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Archives of Orthopaedic and Trauma Surgery

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16-04-2023 | Osteonecrosis of the Femoral Head | Hip Arthroplasty

Dual-mobility total hip arthroplasty in patients younger than 55 years old: a systematic review

Authors: Biagio Zampogna, Giuseppe Francesco Papalia, Augusto Ferrini, Guglielmo Torre, Ferruccio Vorini, Lorenzo Alirio Diaz Balzani, Pasquale Farsetti, Rocco Papalia

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2023

Abstract

Total hip arthroplasty (THA) is regarded as one of the most successful and cost-effective orthopedic procedures. However, THA is a surgical procedure with potential intraoperative and postoperative risks. Dislocation is one of the common postoperative complications and remains one of the main indications for THA revision. The purpose of this systematic review was to evaluate the role and the outcomes of dual-mobility implant to prevent dislocation in patients younger than < 55 years in primary THA. In this systematic review, we included observational, prospective, and retrospective studies that evaluated the outcome and the complications of the dual-mobility cup in < 55-year-old patients. After applying exclusion criteria (femoral neck fractures or THA revision, case series, reviews, and meta-analyses), ten articles were included in the study. The overall number of participants in all the studies was 1530. The mean age of the participants was 50 years. The mean follow-up was 11.7 years. A total of 46 patients (2.7%) reported intraprosthetic dislocations, in which the polyethylene liner dissociates from the femoral head, while 4.8% of revision was due to aseptic loosening. The mean revision rate at twelve years was 11%. The mean value of Harris Hip Score increased from 50.9 pre-operatively to 91.6 after surgery. Dual mobility is a valid option for young patients with extended survivorship and low rates of instability and dislocation after primary THA.

Darrith B, Courtney PM, Della Valle CJ (2018) Outcomes of dual mobility components in total hip arthroplasty: a systematic review of the literature. Bone Jt J 100B:11–19. https://doi.org/10.1302/0301-620X.100B1.BJJ-2017-0462.R1CrossRef

Ferguson RJ, Palmer AJ, Taylor A et al (2018) Hip replacement. The Lancet 392:1662–1671. https://doi.org/10.1016/S0140-6736(18)31777-XCrossRef

Ortmaier R, Pichler H, Hitzl W et al (2017) Return to sport after short-stem total hip arthroplasty. Clin J Sport Med: https://doi.org/10.1097/JSM.0000000000000532CrossRef

Fontalis A, Epinette J-A, Thaler M et al (2021) Advances and innovations in total hip arthroplasty. SICOT-J 7:26. https://doi.org/10.1051/sicotj/2021025CrossRefPubMedPubMedCentral

Patel PD, Potts A, Froimson MI (2007) The dislocating hip arthroplasty. J Arthroplasty 22:86–90. https://doi.org/10.1016/j.arth.2006.12.111CrossRefPubMed

Falez F, Papalia M, Favetti F et al (2017) Total hip arthroplasty instability in Italy. Int Orthop 41:635–644. https://doi.org/10.1007/s00264-016-3345-6CrossRefPubMed

Noyer D, Caton JH (2017) Once upon a time….Dual mobility: history. Int Orthop 41:611–618. https://doi.org/10.1007/s00264-016-3361-6CrossRefPubMed

Martz P, Maczynski A, Elsair S et al (2017) Total hip arthroplasty with dual mobility cup in osteonecrosis of the femoral head in young patients: over ten years of follow-up. Int Orthop 41:605–610. https://doi.org/10.1007/s00264-016-3344-7CrossRefPubMed

Guyen O, Pibarot V, Vaz G et al (2009) Use of a dual mobility socket to manage total hip arthroplasty instability. Clin Orthop 467:465–472. https://doi.org/10.1007/s11999-008-0476-0CrossRefPubMed

10.

Henawy AT, Abdel Badie A (2017) Dual mobility total hip arthroplasty in hemiplegic patients. SICOT-J 3:40. https://doi.org/10.1051/sicotj/2017024CrossRefPubMedPubMedCentral

11.

Enocson A, Pettersson H, Ponzer S et al (2009) Quality of life after dislocation of hip arthroplasty: a prospective cohort study on 319 patients with femoral neck fractures with a one-year follow-up. Qual Life Res 18:1177–1184. https://doi.org/10.1007/s11136-009-9531-xCrossRefPubMed

12.

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. About a series of two hundred and twelve hips. Int Orthop 41:557–561. https://doi.org/10.1007/s00264-016-3373-2CrossRefPubMed

13.

Philippot R, Camilleri JP, Boyer B et al (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 33:927–932. https://doi.org/10.1007/s00264-008-0589-9CrossRefPubMed

14.

Philippot R, Neri T, Boyer B et al (2017) Bousquet dual mobility socket for patient under fifty years old. More than twenty year follow-up of one hundred and thirty one hips. Int Orthop 41:589–594. https://doi.org/10.1007/s00264-016-3385-yCrossRefPubMed

15.

Lecuire F, Benareau I, Rubini J, Basso M (2004) Luxation intra-prothétique dans la cupule à double mobilité de Bousquet. Rev Chir Orthopédique Réparatrice Appar Mot 90:249–255. https://doi.org/10.1016/S0035-1040(04)70101-4CrossRef

16.

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 36:511–518. https://doi.org/10.1007/s00264-011-1289-4CrossRefPubMed

17.

Assi C, Kheir N, Samaha C et al (2018) Early results of total hip arthroplasty using dual-mobility cup in patients with osteonecrosis of the femoral head. SICOT-J 4:4. https://doi.org/10.1051/sicotj/2018001CrossRefPubMedPubMedCentral

18.

Walker RP, Gee M, Wong F et al (2016) Functional outcomes of total hip arthroplasty in patients aged 30 years or less: a systematic review and meta-analysis. HIP Int 26:424–431. https://doi.org/10.5301/hipint.5000376CrossRefPubMed

19.

Jørgensen PB, Kaptein BL, Søballe K et al (2023) Five-year polyethylene cup migration and PE wear of the Anatomic Dual Mobility acetabular construct. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-023-04774-5CrossRefPubMedPubMedCentral

20.

Gardner A, Macdonald H, Evans JT et al (2023) Survivorship of the dual-mobility construct in elective primary total hip replacement: a systematic review and meta-analysis including registry data. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-023-04803-3CrossRefPubMedPubMedCentral

21.

Epinette J-A, Harwin SF, Rowan FE et al (2017) Early experience with dual mobility acetabular systems featuring highly cross-linked polyethylene liners for primary hip arthroplasty in patients under fifty five years of age: an international multi-centre preliminary study. Int Orthop 41:543–550. https://doi.org/10.1007/s00264-016-3367-0CrossRefPubMed

22.

Nam D, Salih R, Nahhas CR et al (2019) Is a modular dual mobility acetabulum a viable option for the young, active total hip arthroplasty patient? Bone Jt J 101B:365–371. https://doi.org/10.1302/0301-620X.101B4.BJJ-2018-0834.R1CrossRef

23.

Puch J-M, Derhi G, Descamps L et al (2017) 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. Int Orthop 41:475–480. https://doi.org/10.1007/s00264-016-3325-xCrossRefPubMed

24.

Rowan FE, Salvatore AJ, Lange JK, Westrich GH (2017) Dual-mobility vs fixed-bearing total hip arthroplasty in patients under 55 years of age: a single-institution, matched-cohort analysis. J Arthroplasty 32:3076–3081. https://doi.org/10.1016/j.arth.2017.05.004CrossRefPubMed

Title: Dual-mobility total hip arthroplasty in patients younger than 55 years old: a systematic review
Authors: Biagio Zampogna
Giuseppe Francesco Papalia
Augusto Ferrini
Guglielmo Torre
Ferruccio Vorini
Lorenzo Alirio Diaz Balzani
Pasquale Farsetti
Rocco Papalia
Publication date: 16-04-2023
Publisher: Springer Berlin Heidelberg
Keywords: Osteonecrosis of the Femoral Head
Hip-TEP
Hip-TEP
Periprosthetic Fracture
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2023
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-023-04882-2

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Dual-mobility total hip arthroplasty in patients younger than 55 years old: a systematic review

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