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01-03-2017 | Original Paper

In total hip arthroplasty via the direct anterior approach, a dual-mobility cup prevents dislocation as effectively in hip fracture as in osteoarthritis

Authors: Yasuhiro Homma, Tomonori Baba, Yu Ozaki, Taiji Watari, Hideo Kobayashi, Hironori Ochi, Mikio Matsumoto, Kazuo Kaneko

Published in: International Orthopaedics | Issue 3/2017

Abstract

Purpose

The main purpose of this study was to compare the outcome of total hip arthroplasty (THA) via the direct anterior approach (DAA) using a dual-mobility cup (DMC) in patients with femoral neck fracture to those in patients undergoing elective THA for osteoarthritis.

Patients and methods

We retrospectively investigated 40 hips with femoral neck fracture (group A), and 81 hips with osteoarthritis (group B). THA via the DAA using the DMC was performed in both groups. A primary/secondary outcome variable were the presence of dislocation/operative time, intra- and/or peri-operative complication, and mortality.

Results

Dislocation did not occur in either group. The complication rate was slightly higher in group A than in group B, but not statistically significant.

Conclusion

THA with the DMC using the DAA was as effective for femoral neck facture as it was for elective THA in patients with osteoarthritis.

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Title: In total hip arthroplasty via the direct anterior approach, a dual-mobility cup prevents dislocation as effectively in hip fracture as in osteoarthritis
Authors: Yasuhiro Homma
Tomonori Baba
Yu Ozaki
Taiji Watari
Hideo Kobayashi
Hironori Ochi
Mikio Matsumoto
Kazuo Kaneko
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/s00264-016-3332-y

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In total hip arthroplasty via the direct anterior approach, a dual-mobility cup prevents dislocation as effectively in hip fracture as in osteoarthritis

Abstract

Purpose

Patients and methods

Results

Conclusion

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Abstract

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