Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Internal Medicine Neurology Oncology Pediatrics Respiratory Medicine Surgery
Congress Coverage
2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting

Keynote Webinar | Spotlight on Diet and Diabetes

Watch on-demand

An expert-led symposium exploring the prevention and management of type 2 diabetes through dietary interventions. 
ADVANCED SEARCH
Log in
Top
Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 9/2023

Open Access 17-02-2023 | Hip-TEP | Hip Arthroplasty

Survivorship of the dual-mobility construct in elective primary total hip replacement: a systematic review and meta-analysis including registry data

Authors: Andrew Gardner, Hamish Macdonald, Jonathan T. Evans, Adrian Sayers, Michael R. Whitehouse

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2023

Login to get access

Abstract

Introduction

Dislocation is a common complication associated with total hip replacement (THR). Dual-mobility constructs (DMC-THR) may be used in high-risk patients and have design features that may reduce the risk of dislocation. We aimed to report overall pooled estimates of all-cause construct survival for elective primary DMC-THR. Secondary outcomes included unadjusted dislocation rate, revision for instability, infection and fracture.

Methods

MEDLINE, EMBASE, Web of Science, Cochrane Library and National Joint Registry reports were systematically searched (CRD42020189664). Studies reporting revision (all-cause) survival estimates and confidence intervals by brand and construct including DMC bearings were included. A meta-analysis was performed weighting series by the standard error.

Results

Thirty-seven studies reporting 39 case series were identified; nine (10,494 DMC-THR) were included. Fourteen series (23,020 DMC-THR) from five national registries were included.
Pooled case series data for all-cause construct survival was 99.7% (95% CI 99.5–100) at 5 years, 95.7% (95% CI 94.9–96.5) at 10 years, 96.1% (95% CI 91.8–100) at 15 years and 77% (95% CI 74.4–82.0) at 20 years. Pooled joint registry data showed an all-cause construct survivorship of 97.8% (95% CI 97.3–98.4) at 5 years and 96.3% (95% CI 95.6–96.9) at 10 years.

Conclusions

Survivorship of DMC-THR in primary THR is acceptable according to the national revision benchmark published by National Institute for Clinical Excellence (NICE).
Appendix
Available only for authorised users
Literature
1.
Learmonth ID, Young C, Rorabeck C (2007) The operation of the century. Lancet 370(9597):1508–1519 PubMedCrossRef
2.
Fessy MH, Putman S, Viste A, Isida R, Ramdane N, Ferreira A et al (2017) What are the risk factors for dislocation in primary total hip arthroplasty? Orthop Traumatol Surg Res 103(5):663–668 PubMedCrossRef
3.
Kunutsor SK, Barrett MC, Beswick AD, Judge A, Blom AW, Wylde V et al (2019) Risk factors for dislocation after primary total hip replacement. Lancet Rheumatol 1(2):e111–e121 PubMedPubMedCentralCrossRef
4.
5.
Kostensalo I, Junnila M, Virolainen P, Remes V, Matilainen M, Vahlberg T et al (2013) Effect of femoral head size on risk of revision for dislocation after total hip arthroplasty A population-based analysis of 42,379 primary procedures from the Finnish Arthroplasty Register. Acta Orthop 84(4):342–347 PubMedPubMedCentralCrossRef
6.
Zijlstra WP, De Hartog B, Van Steenbergen LN, Scheurs BW, Nelissen R (2017) Effect of femoral head size and surgical approach on risk of revision for dislocation after total hip arthroplasty. Acta Orthop 88(4):395–401 PubMedPubMedCentralCrossRef
7.
Laura AD, Hothi H, Battisti C, Cerquiglini A, Henckel J, Skinner J et al (2017) Wear of dual-mobility cups. Int Orthop 41(3):625–633 PubMedCrossRef
8.
9.
10.
Philippot R, Boyer B, Farizon F (2013) Intraprosthetic dislocation: a specific complication of the dual-mobility system. Clin Orthop Relat Res 471(3):965–970 PubMedCrossRef
11.
Sappey-Marinier E, Viste A, Blangero Y, Desmarchelier R, Fessy MH (2019) A comparative study about the incidence of dislocation and peri-prosthetic fracture between dual mobility versus standard cups after primary total hip arthroplasty. Int Orthop 43(12):2691–2695 PubMedCrossRef
12.
Heckmann N, Weitzman DS, Jaffri H, Berry DJ, Springer BD, Lieberman JR (2020) Trends in the use of dual mobility bearings in hip arthroplasty. Bone Joint J 102(7):27–32 PubMedCrossRef
13.
Darrith B, Courtney PM, Della Valle CJ (2018) Outcomes of dual mobility components in total hip arthroplasty. Bone Joint J 100B(1):11–19 CrossRef
14.
Reina N, Pareek A, Krych AJ, Pagnano MW, Berry DJ, Abdel MP (2019) Dual-mobility constructs in primary and revision total hip arthroplasty. J Arthroplasty 34(3):594–603 PubMedCrossRef
15.
De Martino I, D’Apolito R, Soranoglou VG, Poultsides LA, Sculco PK, Sculco TP (2017) Dislocation following total hip arthroplasty using dual mobility acetabular components. Bone Joint J 99-B(5):703
16.
Romagnoli M, Grassi A, Costa GG, Lazaro LE, Lo Presti M, Zaffagnini S (2019) The efficacy of dual-mobility cup in preventing dislocation after total hip arthroplasty. Int Orthop 43(5):1071–1082 PubMedCrossRef
17.
18.
19.
20.
21.
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A (2016) Rayyan—a web and mobile app for systematic reviews. Sys Rev 5(1):210 CrossRef
22.
Le Manach Y, Collins G, Bhandari M, Bessissow A, Boddaert J, Khiami F et al (2015) Outcomes after hip fracture surgery compared with elective total hip replacement. JAMA 314(11):1159–1166 PubMedCrossRef
23.
Wylde V, Beswick AD, Dennis J, Gooberman-Hill R (2017) Post-operative patient-related risk factors for chronic pain after total knee replacement. BMJ Open 7(11):e018105 PubMedPubMedCentralCrossRef
24.
Jonker RC, Van Beers L, Van der Wal BCH, Vogely HC, Parratte S, Castelein RM et al (2020) Can mobility cups prevent dislocation without increasing revision rates in primary total hip arthroplasty? Orthop Traumatol Surg Res 106(3):509–517 PubMedCrossRef
25.
Pai F-Y, Ma H-H, Chou T-FA, Huang T-W, Huang K-C, Tsai S-W et al (2021) Risk factors and modes of failure in the modern dual mobility implant. BMC Musculoskelet Disord 22(1):541 PubMedPubMedCentralCrossRef
26.
Lee G-C, Kamath A, Courtney PM (2021) Clinical concerns with dual mobility—should I avoid it when possible? J Arthroplasty 36(7):S88–S91 PubMedCrossRef
27.
Khoshbin A, Haddad FS, Ward S, Oh S, Wu J, Nherera L et al (2020) A cost-effectiveness assessment of dual-mobility bearings in revision hip arthroplasty. Bone Joint J 102-b(9):1128–1135 PubMedPubMedCentralCrossRef
28.
29.
Van Beers L, Van Der Wal BCH, Van Loon TG, Moojen DJF, Van Wier MF, Klaassen AD et al (2020) Study protocol: effectiveness of dual-mobility cups compared with uni-polar cups for preventing dislocation after primary total hip arthroplasty in elderly patients. Acta Orthop 91(5):514–519 PubMedPubMedCentralCrossRef
30.
Evans JT, Whitehouse MR (2020) A review of registry research from 2020. Bone Joint 360 9(6):47–49 CrossRef
31.
Assi C, Kheir N, Samaha C, Kouyoumdjian P, Yammine K (2018) Early results with total hip arthroplasty using dual-mobility cup in patients with osteonecrosis of the femoral head. SICOT J 4:4 PubMedPubMedCentralCrossRef
32.
Laurendon L, Philippot R, Neri T, Boyer B, Farizon F (2018) Ten-year clinical and radiological outcomes of 100 total hip arthroplasty cases with a modern cementless dual mobility cup. Surg Technol Int 32:331–336 PubMed
33.
Martz P, Maczynski A, Elsair S, Labattut L, Viard B, Baulot E (2017) Total hip arthroplasty with dual mobility cup in osteonecrosis of the femoral head in young patients. Int Orthop 41(3):605–610 PubMedCrossRef
34.
Neri T, Philippot R, Farizon F, Boyer B (2017) Results of primary total hip replacement with first generation Bousquet dual mobility socket with more than twenty five years follow up. Int Orthop 41(3):557–561 PubMedCrossRef
35.
Vermersch T, Viste A, Desmarchelier R, Fessy MH (2015) Prospective longitudinal study of one hundred patients with total hip arthroplasty using a second-generation cementless dual-mobility cup. Int Orthop 39(11):2097–2101 PubMedCrossRef
36.
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):1663–1672
37.
Fessy MH, Jacquot L, Rollier JC, Chouteau J, Ait-Si-Selmi T, Bothorel H et al (2019) Midterm clinical and radiographic outcomes of a contemporary monoblock dual-mobility cup in uncemented total hip arthroplasty. J Arthroplasty 34(12):2983–2991 PubMedCrossRef
38.
Fresard PL, Alvherne C, Cartier JL, Cuinet P, Lantuejoul JP (2012) Seven-year results of a press-fit hydroxyapatite-coated double mobility acetabular component in patients aged 65 years or older. Eur J Orthop Surg Traumatol 23(4):425–429 PubMedCrossRef
39.
Epinette JA, Beracassat R, Tracol P, Pagazani G, Vandenbussche E (2014) Are modern dual mobility cups a valuable option in reducing instability after primary hip arthroplasty, even in younger patients? J Arthroplasty 29(6):1323–1328 PubMedCrossRef
40.
Leclercq S, Lavigne M, Girard J, Chiron P, Vendittoli PA (2013) Durom hip resurfacing system. Orthop Traumatol Surg Res 99(3):273–279 PubMedCrossRef
41.
Philippot R, Adam P, Reckhaus M, Delangle F, Verdot FX, Curvale G et al (2009) Prevention of dislocation in total hip revision surgery using a dual mobility design. Orthop Traumatol Surg Res 95(6):407–413 PubMedCrossRef
42.
Harwin SF, Mistry JB, Chughtai M, Khlopas A, Gwam C, Newman JM et al (2017) Dual mobility acetabular cups in primary total hip arthroplasty in patients at high risk for dislocation. Surg Technol Int 30:251–258 PubMed
43.
44.
45.
46.
Carroll FE, Gooberman-Hill R, Strange S, Blom AW, Moore AJ (2020) What are patients’ preferences for revision surgery after periprosthetic joint infection? A discrete choice experiment. BMJ Open 10(1):e031645 PubMedPubMedCentralCrossRef
47.
Kreipke R, Rogmark C, Pedersen AB, Karrholm J, Hallan G, Havelin LI et al (2019) Dual mobility cups: Effect on risk of revision of primary total hip arthroplasty due to osteoarthritis. J Bone Joint Surg Am 101(2):169–176 PubMedCrossRef
Metadata
Title
Survivorship of the dual-mobility construct in elective primary total hip replacement: a systematic review and meta-analysis including registry data
Authors
Andrew Gardner
Hamish Macdonald
Jonathan T. Evans
Adrian Sayers
Michael R. Whitehouse
Publication date
17-02-2023
Publisher
Springer Berlin Heidelberg
Keywords
Hip-TEP
Hip-TEP
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 9/2023
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-023-04803-3

Other articles of this Issue 9/2023

Archives of Orthopaedic and Trauma Surgery 9/2023 Go to the issue

Orthopaedic Surgery

Minimally invasive Chevron Akin (MICA) osteotomy for severe hallux valgus

Orthopaedic Surgery

Hidden blood loss and its risk factors in percutaneous vertebroplasty surgery for osteoporotic vertebral compression fractures

Knee Arthroplasty

Iliac vein compression syndrome by lumbar degenerative changes is associated with deep vein thrombosis after total knee arthroplasty

Orthopaedic Surgery

Interest in the combination of antimicrobial therapy for orthopaedic device-related infections due to Enterococcus spp.

Trauma Surgery

Incidence and risk factors for complex regional pain syndrome in radius fractures: meta-analysis

Hip Arthroplasty

A novel method for evaluating combined component anteversion in total hip arthroplasty on cross-table lateral hip radiographs