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International Orthopaedics

Erschienen in:

03.06.2017 | Original Paper

Long-term wear of dual mobility total hip replacement cups: explant study

verfasst von: Bertrand Boyer, Thomas Neri, Jean Geringer, Alexandre Di Iorio, Remi Philippot, Frederic Farizon

Erschienen in: International Orthopaedics | Ausgabe 1/2018

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Abstract

Purpose

Dual mobility THA implantations are increasing. THA survival of more than 15 years is considered long-term survival based on the Charnley prosthesis, which has a median wear rate of 39 to 98 mm³/year. What is the median wear rate of dual mobility THA cups and its repartition on the liner volume? What are the factors influencing dual mobility wear?

Methods

Thirty-five explants were analysed. The liners were entirely mapped with a fully automatic stripe light scanner that uses green LED light.

Results

The liners had a median wear rate of 38 mm³/year. The distribution of the wear between the two bearings varied greatly. No factor was found influencing wear volumes.

Conclusions

The median annual wear of dual mobility liners is at least as low as the wear of cemented polyethylene liners and lower than equivalent cementless liners. The two articulations of the dual mobility THA do not cause more wear.

Level of evidence

Level IV - case series.

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Titel: Long-term wear of dual mobility total hip replacement cups: explant study
verfasst von: Bertrand Boyer
Thomas Neri
Jean Geringer
Alexandre Di Iorio
Remi Philippot
Frederic Farizon
Publikationsdatum: 03.06.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 1/2018
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-017-3525-z

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Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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