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Journal of Orthopaedics and Traumatology

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Open Access 01-03-2015 | Original Article

Dual mobility acetabular component in revision total hip arthroplasty for persistent dislocation: no dislocations in 50 hips after 1–5 years

Authors: M. van Heumen, P. J. C. Heesterbeek, B. A. Swierstra, G. G. Van Hellemondt, J. H. M. Goosen

Published in: Journal of Orthopaedics and Traumatology | Issue 1/2015

Abstract

Background

A dual mobility cup has the theoretic potential to improve stability in primary total hip arthroplasty (THA) and mid-term cohort results are favorable. We hypothesized that use of a new-generation dual mobility cup in revision arthroplasty prevents dislocation in patients with a history of recurrent dislocation of the THA.

Materials and methods

We performed a retrospective cohort study of patients receiving an isolated acetabular revision with a dual mobility cup for recurrent dislocation of the prosthesis with a minimum follow-up of 1 year. Kaplan–Meier survival analyses were performed with dislocation as a primary endpoint and re-revision for any reason as a secondary endpoint.

Results

Forty-nine consecutive patients (50 hips) were included; none of the patients was lost to follow-up. The median follow-up was 29 months (range 12–66 months). Two patients died from unrelated causes. Survival after 56 months was 100 % based on dislocation and 93 % (95 % CI 79–98 %) based on re-revision for any reason. Radiologic analysis revealed no osteolysis or radiolucent lines around the acetabular component during the follow-up period.

Conclusion

The dual mobility cup is an efficient solution for instability of THA with a favorable implant survival at 56 months.

Level of evidence

Level 4, retrospective case series.

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Title: Dual mobility acetabular component in revision total hip arthroplasty for persistent dislocation: no dislocations in 50 hips after 1–5 years
Authors: M. van Heumen
P. J. C. Heesterbeek
B. A. Swierstra
G. G. Van Hellemondt
J. H. M. Goosen
Publication date: 01-03-2015
Publisher: Springer International Publishing
Published in: Journal of Orthopaedics and Traumatology / Issue 1/2015
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI: https://doi.org/10.1007/s10195-014-0318-7

At a glance: The STEP trials

Springer Medicine

Dual mobility acetabular component in revision total hip arthroplasty for persistent dislocation: no dislocations in 50 hips after 1–5 years

Abstract

Background

Materials and methods

Results

Conclusion

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

Level of evidence

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