdin G, Lautridou C (2011) The dual mobility socket concept: experience with 668 cases. Int Orthop 35(2):225–230. doi:10.1007/s00264-010-1156-8 PubMedCentralCrossRefPubMed

16.

Hamadouche M, Arnould H, Bouxin B (2012) Is a cementless dual mobility socket in primary THA a reasonable option? Clin Orthop Relat Res 470(11):3048–3053. doi:10.1007/s11999-012-2395-3 PubMedCentralCrossRefPubMed

17.

Prudhon JL, Ferreira A, Verdier R (2013) Dual mobility cup: dislocation rate and survivorship at ten years of follow-up. Int Orthop 37(12):2345–2350. doi:10.1007/s00264-013-2067-2 PubMedCentralCrossRefPubMed

18.

Combes A, Migaud H, Girard J, Duhamel A, Fessy MH (2013) Low rate of dislocation of dual-mobility cups in primary total hip arthroplasty. Clin Orthop Relat Res 471(12):3891–3900. doi:10.1007/s11999-013-2929-3 PubMedCentralCrossRefPubMed

19.

Massin P, Orain V, Philippot R, Farizon F, Fessy MH (2012) Fixation failures of dual mobility cups: a mid-term study of 2601 hip replacements. Clin Orthop Relat Res 470(7):1932–1940. doi:10.1007/s11999-011-2213-3 PubMedCentralCrossRefPubMed

20.

Markel DC, Hora N, Grimm M (2002) Press-fit stability of uncemented hemispheric acetabular components: a comparison of three porous coating systems. Int Orthop 26(2):72–75PubMedCentralCrossRefPubMed

21.

Loving L, Lee RK, Herrera L, Essner AP, Nevelos JE (2013) Wear performance evaluation of a contemporary dual mobility hip bearing using multiple hip simulator testing conditions. J Arthroplast 28(6):1041–1046. doi:10.1016/j.arth.2012.09.011 CrossRef

22.

Netter JD, Hermida JC, Chen PC, Nevelos JE, D’Lima DD (2014) Effect of microseparation and third-body particles on dual-mobility crosslinked hip liner wear. J Arthroplast 29(9):1849–1853. doi:10.1016/j.arth.2014.04.010 CrossRef

23.

Adam P, Farizon F, Fessy MH (2014) Dual mobility retentive acetabular liners and wear: surface analysis of 40 retrieved polyethylene implants. Orthop Traumatol Surg Res 100(1):85–91. doi:10.1016/j.otsr.2013.12.011 CrossRefPubMed

24.

Boyer B, Philippot R, Geringer J, Farizon F (2012) Primary total hip arthroplasty with dual mobility socket to prevent dislocation: a 22-year follow-up of 240 hips. Int Orthop 36(3):511–518. doi:10.1007/s00264-011-1289-4 PubMedCentralCrossRefPubMed

25.

Maisongrosse P, Lepage B, Cavaignac E, Pailhe R, Reina N, Chiron P, Laffosse JM (2015) Obesity is no longer a risk factor for dislocation after total hip arthroplasty with a double-mobility cup. Int Orthop 39(7):1251–1258. doi:10.1007/s00264-014-2612-7 CrossRefPubMed

26.

Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2004) The cumulative long-term risk of dislocation after primary Charnley total hip arthroplasty. J Bone Joint Surg Am 86-A(1):9–14PubMed

Titel: Prospective longitudinal study of one hundred patients with total hip arthroplasty using a second-generation cementless dual-mobility cup
verfasst von: Thibault Vermersch
Anthony Viste
Romain Desmarchelier
Michel-Henri Fessy
Publikationsdatum: 01.11.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 11/2015
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-015-2985-2

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