The evolution of outcomes and indications for the dual-mobility cup: a systematic review

被引：64

作者：

Batailler, Cecile ^{[1
]}

Fary, Camdon ^{[1
]}

Verdier, Regis ^{[1
]}

Aslanian, Thierry ^{[1
]}

Caton, Jacques ^{[1
]}

Lustig, Sebastien ^{[1
]}

机构：

[1] Albert Trillat Ctr, Lyon, France

来源：

INTERNATIONAL ORTHOPAEDICS | 2017年 / 41卷 / 03期

关键词：

Dislocation; Dual mobility cup; Loosening; Revision surgery; Total hip arthroplasty; TOTAL HIP-ARTHROPLASTY; FEMORAL-NECK FRACTURES; EARLY INTRAPROSTHETIC DISLOCATION; CONSTRAINED ACETABULAR COMPONENT; INTRA-PROSTHETIC DISLOCATION; MEAN FOLLOW-UP; PREVENT DISLOCATION; RECURRENT DISLOCATIONS; REINFORCEMENT DEVICE; REDUCES DISLOCATION;

D O I：

10.1007/s00264-016-3377-y

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Purpose Instability following total hip arthroplasty remains a common and disabling complication. The dual mobility cup (DMC) allows a reduction in the dislocation rate. An increasing number of studies have been undertaken to better understand DMC long term outcomes and complications. The goal of this systematic review was to clarify its different uses and outcomes according to the indications. Methods A comprehensive literature review was performed using the keywords 'dual mobility' and 'tripolar cup' with no limit regarding the year of publication. One hundred seventy six publications were identified. Results Current literature shows that "contemporary" dual mobility cup are a significant indication to manage instability following primary and revision hip arthroplasty. Survivorship at midterm is comparable to other articulations for primary THA, but is more difficult to evaluate in revision. Intra-prosthetic dislocation, wear, and loosening are now uncommon with new generations of DMC. Conclusions Compared to previous generations of DMC, the current "contemporary" DMC presents a significant improvement. Current literature reveals a tendency to increase the indications but further studies with long term follow up remain important to consolidate these findings.

引用

页码：645 / 659

页数：15

共 113 条

[1]

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 [J].