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Published in: International Orthopaedics 3/2017

01-03-2017 | Original Paper

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

Authors: Cécile Batailler, Camdon Fary, Pierre Batailler, Elvire Servien, Philippe Neyret, Sébastien Lustig

Published in: International Orthopaedics | Issue 3/2017

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Abstract

Aim

We hypothesize that a dual mobility cup can be safely used via the direct anterior approach, without increasing the risk of complications or incorrect positioning.

Materials and methods

This retrospective study compared 201 primary total hip arthroplasties using a dual mobility cup performed via direct anterior approach without a traction table, to 101 arthroplasties performed via posterolateral approach. Implant positioning, function scores, and early complications were recorded.

Results

Implant positioning was appropriate in both groups, with a higher cup anteversion in direct anterior approach. The complications rates were similar in both groups, with no dislocation or infection.

Conclusion

The direct anterior approach without traction table associated with a dual mobility cup does not increase the risk of complications or non-optimal positioning of implants. This strategy is interesting for patients with high risk of post-operative dislocation.
Literature
2.
go back to reference 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(1):9–14CrossRefPubMed 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(1):9–14CrossRefPubMed
3.
go back to reference Caton J, Aslanian T, Prudhon JL, Ferreira A, Descamps L, Derhi G, Puch JM (2016) Dual mobility cup: a new THA revolution. E-mémoires de l’académie nationale de chirurgie 15(1):4–10 Caton J, Aslanian T, Prudhon JL, Ferreira A, Descamps L, Derhi G, Puch JM (2016) Dual mobility cup: a new THA revolution. E-mémoires de l’académie nationale de chirurgie 15(1):4–10
4.
go back to reference Tsukada S, Wakui M (2015) Lower dislocation rate following total hip arthroplasty via direct anterior approach than via posterior approach: five-year-average follow-up results. Open Orthop J 9:157–162. doi:10.2174/1874325001509010157 Tsukada S, Wakui M (2015) Lower dislocation rate following total hip arthroplasty via direct anterior approach than via posterior approach: five-year-average follow-up results. Open Orthop J 9:157–162. doi:10.​2174/​1874325001509010​157
5.
go back to reference Judet J, Judet R (1950) The use of an artificial femoral head for arthroplasty of the hip joint. J Bone Joint Surg Br 32-B(2):166–173PubMed Judet J, Judet R (1950) The use of an artificial femoral head for arthroplasty of the hip joint. J Bone Joint Surg Br 32-B(2):166–173PubMed
6.
go back to reference Siguier T, Siguier M, Brumpt B (2004) Mini-incision anterior approach does not increase dislocation rate: a study of 1037 total hip replacements. Clin Orthop Relat Res 426:164–173CrossRef Siguier T, Siguier M, Brumpt B (2004) Mini-incision anterior approach does not increase dislocation rate: a study of 1037 total hip replacements. Clin Orthop Relat Res 426:164–173CrossRef
7.
go back to reference Matta JM, Shahrdar C, Ferguson T (2005) Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop Relat Res 441:115–124CrossRefPubMed Matta JM, Shahrdar C, Ferguson T (2005) Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop Relat Res 441:115–124CrossRefPubMed
8.
go back to reference Poehling-Monaghan KL, Kamath AF, Taunton MJ, Pagnano MW (2015) Direct anterior versus miniposterior THA with the same advanced perioperative protocols: surprising early clinical results. Clin Orthop Relat Res 473(2):623–631. doi:10.1007/s11999-014-3827-z CrossRefPubMed Poehling-Monaghan KL, Kamath AF, Taunton MJ, Pagnano MW (2015) Direct anterior versus miniposterior THA with the same advanced perioperative protocols: surprising early clinical results. Clin Orthop Relat Res 473(2):623–631. doi:10.​1007/​s11999-014-3827-z CrossRefPubMed
9.
go back to reference 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(4):219–224CrossRefPubMedPubMedCentral 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(4):219–224CrossRefPubMedPubMedCentral
10.
go back to reference Trousdale RT, Cabanela ME, Berry DJ (1995) Anterior iliopsoas impingement after total hip arthroplasty. J Arthroplasty 10(4):546–549CrossRefPubMed Trousdale RT, Cabanela ME, Berry DJ (1995) Anterior iliopsoas impingement after total hip arthroplasty. J Arthroplasty 10(4):546–549CrossRefPubMed
11.
go back to reference Tracol P, Beracassat R, Pagazani G, Vandenbussche E (2011) Intérêt d’une cupule anatomique à double mobilité dans la prévention du syndrome du psoas : à propos d’une série de 259 cas. Revue de Chirurgie Orthopédique et Traumatologique 97(suppl 7):350CrossRef Tracol P, Beracassat R, Pagazani G, Vandenbussche E (2011) Intérêt d’une cupule anatomique à double mobilité dans la prévention du syndrome du psoas : à propos d’une série de 259 cas. Revue de Chirurgie Orthopédique et Traumatologique 97(suppl 7):350CrossRef
12.
go back to reference Vermersch T, Viste A, Desmarchelier R, Fessy MH (2015) Prospective longitudinal study of one hundred patients with total hip arthroplasty using a second-generation cementless dual-mobility cup. Int Orthop 39(11):2097–2101. doi:10.1007/s00264-015-2985-2 CrossRefPubMed Vermersch T, Viste A, Desmarchelier R, Fessy MH (2015) Prospective longitudinal study of one hundred patients with total hip arthroplasty using a second-generation cementless dual-mobility cup. Int Orthop 39(11):2097–2101. doi:10.​1007/​s00264-015-2985-2 CrossRefPubMed
13.
go back to reference Hanna SA, Somerville L, McCalden RW, Naudie DD, MacDonald SJ (2016) Highly cross-linked polyethylene decreases the rate of revision of total hip arthroplasty compared with conventional polyethylene at 13 years’ follow-up. Bone Joint J 98-B(1):28–32. doi:10.1302/0301-620X.98B1.36527 CrossRefPubMed Hanna SA, Somerville L, McCalden RW, Naudie DD, MacDonald SJ (2016) Highly cross-linked polyethylene decreases the rate of revision of total hip arthroplasty compared with conventional polyethylene at 13 years’ follow-up. Bone Joint J 98-B(1):28–32. doi:10.​1302/​0301-620X.​98B1.​36527 CrossRefPubMed
15.
go back to reference Adam P, Philippe R, Ehlinger M, Roche O, Bonnomet F, Mole D, Fessy MH, French Society of Orthopaedic S, Traumatology (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(3):296–300. doi:10.1016/j.otsr.2012.01.005 CrossRefPubMed Adam P, Philippe R, Ehlinger M, Roche O, Bonnomet F, Mole D, Fessy MH, French Society of Orthopaedic S, Traumatology (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(3):296–300. doi:10.​1016/​j.​otsr.​2012.​01.​005 CrossRefPubMed
16.
go back to reference Hueter C (1883) Funfte Abteilung: die Verletzung und Krankheiten des Hüftgelenkes, neun und zwanzigstes capitel. In: Hueter (ed) Grundriss der Chirurgie. FCW Vogel, Leipzig, pp 129–200 Hueter C (1883) Funfte Abteilung: die Verletzung und Krankheiten des Hüftgelenkes, neun und zwanzigstes capitel. In: Hueter (ed) Grundriss der Chirurgie. FCW Vogel, Leipzig, pp 129–200
17.
go back to reference Judet J, Judet H (1985) Anterior approach in total hip arthroplasty. Presse Med 14(18):1031–1033PubMed Judet J, Judet H (1985) Anterior approach in total hip arthroplasty. Presse Med 14(18):1031–1033PubMed
18.
go back to reference Lustig S (2015) Anterior approach (without specific table) and dual mobility acetabular component. Maîtrise orthopédique 243:1–5 Lustig S (2015) Anterior approach (without specific table) and dual mobility acetabular component. Maîtrise orthopédique 243:1–5
19.
go back to reference Ait Si Selmi T, Lustig S, Dojcinovic S, Neyret P (2006) Morbidity and reliability of total hip implants positioning using the posterior minimally invasive approach: a consecutive series of 100 cases. Rev Chir Orthop Reparatrice Appar Mot 92(8):752–759CrossRefPubMed Ait Si Selmi T, Lustig S, Dojcinovic S, Neyret P (2006) Morbidity and reliability of total hip implants positioning using the posterior minimally invasive approach: a consecutive series of 100 cases. Rev Chir Orthop Reparatrice Appar Mot 92(8):752–759CrossRefPubMed
20.
go back to reference Widmer KH (2004) A simplified method to determine acetabular cup anteversion from plain radiographs. J Arthroplasty 19(3):387–390CrossRefPubMed Widmer KH (2004) A simplified method to determine acetabular cup anteversion from plain radiographs. J Arthroplasty 19(3):387–390CrossRefPubMed
21.
go back to reference Bonin N, Jacquot L, Boulard L, Reynaud P, Saffarini M, Lustig S (2016) How to best measure femoral length and lateralisation after total hip arthroplasty on antero-posterior pelvic radiographs. Int Orthop. doi:10.1007/s00264-016-3145-z PubMed Bonin N, Jacquot L, Boulard L, Reynaud P, Saffarini M, Lustig S (2016) How to best measure femoral length and lateralisation after total hip arthroplasty on antero-posterior pelvic radiographs. Int Orthop. doi:10.​1007/​s00264-016-3145-z PubMed
22.
go back to reference Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60(2):217–220CrossRefPubMed Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60(2):217–220CrossRefPubMed
23.
go back to reference Homma Y, Baba T, Sano K, Ochi H, Matsumoto M, Kobayashi H, Yuasa T, Maruyama Y, Kaneko K (2016) Lateral femoral cutaneous nerve injury with the direct anterior approach for total hip arthroplasty. Int Orthop 40(8):1587–1593. doi:10.1007/s00264-015-2942-0 CrossRefPubMed Homma Y, Baba T, Sano K, Ochi H, Matsumoto M, Kobayashi H, Yuasa T, Maruyama Y, Kaneko K (2016) Lateral femoral cutaneous nerve injury with the direct anterior approach for total hip arthroplasty. Int Orthop 40(8):1587–1593. doi:10.​1007/​s00264-015-2942-0 CrossRefPubMed
27.
go back to reference Maratt JD, Gagnier JJ, Butler PD, Hallstrom BR, Urquhart AG, Roberts KC (2016) No difference in dislocation seen in anterior vs posterior approach total hip arthroplasty. J Arthroplasty. doi:10.1016/j.arth.2016.02.071 Maratt JD, Gagnier JJ, Butler PD, Hallstrom BR, Urquhart AG, Roberts KC (2016) No difference in dislocation seen in anterior vs posterior approach total hip arthroplasty. J Arthroplasty. doi:10.​1016/​j.​arth.​2016.​02.​071
30.
go back to reference 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(6):1125–1129. doi:10.1007/s00264-014-2313-2 CrossRefPubMedPubMedCentral 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(6):1125–1129. doi:10.​1007/​s00264-014-2313-2 CrossRefPubMedPubMedCentral
33.
go back to reference Anterior Total Hip Arthroplasty Collaborative I, Bhandari M, Matta JM, Dodgin D, Clark C, Kregor P, Bradley G, Little L (2009) Outcomes following the single-incision anterior approach to total hip arthroplasty: a multicenter observational study. Orthop Clin North Am 40(3):329–342. doi:10.1016/j.ocl.2009.03.001 CrossRef Anterior Total Hip Arthroplasty Collaborative I, Bhandari M, Matta JM, Dodgin D, Clark C, Kregor P, Bradley G, Little L (2009) Outcomes following the single-incision anterior approach to total hip arthroplasty: a multicenter observational study. Orthop Clin North Am 40(3):329–342. doi:10.​1016/​j.​ocl.​2009.​03.​001 CrossRef
34.
go back to reference Slotkin EM, Patel PD, Suarez JC (2015) Accuracy of fluoroscopic guided acetabular component positioning during direct anterior total hip arthroplasty. J Arthroplasty 30(9 Suppl):102–106. doi:10.1016/j.arth.2015.03.046 Slotkin EM, Patel PD, Suarez JC (2015) Accuracy of fluoroscopic guided acetabular component positioning during direct anterior total hip arthroplasty. J Arthroplasty 30(9 Suppl):102–106. doi:10.​1016/​j.​arth.​2015.​03.​046
Metadata
Title
Total hip arthroplasty using direct anterior approach and dual mobility cup: safe and efficient strategy against post-operative dislocation
Authors
Cécile Batailler
Camdon Fary
Pierre Batailler
Elvire Servien
Philippe Neyret
Sébastien Lustig
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/s00264-016-3333-x

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