Top

International Orthopaedics

Published in:

01-03-2017 | Original Paper

Dual-mobility cup in total hip arthroplasty in patients less than fifty five years and over ten years of follow-up

A prospective and comparative series

Authors: Jean-Marc Puch, Guy Derhi, Loys Descamps, Régis Verdier, Jacques H. Caton

Published in: International Orthopaedics | Issue 3/2017

Abstract

Purpose

We report clinical and radiological outcome of a dual mobility cup (DMC) of 2nd generation after a minimum of ten year-follow-up (FU). The goal of this work was to compare the results of this DMC in patients aged less than 55 years and in patients aged more than 55 years.

Methods

From 2000 to 2005, a prospective and consecutive series of 119 THAs with a cementless DMC of 2nd generation (GIROS) were performed in patients aged less than 55 years and 444 in patients aged more than 55 years.

Results

The mean FU was 11 years (8 to 15 years). Survivorships (failure of both components or cup loosening) were not different between patients aged less than 55 years and patients aged more than 55 years. There was no dislocation. DEVANE classification, Harris, PMA and Oxford scores improved after THA but no difference could be found between between < 55 years and > 55 years patients.

Conclusion

These results are better than those of first generation (BOUSQUET) DMC (77 % of survival rate at 20 years of FU). These results are in the same agreement than those of the literature: 99 % of survival rate at 14.2 years of FU for KERBOULL with a low friction arthroplasty and 96.5 % at ten years of FU for ceramic/ceramic bearing (R CHANA).

The DMC for young patient is a relevant surgical option with no dislocation and excellent clinical results and survival rate at more than ten years of FU.

Caton J, Merabet Z (2004) Hip dislocation and outcome. In: France M (ed) In La prothèse totale de hanche. Lyon, pp 223–7

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:9–14CrossRefPubMed

AJJR (2014) American Joint Replacement Registry (AJRR). Annual report. AAOS-AAHKS

Bousquet G, Argenson C, Godeneche JL, Cisterne JP, Gazielly DF, Girardin P, Debiesse JL (1986) Recovery after aseptic loosening of cemented total hip arthroplasties with Bousquet’s cementless prosthesis. Apropos of 136 cases. Rev Chir Orthop Reparatrice Appar Mot 72(Suppl 2):70–74PubMed

Bousquet G, Gaziely DF, Debiesse JL, Girardin P, Relave M, Israeli A (1985) The ceramic coated cementless total hip arthroplasty: basic concepts anfd surgical technique. J Orthop Surg Tech 1:15–28

Aubriot JH, Lesimple P, Leclercq S (1993) Study of Bousquet’s non-cemented acetabular implant in 100 hybrid total hip prostheses (Charnley type cemented femoral component). Average 5-year follow-up. Acta Orthop Belg 59(Suppl 1):267–271PubMed

Prudhon JL, Ferreira A, Verdier R (2013) Dual mobility cup: dislocation rate and survivorship at ten years of follow-up. Int Orthop 37:2345–2350CrossRefPubMedPubMedCentral

Leclercq S, Benoit JY, de Rosa JP, Tallier E, Leteurtre C, Girardin PH (2013) Evora chromium-cobalt dual mobility socket: Results at a minimum 10 years’ follow-up. Orthop Traumatol Surg Res 99:758–764

Vielpeau C, Lebel B, Ardouin L, Burdin G, Lautridou C (2011) The dual mobility socket concept: experience with 668 cases. Int Orthop 35:225–230CrossRefPubMed

10.

Caton JH, Prudhon JL, Ferreira A, Aslanian T, Verdier R (2014) A comparative and retrospective study of three hundred and twenty primary Charnley type hip replacements with a minimum follow up of ten years to assess whether a dual mobility cup has a decreased dislocation risk. Int Orthop 38:1125–1129CrossRefPubMedPubMedCentral

11.

Philippot R, Meucci JF, Boyer B, Farizon F (2013) Modern dual-mobility cup implanted with an uncemented stem: about 100 cases with 12-year follow-up. Surg Technol Int 23:208–212PubMed

12.

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 36:511–518CrossRefPubMed

13.

Lautridou C, Lebel B, Burdin G, Vielpau C (2008) Survie à 16,5 ans de recul moyen de la cupule, double mobilité, non scellée de Bousquet dans l’arthroplastie totale de hanche. Série historique de 437 hanches. Rep. 94

14.

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

15.

Kerboull L, Hamadouche M, Courpied JP, Kerboull M (2004) Long-term results of Charnley-Kerboull hip arthroplasty in patients younger than 50 years. Clin Orthop Relat Res 418:112–118CrossRef

16.

Wroblewski BM, Fleming PA, Hall RM, Siney PD (1998) Stem fixation in the Charnley low-friction arthroplasty in young patients using an intramedullary bone block. J Bone Joint Surg (Br) 80:273–278CrossRef

17.

Almeida F, Pino L, Silvestre A, Gomar F (2010) Mid- to long-term outcome of cementless total hip arthroplasty in younger patients. J Orthop Surg (Hong Kong) 18:172–178CrossRef

18.

Makela KT, Eskelinen A, Pulkkinen P, Paavolainen P, Remes V (2008) Total hip arthroplasty for primary osteoarthritis in patients fifty-five years of age or older. An analysis of the Finnish arthroplasty registry. J Bone Joint Surg Am 90:2160–2170CrossRefPubMed

19.

Bizot P, Hannouche D, Nizard R, Witvoet J, Sedel L (2004) Hybrid alumina total hip arthroplasty using a press-fit metal-backed socket in patients younger than 55 years. A six- to 11-year evaluation. J Bone Joint Surg (Br) 86:190–194CrossRef

20.

Boyer P, Huten D, Loriaut P, Lestrat V, Jeanrot C, Massin P (2010) Is alumina-on-alumina ceramic bearings total hip replacement the right choice in patients younger than 50 years of age? A 7- to 15-year follow-up study. Orthop Traumatol Surg Res 96:616–622CrossRefPubMed

21.

Chana R, Facek M, Tilley S, Walter WK, Zicat B, Walter WL (2013) Ceramic-on-ceramic bearings in young patients: Outcomes and activity levels at minimum ten-year follow-up. Bone Joint J 95-B:1603–1609CrossRefPubMed

22.

Delaunay CP, Putman S, Puliero B, Begin M, Migaud H, Bonnomet F (2016) Cementless Total Hip Arthroplasty With Metasul Bearings Provides Good Results in Active Young Patients: A Concise Followup. Clin Orthop Relat Res. doi:10.1007/s11999-016-4920-2

23.

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 29:1323–1328CrossRefPubMed

Title: Dual-mobility cup in total hip arthroplasty in patients less than fifty five years and over ten years of follow-up
A prospective and comparative series
Authors: Jean-Marc Puch
Guy Derhi
Loys Descamps
Régis Verdier
Jacques H. Caton
Publication date: 01-03-2017
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 3/2017
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-016-3325-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Dual-mobility cup in total hip arthroplasty in patients less than fifty five years and over ten years of follow-up

A prospective and comparative series

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 3/2017

The linear penetration rate is not relevant for evaluating wear of dual mobility cups: an explant study

Total hip arthroplasty using direct anterior approach and dual mobility cup: safe and efficient strategy against post-operative dislocation

Total hip arthroplasty instability in Italy

Equivalent wear performance of dual mobility bearing compared with standard bearing in total hip arthroplasty: in vitro study

The dual mobility cup in muscular skeletal oncology: rationale and indications

Use of dual-mobility cup in revision hip arthroplasty reduces the risk for further dislocation: analysis of seven hundred and ninety one first-time revisions performed due to dislocation, reported to the Swedish Hip Arthroplasty Register