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Dual mobility acetabular component in revision total hip arthroplasty for persistent dislocation: no dislocations in
M van Heumen1, P J C Heesterbeek, B A Swierstra
1Department of Orthopaedic Surgery, Sint Maartenskliniek, PO Box 9011, 6500 GM, Nijmegen, The Netherlands.
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.
