Dual-mobility arthroplasty failure: a rationale review of causes and technical considerations for revision

Hernigou, Philippe; Dubory, Arnaud; Potage, Damien; Roubineau, François; Flouzat-Lachaniette, Charles-Henri

doi:10.1007/s00264-016-3328-7

Cited by 46 publications

(36 citation statements)

References 40 publications

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“…However, in the few published articles a number of points should be noted including the fact that diagnosis of PJI can be challenging, especially in the setting of intraprosthetic dislocation due to associated metal debris, and the principles should follow the above recommendations in those cases [12,18]. In the cases of acute infection, shell stability should be assessed intraoperatively as it is easy to revise it in the early postoperative phase [53]. Additionally, dual mobility bearings allow easier exchange of the liner, but the head requires removal which may risk damage to the taper.…”

Section: Discussionmentioning

confidence: 99%

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Periprosthetic joint infections after total hip replacement: an algorithmic approach

Sukeik

Haddad

2019

SICOT-J

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An algorithm for managing periprosthetic joint infections (PJIs) after total hip replacement (THR) surgery using a multidisciplinary approach and a clearly defined protocol may improve infection eradication rates. In this article, we present an algorithm for the management of different types of PJIs including the acutely infected cemented and cementless THRs where the components are well-fixed postoperatively and when the infection is secondary to haematogenous spread in previously well-functioning and well-fixed implants. For chronic PJIs where the components are often loose, the standard treatment includes a two-stage revision procedure. However, in a highly selected subset of patients, a single-stage approach has been utilised with high rates of eradicating infections.

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Section: Discussionmentioning

confidence: 99%

“…In chronic cases, a two-stage revision procedure remains the gold standard. However, single-stage revision may still be considered in a strictly selected group of patients as detailed previously [53].…”

Section: Discussionmentioning

confidence: 99%

Periprosthetic joint infections after total hip replacement: an algorithmic approach

Sukeik

Haddad

2019

SICOT-J

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“…The prevalence rate of THA dislocations is affected by multiple factors that can be grouped in patient-specific [3,4], surgeon-specific [5] and factors related to the implant design [6,7], implant alignment [8], and surgery technique [9]. Acetabular component alignment is considered to play an important role in THA dislocations [10].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Body Position on Pelvic Tilt Angles Measured with a Smartphone-Based Navigated Ultrasound System in Symptom-Free Young Adults

Marques

Martín

Fiedler

et al. 2018

JFMK

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Abstract:The study aimed to investigate whether pelvic tilt (PT) angles differ between the supine and upright position in symptom-free young adults. Additionally, the concurrent validity of the measurement system was tested on a pelvis phantom against a digital inclinometer. A new smartphone-based navigated ultrasound system was used to perform the measurements. The sample consisted of 12 symptom-free young adults. A multivariate regression model was used to analyze the data. The subjects' pelvis in supine position was significantly more tilted anteriorly (mean PT = −7.3 • , 95% C.I.: −10.6 to −3.9) than in upright position (mean PT = 0.8 • , 95% C.I.: −2.5 to 4.1) (mean. diff. 8.1 • ; p < 0.001). Rater and trial order had no significant effects on the measured PT angles (p = 0.5). The accuracy of the system when measuring PT angles on the pelvis phantom was 0.3 • (0.1 • to 0.7 • ) and 0.2 • (−0.09 • to 0.6 • ) for the supine and upright positions respectively. Pelvic tilt angles differed significantly between the supine and the upright position in symptom-free young adults. Concurrent validity showed no differences for measurements in the upright position and small (under 0.4 • ) significant differences for measurements in the supine position.

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“…In this series (Gyros cup), only one failure was observed, due to aspetic loosening in a 55-year-old patent, at 14 years' follow-up. At long-term follow-up, aseptic cup loosening and intra-prosthetic dislocation (IPD) due to wear remained the primary complications [26]. It makes sense that for the young population demanding high-implant prosthetic performance, using highly cross-linked polyethylene (HXLPE) may reduce wear [27] but without defintive proof for the moment.…”

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confidence: 99%

Dual-mobility cup: a new French revolution

Caton¹,

Ferreira²

2017

International Orthopaedics (SICOT)

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When we (Figs. 1 and 2) began performing total hip arthroplasty (THA) 40 years ago, in 1976, we used the current gold standard for hips, the LFA (low-friction arthroplasty), developed by Sir John Charnley in 1962. However, the same year the dual-mobility cup (DMC) was born and patented.More than 40 years later, results with standard cups were satisfactory [1] but had two long-term problems, polyethylene (PE) wear and dislocations with an increased

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Dual-mobility arthroplasty failure: a rationale review of causes and technical considerations for revision

Abstract: These findings can inform discussions relating to risks and benefits of different therapeutic options when performing revision of a dual-mobility arthroplasty.

Cited by 46 publications

References 40 publications

Periprosthetic joint infections after total hip replacement: an algorithmic approach

Periprosthetic joint infections after total hip replacement: an algorithmic approach

The Effects of Body Position on Pelvic Tilt Angles Measured with a Smartphone-Based Navigated Ultrasound System in Symptom-Free Young Adults

Dual-mobility cup: a new French revolution

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