Cemented double mobility cups: Survival, indications and measurement of quality of life
DOI:
https://doi.org/10.1016/j.rccot.2017.11.007Keywords:
total hip replacement, hip prosthesis, osteoarthritis, hip fractures, quality of lifeAbstract
Background: The dual mobility cups are implants where a prosthetic head is introduced into a polyethylene core, which is subsequently articulated with a metal cup to be implanted in the acetabulum. This type of design developed in France since the seventies has shown to decrease the risk of dislocation in total hip replacement. These cups have been used historically cementless, however now can be use cemented. The objectives are to determine the survival of double cemented mobility cups and to measure the quality of life of patients.
Materials and methods: A retrospective multicenter study was made. Patients who underwent primary surgery and whose indication for surgery is fractures (61.5%), osteoarthritis (34.6%) or tumors (3.8%) were included. The analysis was performed with patients operated between 2011 and 2013.
Results: The study was based in 82 hips operated with dual mobility cemented cups with a patient’s average age of 76 (13.4) years old. A dual mobility cup was checked for infection therefore obtaining a survival rate of 97.6% and an average follow up of 33.7 months with 95% CI (29,7-37,7) and an average in the Oxford scale of 38.2 with 95% CI (34,8-41,7).
Discussion: It was concluded that the survival rate is optimal taking into account the follow up time and the average score on Oxford scale were good considering comorbidities and the average age of patients.
Evidence level. IV
Downloads
References
De Martino I, Konstantinos Triantafyllopoulos G, Sculco PK, Thomas PS. Dual mobility in total hip arthroplasty. Orthop Clin North Am. 2014;45:1. https://doi.org/10.1016/j.ocl.2013.08.004
Stroh DA, Naziri Q, Mont MA. Dual - mobility bearings: a review of the literature. Expert Rev Med Devices. 2012;9:23-31. https://doi.org/10.1586/erd.11.57
Wegrzyn J, Tebaa E, Jacquel A, Carret J, Béjui-hugues J, Pibarot V. Can dual mobility cups prevent dislocation in all situations after revision total hip arthroplasty? J Arthroplasty. 2015;30:631-40. https://doi.org/10.1016/j.arth.2014.10.034
Helse Bergen HF. Department of Orthopaedic Surgery Haukeland Hospital University. Norwegian National Advisory Unit on Arthroplasty and Hip Fractures. Bergen. 2015:273.
Bozic KJ, Kurtz SM, Lau E, Ong K, Vail TP, Berry DJ. The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg Am. 2009;91:128-33. https://doi.org/10.2106/JBJS.H.00155
Graves SE, Davidson D, Ingerson L, Ryan P, Griffith EC, McDermott BFJ, et al. Hip and Knee Arthroplasty Annual Report - National Joint Registry. Aust Orthop Assoc. 2011;180: 217.
Leonardsson O, Rogmark C, Kärrholm J, Akesson K, Garellick G. Outcome after primary and secondary replacement for subcapital fracture of the hip in 10 264 patients. J Bone Joint Surg Br. 2009;91:595-600, https://doi.org/10.1302/0301-620X.91B5.22224
Chairman MP, Tucker K, Beaumont R, Young E, Forsyth O, Swanson M. National Joint Registry N.J.R. annual 2012 report 9th Annual Report. 2012;12:1450.
Grazioli A, Ek ETH, Rüdiger HA. Biomechanical concept and clinical outcome of dual mobility cups. Int Orthop. 2012;36:2411-8. https://doi.org/10.1007/s00264-012-1678-3
Goyal N, Tripathy MS, Parvizi J. Modern dual mobility cups for total hip arthroplasty. Surg Technol Int. 2011;21:227-32.
Bauchu P, Bonnard O, Cypres A, Fiquet A, Girardin P, Noyer D. The dual - mobility POLARCUP: first results from a multicenter study. Orthopedics. 2008 Dec;31.(12 SSuppl 2):orthosupersite.com/view.asp?rID=37180.
Epinette J, Béracassat R, Tracol P, Pagazani G, Vandenbussche E. Are modern dual mobility cups a valuable opt ion in reducing instability after primary hip arthroplasty, even in younger patients? J Arthroplasty. 2014;29:8-1323. https://doi.org/10.1016/j.arth.2013.12.011
Fabry C, Langlois J, Hamadouche M, Bader R. Intra-prosthetic dislocation of dual-mobility cups after total hip arthroplasty: potential causes from a clinical and biomechanical perspective. Int Orthop. 2015;40:901-6. https://doi.org/10.1007/s00264-015-3000-714.
Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F. 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. 2009;33: 927-32. https://doi.org/10.1007/s00264-008-0589-9
Langlais FL, Ropars M, Gaucher F, Musset T, Chaix O. Dual mobility cemented cup s have low dislocation rates in THA revisions. Clin Orthop Relat Res. 2008;466:389-95. https://doi.org/10.1007/s11999-007-0047-9
Adam P, Philippe R, Ehlinger M, Roche O, Bonnomet F, Molé D, et al. 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. 2012;98:296-300. https://doi.org/10.1016/j.otsr.2012.01.005
Wasielewski RC, Cooperstein LA, Kruger MP, Rubash HE. Acetabular anatomy and the transacetabular fixation of screws in total hip arthroplasty. J Bone Joint Surg. 1990;72: 501-8. https://doi.org/10.2106/00004623-199072040-0000518.
Murray DW, Fitzpatrick R, Rogers K, Pandit H, Beard DJ, Carra J, et al. The use of the Oxford hip and knee scores. J Bone Joint Surg. 2007;89:1010-4. https://doi.org/10.1302/0301-620X.89B8.19424
Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg Br. 2015;78-B:185-90. https://doi.org/10.1302/0301-620X.78B2.0780185
Philippot R, Farizon F, Camilleri JP, Boyer B, Derhi G, Bonnan J, et al. Survival of cementless dual mobility socket with a mean 17 years follow - up. Rev Chir Orthop Reparatrice Appar Mot. 2008;94:23-7. https://doi.org/10.1016/j.rco.2007.10.013
Prudhon JL, Ferreira A, Verdier R. Dual mobility cup: Dislocation rate and survivorship at ten years of follow - up. Int Orthop. 2013;37:2345-50. https://doi.org/10.1007/s00264-013-2067-2
Matsen Ko LJ, Pollag KE, Yoo JY, Sharkey PF. Serum metal ion levels following total hip arthroplasty with modular dual mobility components. J Arthroplasty. 2016;31:186-9. https://doi.org/10.1016/j.arth.2015.07.035
Bremner BRB, Goetz DD, Callaghan JJ, Capello WN, Johnston RC. Use of constrained acetabular components for hip instability: An average 10 - year follow - up study. J Arthroplasty. 2003;18 Supl 1:131-7. https://doi.org/10.1016/S0883-5403(03)00295-X
Callaghan JJ, O'Rourke MR, Goetz DD, Lewallen DG, Johnston RC, Capello WN. Use of a constrained tripolar acetabular liner to treat intraoperative instability and postoperative dislocation after total hip arthroplasty: a review of our experience. Clin Orthop Relat Res. 2004:117-23. https://doi.org/10.1097/01.blo.0000150276.98701.95
Taraseviˇcius S, Robertsson O, Dobozinskas P, Wingstrand H. A comparison of outcomes and dislocation rates using dual articulation cups and THA for intracapsular femoral neck fractures. HIP Int. 2013;23:22-6. https://doi.org/10.5301/HIP.2013.10632
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 3.0 Unported License.
Derechos de autor
Los autores aceptar transferir a la Revista Colombiana de Ortopedia y Traumatología los derechos edición, publicación y reproducción de los artículos publicados. La editorial tiene el derecho del uso, reproducción, transmisión, distribución y publicación en cualquier forma o medio. Los autores no podrán permitir o autorizar el uso de la contribución sin el consentimiento escrito de la revista. Una vez firmada por todos los autores, la carta de Cesión de derechos debe ser cargada en el paso dos del envío.
Aquellos autores que tengan publicaciones en esta revista aceptan los siguientes términos:
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web), lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).
