Top

European Journal of Orthopaedic Surgery & Traumatology

Published in:

01-08-2016 | Original Article • HIP - ARTHROPLASTY

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

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

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 6/2016

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.

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):128–133CrossRefPubMed

Judet J, Judet H (1985) Voie d’abord antérieure dans l’arthroplastie totale de la hanche. Presse Méd 14:1031–1033PubMed

Restrepo C, Parvizi J, Pour AE, Hozack WJ (2010) Prospective randomized study of two surgical approaches for total hip arthroplasty. J Arthroplasty 25:671–679CrossRefPubMed

De Geest T, Fennema P, Lenaerts G, De Loore G (2015) Adverse effects associated with the direct anterior approach for total hip arthroplasty: a Bayesian meta-analysis. Arch Orthop Trauma Surg 135(8):1183–1192CrossRefPubMed

Masonis JL, Bourne RB (2002) Surgical approach, abductor function, and total hip arthroplasty dislocation. Clin Orthop Relat Res 405:46–53CrossRefPubMed

Tsukada S, Wakui M (2015) Lower dislocation rate following total hip arthroplasty via direct anterior approach than via posterior approach: five-year-average follow-up results. Open Orthop J 9:157–162CrossRefPubMedPubMedCentral

Petis S, Howard JL, Lanting BL, Vasarhelyi EM (2015) Surgical approach in primary total hip arthroplasty: anatomy, technique and clinical outcomes. Can J Surg 58(2):128–139CrossRefPubMedPubMedCentral

Rathod PA, Bhalla S, Deshmukh AJ, Rodriguez JA (2014) Does fluoroscopy with anterior hip arthoplasty decrease acetabular cup variability compared with a nonguided posterior approach? Clin Orthop Relat Res 472(6):1877–1885CrossRefPubMedPubMedCentral

Bartz RL, Nobel PC, Kadakia NR, Tullos HS (2000) The effect of femoral component head size on posterior dislocation of the artificial hip joint. J Bone Joint Surg Am 82-A:1300–1307

10.

Howie DW, Holubowycz OT, Middleton R, Large Articulation Study Group (2012) Large femoral heads decrease the incidence of dislocation after total hip arthroplasty: a randomized controlled trial. J Bone Joint Surg Am 94-A:1095–1102

11.

Garbuz DS, Masri BA, Duncan CP, Greidanus NV, Bohm ER, Petrak MJ, Della Valle CJ, Gross AE (2012) The Frank Stinchfield Award: dislocation in revision THA: do large heads (36 and 40 mm) result in reduced dislocation rates in a randomized clinical trial? Clin Orthop Relat Res 470:351–356CrossRefPubMed

12.

Blumenfeld TJ, McKellop HA, Schmalzried TP, Billi F (2011) Fracture of a cross-linked polyethylene liner: a multifactorial issue. J Arthroplasty 26:666.e5–668.e5CrossRef

13.

Duffy GP, Wannomae KK, Rowell SL, Muratoglu OK (2009) Fracture of a cross-linked polyethylene liner due to impingement. J Arthroplasty 24:158.e15–159.e15CrossRef

14.

Moore KD, Beck PR, Petersen DW, Cuckler JM, Lemons JE, Eberhardt AW (2008) Early failure of a cross-linked polyethylene acetabular liner. A case report. J Bone Joint Surg Am 90-A:2499–2504CrossRef

15.

Toni A, Baleani M, Bordini B, Stea S, Pilla F, Sudanese A (2012) “Trunionitis”: a cause for concern? Semin Arthroplasty 23:248–250CrossRef

16.

Cooper HJ, Della Valle CJ, Berger RA, Tetreault M, Paprosky WG, Sporer SM, Jacobs JJ (2012) Corrosion at the head–neck taper as a cause for adverse local tissue reactions after total hip arthroplasty. J Bone Joint Surg Am 94-A:1655–1661

17.

Dyrkacz RM, Brandt JM, Ojo OA, Turgeon TR, Wyss UP (2013) The influence of head size on corrosion and fretting behaviour at the head–neck interface of artificial hip joints. J Arthroplasty 28:1036–1040CrossRefPubMed

18.

Bouchet R, Mercier N, Saragaglia D (2011) Posterior approach and dislocation rate: a 213 total hip replacements case-control study comparing the dual mobility cup with a conventional 28-mm metal head/polyethylene prosthesis. Orthop Traumatol Surg Res 97:2–7CrossRefPubMed

19.

Heffernan C, Banerjee S, Nevelos J, Macintyre J, Issa K, Markel DC, Mont MA (2014) Does dual-mobility cup geometry affect posterior horizontal dislocation distance. Clin Orthop Relat Res 472:1535–1544CrossRefPubMedPubMedCentral

20.

Stroh A, Naziri Q, Johnson AJ, Mont MA (2012) Dual-mobility bearings: a review of the literature. Expert Rev Med Devices 9:23–31CrossRefPubMed

21.

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 22:219–224CrossRefPubMedPubMedCentral

22.

Baba T, Shitoto K, Kaneko K (2013) Bipolar hemiarthroplasty for femoral neck fracture using the direct anterior approach. World J Orthop 4(2):85–89CrossRefPubMedPubMedCentral

23.

Rodriguez JA, Rathod PA (2012) Large diameter heads: is bigger always better? J Bone Joint Surg Br 94(11 Suppl A):52–54CrossRefPubMed

24.

Nunley RM, Wilson JM, Gilula L, Clohisy JC, Barrack RL, Maloney WJ (2010) Iliopsoas bursa injections can be beneficial for pain after total hip arthroplasty. Clin Orthop Relat Res 468(2):519–526CrossRefPubMed

25.

Cyteval C, Sarrabere MP, Cottin A, Assi C, Morcos L, Maury P, Taourel P (2003) Iliopsoas impingement on the acetabular component: radiologic and computed tomography findings of a rare hip prosthesis complication in eight cases. J Comput Assist Tomogr 27:183–188CrossRefPubMed

26.

Jasani V, Richards P, Wynn-Jones C (2002) Pain related to the psoas muscle after total hip replacement. J Bone Joint Surg Br 84:991–993CrossRefPubMed

27.

Nasser AB, Beaulé PE, O’Neill M, Kim PR, Fazekas A (2010) Incidence of groin pain after metal-on-metal hip resurfacing. Clin Orthop Relat Res 468(2):392–399CrossRef

28.

Bartelt RB, Yuan BJ, Trousdale RT, Sierra RJ (2010) The prevalence of groin pain after metal-on-metal total hip arthroplasty and total hip resurfacing. Clin Orthop Relat Res 468(9):2346–2356CrossRefPubMedPubMedCentral

29.

Browne JA, Polga DJ, Sierra RJ, Trousdale RT, Cabanela ME (2011) Failure of larger diameter metal-on-metal total hip arthroplasty resulting from anterior iliopsoas impingement. J Arthroplasty 26:978.e5

30.

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):3048–3053CrossRefPubMedPubMedCentral

31.

Seng BE, Berend KR, Ajluni AF, Lombardi AV (2009) Anterior-supine minimally invasive total hip arthroplasty: defining the learning curve. Orthop Clin North Am 40(3):343–350CrossRefPubMed

32.

Woolson ST, Pouliot MA, Huddleston JI (2009) Primary total hip arthroplasty using an anterior approach and a fracture table: short-term results from a community hospital. J Arthroplasty 24(7):999–1005CrossRefPubMed

33.

Jolles BM, Zangger P, Leyvraz PF (2002) Factors predisposing to dislocation after primary total hip arthroplasty: a multivariate analysis. J Arthroplasty 17(3):282–288CrossRefPubMed

34.

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(1):9–14PubMed

35.

Newington DP, Bannister GC, Fordyce M (1990) Primary total hip replacement in patients over 80 years of age. J Bone Joint Surg Br 72(3):450–452PubMed

36.

Hedlundh U, Karlsson M, Ringsberg K, Besjakov J, Fredin H (1999) Muscular and neurologic function in patients with recurrent dislocation after total hip arthroplasty: a matched controlled study of 65 patients using dual-energy X-ray absorptiometry and postural stability tests. J Arthroplasty 14(3):319–325CrossRefPubMed

37.

Lübbeke A, Suvà D, Perneger T, Hoffmeyer P (2009) Influence of preoperative patient education on the risk of dislocation after primary total hip arthroplasty. Arthritis Rheum 61(4):552–558CrossRefPubMed

Title: Benefit and risk in short term after total hip arthroplasty by direct anterior approach combined with dual mobility cup
Authors: Yasuhiro Homma
Tomonori Baba
Hideo Kobayashi
Asuka Desroches
Hironori Ochi
Yu Ozaki
Mikio Matsumoto
Takahito Yuasa
Kazuo Kaneko
Publication date: 01-08-2016
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 6/2016
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-016-1808-5

At a glance: The STEP trials

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 6/2016

Spinal tuberculosis, natural history of disease, classifications and principles of management with historical perspective

Jesse B. Jupiter, Fiesky Nunez, Renato Fricker: Manual of fracture management: Hand. AO trauma series

Risk stratification for the recurrence of trigger thumb after surgical release in the paediatric patient

The correlation between clinical radiological outcome and contact state of implant and femur using three-dimensional templating software in cementless total hip arthroplasty

Bony defects in chronic anterior posttraumatic dislocation of the shoulder: Is there a correlation between humeral and glenoidal lesions?

Determinants of knee replacement in subjects with a history of arthroscopy: data from the osteoarthritis initiative