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01-12-2012 | Review Article

Biomechanical concept and clinical outcome of dual mobility cups

Authors: Aron Grazioli, Eugene Teow Hin Ek, Hannes Andreas Rüdiger

Published in: International Orthopaedics | Issue 12/2012

Abstract

Dual mobility cup systems in total hip arthroplasty consist of a metal back with a non-constrained liner, in which a constrained standard head articulates. While superior stability of such implants in comparison with standard total hip replacements is assumed, it is the purpose of this study to outline the biomechanical concept of dual mobility cups and to describe implant survival and dislocation rate based on the series published in the English-speaking and Francophone literature. A growing body of evidence indicates reduced dislocation rates in primary and revision total hip arthroplasty and in selected tumour cases. The limited availability of studies evaluating long-term implant survival and existing concerns with regard to increased wear rates and aseptic loosening, leads to the conclusion that such implants have to be used with prudence, particularly in standard primary hip arthroplasty and in young patients.

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:9–14PubMed

Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F (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. doi:10.1007/s00264-008-0589-9 PubMedCrossRef

Woo RY, Morrey BF (1982) Dislocations after total hip arthroplasty. J Bone Joint Surg Am 64:1295–1306PubMed

Pattyn C, De Haan R, Kloeck A, Van Maele G, De Smet K (2010) Complications encountered with the use of constrained acetabular prostheses in total hip arthroplasty. J Arthroplasty 25:287–294. doi:10.1016/j.arth.2008.10.010 PubMedCrossRef

Fricka KB, Marshall A, Paprosky WG (2006) Constrained liners in revision total hip arthroplasty: an overuse syndrome: in the affirmative. J Arthroplasty 21:121–125. doi:10.1016/j.arth.2006.02.100 PubMedCrossRef

Williams JT Jr, Ragland PS, Clarke S (2007) Constrained components for the unstable hip following total hip arthroplasty: a literature review. Int Orthop 31:273–277. doi:10.1007/s00264-006-0191-y PubMedCrossRef

Anderson MJ, Murray WR, Skinner HB (1994) Constrained acetabular components. J Arthroplasty 9:17–23PubMedCrossRef

Schmalzried TP, Callaghan JJ (1999) Wear in total hip and knee replacements. J Bone Joint Surg Am 81:115–136PubMed

Vielpeau C, Lebel B, Ardouin L, Burdin G, Lautridou C (2011) The dual mobility socket concept: experience with 668 cases. Int Orthop 35:225–230. doi:10.1007/s00264-010-1156-8 PubMedCrossRef

10.

Stulberg SD (2011) Dual poly liner mobility optimizes wear and stability in THA: affirms. Orthopedics 34:e445–e448. doi:10.3928/01477447-20110714-23 PubMed

11.

Mohammed R, Cnudde P (2011) Severe metallosis owing to intraprosthetic dislocation in a failed dual-mobility cup primary total hip arthroplasty. J Arthroplasty. doi:10.1016/j.arth.2010.11.019

12.

Leiber-Wackenheim F, Brunschweiler B, Ehlinger M, Gabrion A, Mertl P (2011) Treatment of recurrent THR dislocation using of a cementless dual-mobility cup: a 59 cases series with a mean 8 years' follow-up. Orthop Traumatol Surg Res 97:8–13. doi:10.1016/j.otsr.2010.08.003 PubMedCrossRef

13.

Boyer B, Philippot R, Geringer J, Farizon F (2011) Primary total hip arthroplasty with dual mobility socket to prevent dislocation: a 22-year follow-up of 240 hips. Int Orthop 36(3):511–518. doi:10.1007/s00264-011-1289-4

14.

Tarasevicius S, Busevicius M, Robertsson O, Wingstrand H (2010) Dual mobility cup reduces dislocation rate after arthroplasty for femoral neck fracture. BMC Musculoskelet Disord 11:175. doi:10.1186/1471-2474-11-175 PubMedCrossRef

15.

Pineau V, Lebel B, Gouzy S, Dutheil JJ, Vielpeau C (2010) Dual mobility hip arthroplasty wear measurement: experimental accuracy assessment using radiostereometric analysis (RSA). Orthop Traumatol Surg Res 96:609–615. doi:10.1016/j.otsr.2010.04.007 PubMedCrossRef

16.

Philippeau JM, Durand JM, Carret JP, Leclercq S, Waast D, Gouin F (2010) Dual mobility design socket use in preventing total hip replacement dislocation following tumor resection. Orthop Traumatol Surg Res 96:2–8. doi:10.1016/j.otsr.2009.10.015 PubMedCrossRef

17.

Massin P, Besnier L (2010) Acetabular revision using a press-fit dual mobility cup. Orthop Traumatol Surg Res 96:9–13. doi:10.1016/j.rcot.2009.11.006 PubMedCrossRef

18.

Hamadouche M, Biau DJ, Huten D, Musset T, Gaucher F (2010) The use of a cemented dual mobility socket to treat recurrent dislocation. Clin Orthop Relat Res 468:3248–3254. doi:10.1007/s11999-010-1404-7 PubMedCrossRef

19.

Coventry MB (1985) Late dislocations in patients with Charnley total hip arthroplasty. J Bone Joint Surg Am 67:832–841PubMed

20.

Guyen O, Chen QS, Bejui-Hugues J, Berry DJ, An KN (2007) Unconstrained tripolar hip implants: effect on hip stability. Clin Orthop Relat Res 455:202–208. doi:10.1097/01.blo.0000238796.59596.1f PubMedCrossRef

21.

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

22.

Peter R, Lubbeke A, Stern R, Hoffmeyer P (2011) Cup size and risk of dislocation after primary total hip arthroplasty. J Arthroplasty. doi:10.1016/j.arth.2010.11.015

23.

Jameson SS, Lees D, James P, Serrano-Pedraza I, Partington PF, Muller SD, Meek RM, Reed MR (2011) Lower rates of dislocation with increased femoral head size after primary total hip replacement: a five-year analysis of NHS patients in England. J Bone Joint Surg Br 93:876–880. doi:10.1302/0301-620X.93B7.26657 PubMedCrossRef

24.

Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2005) Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am 87:2456–2463. doi:10.2106/JBJS.D.02860 PubMedCrossRef

25.

Sariali E, Lazennec JY, Khiami F, Catonne Y (2009) Mathematical evaluation of jumping distance in total hip arthroplasty: influence of abduction angle, femoral head offset, and head diameter. Acta Orthop 80:277–282. doi:10.3109/17453670902988378 PubMedCrossRef

26.

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:112–118

27.

Dumbleton JH, Manley MT, Edidin AA (2002) A literature review of the association between wear rate and osteolysis in total hip arthroplasty. J Arthroplasty 17:649–661PubMedCrossRef

28.

Digas G, Karrholm J, Thanner J, Herberts P (2007) 5-Year experience of highly cross-linked polyethylene in cemented and uncemented sockets: two randomized studies using radiostereometric analysis. Acta Orthop 78:746–754. doi:10.1080/17453670710014518 PubMedCrossRef

29.

Garcia-Rey E, Garcia-Cimbrelo E, Cruz-Pardos A, Ortega-Chamarro J (2008) New polyethylenes in total hip replacement: a prospective, comparative clinical study of two types of liner. J Bone Joint Surg Br 90:149–153. doi:10.1302/0301-620X.90B2.19887 PubMedCrossRef

30.

Wroblewski BM (1985) Direction and rate of socket wear in Charnley low-friction arthroplasty. J Bone Joint Surg Br 67:757–761PubMed

31.

Adam P, Farizon F, Fessy MH (2005) Dual articulation retentive acetabular liners and wear: surface analysis of 40 retrieved polyethylene implants. Rev Chir Orthop Reparatrice Appar Mot 91:627–636PubMedCrossRef

32.

Schmalzried TP, Dorey FJ, McKellop H (1998) The multifactorial nature of polyethylene wear in vivo. J Bone Joint Surg Am 80:1234–1242, discussion 1242–1233PubMed

33.

Wroblewski BM (1986) 15–21-year results of the Charnley low-friction arthroplasty. Clin Orthop Relat Res:30–35

34.

Kim YS, Kim YH, Hwang KT, Choi IY (2012) The cartilage degeneration and joint motion of bipolar hemiarthroplasty. Int Orthop. doi:10.1007/s00264-012-1567-9

35.

Lazennec J, Ali H, Rousseau M, Hansen S (2006) All ceramic tripolar total hip arthroplasty: experimental data and clinical results. In: Benazzo F, Falez F, Dietrich M (eds) Ceramics in orthopaedics. Steinkopff, Darmstadt, pp 5–9

36.

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 22:219–224PubMedCrossRef

37.

Massin P, Orain V, Philippot R, Farizon F, Fessy MH (2011) Fixation failures of dual mobility cups: a mid-term study of 2601 hip replacements. Clin Orthop Relat Res 470(7):1932–1940. doi:10.1007/s11999-011-2213-3

38.

Leclercq S, Benoit JY, de Rosa JP, Euvrard P, Leteurtre C, Girardin P (2008) Results of the evora dual-mobility socket after a minimum follow-up of five years. Rev Chir Orthop Reparatrice Appar Mot 94:e17–e22. doi:10.1016/j.rco.2007.10.015 PubMedCrossRef

39.

Adam P, Philippe R, Ehlinger M, Roche O, Bonnomet F, Mole D, Fessy MH (2012) Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly. A prospective, systematic, multicenter study with specific focus on postoperative dislocation. Orthop Traumatol Surg Res 98:296–300. doi:10.1016/j.otsr.2012.01.005 PubMedCrossRef

40.

Lautridou C, Lebel B, Burdin G, Vielpeau C (2008) Survival of the cementless bousquet dual mobility cup: minimum 15-year follow-up of 437 total hip arthroplasties. Rev Chir Orthop Reparatrice Appar Mot 94:731–739. doi:10.1016/j.rco.2008.06.001 PubMedCrossRef

41.

Philippot R, Adam P, Farizon F, Fessy MH, Bousquet G (2006) Survival of cementless dual mobility sockets: ten-year follow-up. Rev Chir Orthop Reparatrice Appar Mot 92:326–331PubMedCrossRef

42.

Herberts P (2010) Swedish joint registry. Swedish Hip Arthroplasty Register, Sweden

43.

Guyen O, Pibarot V, Vaz G, Chevillotte C, Bejui-Hugues J (2009) Use of a dual mobility socket to manage total hip arthroplasty instability. Clin Orthop Relat Res 467:465–472. doi:10.1007/s11999-008-0476-0 PubMedCrossRef

44.

Langlais FL, Ropars M, Gaucher F, Musset T, Chaix O (2008) Dual mobility cemented cups have low dislocation rates in THA revisions. Clin Orthop Relat Res 466:389–395. doi:10.1007/s11999-007-0047-9 PubMedCrossRef

45.

Philippot R, Adam P, Reckhaus M, Delangle F, Verdot FX, Curvale G, Farizon F (2009) Prevention of dislocation in total hip revision surgery using a dual mobility design. Orthop Traumatol Surg Res 95:407–413. doi:10.1016/j.otsr.2009.04.016 PubMedCrossRef

46.

Khatod M, Barber T, Paxton E, Namba R, Fithian D (2006) An analysis of the risk of hip dislocation with a contemporary total joint registry. Clin Orthop Relat Res 447:19–23. doi:10.1097/01.blo.0000218752.22613.78 PubMedCrossRef

47.

Alberton GM, High WA, Morrey BF (2002) Dislocation after revision total hip arthroplasty: an analysis of risk factors and treatment options. J Bone Joint Surg Am 84-A:1788–1792PubMed

48.

Corbett KL, Losina E, Nti AA, Prokopetz JJ, Katz JN (2010) Population-based rates of revision of primary total hip arthroplasty: a systematic review. PLoS One 5:e13520. doi:10.1371/journal.pone.0013520 PubMedCrossRef

49.

Zehr RJ, Enneking WF, Scarborough MT (1996) Allograft-prosthesis composite versus megaprosthesis in proximal femoral reconstruction. Clin Orthop Relat Res:207–223

50.

Cottias P, Jeanrot C, Vinh TS, Tomeno B, Anract P (2001) Complications and functional evaluation of 17 saddle prostheses for resection of periacetabular tumors. J Surg Oncol 78:90–100PubMedCrossRef

51.

Haentjens P, de Neve W, Casteleyn PP, Opdecam P (1993) Massive resection and prosthetic replacement for the treatment of metastases of the trochanteric and subtrochanteric femoral region bipolar arthroplasty versus total hip arthroplasty. Acta Orthop Belg 59(Suppl 1):367–371

52.

Masterson EL, Ferracini R, Griffin AM, Wunder JS, Bell RS (1998) Capsular replacement with synthetic mesh: effectiveness in preventing postoperative dislocation after wide resection of proximal femoral tumors and prosthetic reconstruction. J Arthroplasty 13:860–866PubMedCrossRef

53.

Philippot R, Farizon F, Camilleri JP, Boyer B, Derhi G, Bonnan J, Fessy MH, Lecuire F (2008) Survival of cementless dual mobility socket with a mean 17 years follow-up. Rev Chir Orthop Reparatrice Appar Mot 94:e23–e27. doi:10.1016/j.rco.2007.10.013 PubMedCrossRef

Title: Biomechanical concept and clinical outcome of dual mobility cups
Authors: Aron Grazioli
Eugene Teow Hin Ek
Hannes Andreas Rüdiger
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 12/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-012-1678-3

At a glance: The STEP trials

Springer Medicine

Biomechanical concept and clinical outcome of dual mobility cups

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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