Equivalent wear performance of dual mobility bearing compared with standard bearing in total hip arthroplasty: in vitro study
Purpose Osteolysis in total hip arthroplasty (THA) depends on polyethylene wear and dictates the survival of the prosthesis. Dual mobility in THAs, which is claimed to reduce dislocation risk, has very good long-term clinical results. However, little is known about how the liner wears in this design...
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Veröffentlicht in: | International orthopaedics 2017-03, Vol.41 (3), p.521-527 |
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creator | Gaudin, Gaël Ferreira, André Gaillard, Romain Prudhon, Jean Louis Caton, Jacques H. Lustig, Sébastien |
description | Purpose
Osteolysis in total hip arthroplasty (THA) depends on polyethylene wear and dictates the survival of the prosthesis. Dual mobility in THAs, which is claimed to reduce dislocation risk, has very good long-term clinical results. However, little is known about how the liner wears in this design, compared to the standard single mobility model.
Methods
A comparative study looking at wear of a conventional ultra-high-molecular-weight polyethylene liner, using gravimetric measurement, between dual mobility implants and standard implants, was performed on a simulator in accordance with a normed protocol based on the same dimensions, environmental conditions and stresses. A linear regression test was employed.
Results
Under the same conditions (loading, cycles, sterilization, material and surface roughness), the gravimetric wear (for conventional polyethylene) is comparable between a standard and a dual mobility cup. This correlates to ten year follow-up results of dual mobility cup.
Discussion - Conclusion
This in vitro equivalent wear serves to confirm the very good long-term clinical results observed with dual mobility bearing, whose use should not be restricted by concerns about increased polyethylene wear. |
doi_str_mv | 10.1007/s00264-016-3346-5 |
format | Article |
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Osteolysis in total hip arthroplasty (THA) depends on polyethylene wear and dictates the survival of the prosthesis. Dual mobility in THAs, which is claimed to reduce dislocation risk, has very good long-term clinical results. However, little is known about how the liner wears in this design, compared to the standard single mobility model.
Methods
A comparative study looking at wear of a conventional ultra-high-molecular-weight polyethylene liner, using gravimetric measurement, between dual mobility implants and standard implants, was performed on a simulator in accordance with a normed protocol based on the same dimensions, environmental conditions and stresses. A linear regression test was employed.
Results
Under the same conditions (loading, cycles, sterilization, material and surface roughness), the gravimetric wear (for conventional polyethylene) is comparable between a standard and a dual mobility cup. This correlates to ten year follow-up results of dual mobility cup.
Discussion - Conclusion
This in vitro equivalent wear serves to confirm the very good long-term clinical results observed with dual mobility bearing, whose use should not be restricted by concerns about increased polyethylene wear.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-016-3346-5</identifier><identifier>PMID: 27878334</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Arthroplasty, Replacement, Hip - adverse effects ; Biomechanical Phenomena ; Biomechanics ; Engineering Sciences ; Hip Prosthesis - adverse effects ; Humans ; In Vitro Techniques ; Linear Models ; Mechanics ; Medicine ; Medicine & Public Health ; Original Paper ; Orthopedics ; Polyethylenes - adverse effects ; Polyethylenes - analysis ; Prospective Studies ; Prosthesis Design - adverse effects ; Prosthesis Design - methods ; Prosthesis Failure - etiology</subject><ispartof>International orthopaedics, 2017-03, Vol.41 (3), p.521-527</ispartof><rights>SICOT aisbl 2016</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c378t-3c926a811fca5fcc0093bb7ed1ffaa4873dbbbd6a9b440f8c24224b8845ce85c3</citedby><cites>FETCH-LOGICAL-c378t-3c926a811fca5fcc0093bb7ed1ffaa4873dbbbd6a9b440f8c24224b8845ce85c3</cites><orcidid>0000-0002-6739-4601</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-016-3346-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-016-3346-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27878334$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-01578391$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Gaudin, Gaël</creatorcontrib><creatorcontrib>Ferreira, André</creatorcontrib><creatorcontrib>Gaillard, Romain</creatorcontrib><creatorcontrib>Prudhon, Jean Louis</creatorcontrib><creatorcontrib>Caton, Jacques H.</creatorcontrib><creatorcontrib>Lustig, Sébastien</creatorcontrib><title>Equivalent wear performance of dual mobility bearing compared with standard bearing in total hip arthroplasty: in vitro study</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
Osteolysis in total hip arthroplasty (THA) depends on polyethylene wear and dictates the survival of the prosthesis. Dual mobility in THAs, which is claimed to reduce dislocation risk, has very good long-term clinical results. However, little is known about how the liner wears in this design, compared to the standard single mobility model.
Methods
A comparative study looking at wear of a conventional ultra-high-molecular-weight polyethylene liner, using gravimetric measurement, between dual mobility implants and standard implants, was performed on a simulator in accordance with a normed protocol based on the same dimensions, environmental conditions and stresses. A linear regression test was employed.
Results
Under the same conditions (loading, cycles, sterilization, material and surface roughness), the gravimetric wear (for conventional polyethylene) is comparable between a standard and a dual mobility cup. This correlates to ten year follow-up results of dual mobility cup.
Discussion - Conclusion
This in vitro equivalent wear serves to confirm the very good long-term clinical results observed with dual mobility bearing, whose use should not be restricted by concerns about increased polyethylene wear.</description><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Engineering Sciences</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Linear Models</subject><subject>Mechanics</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Polyethylenes - adverse effects</subject><subject>Polyethylenes - analysis</subject><subject>Prospective Studies</subject><subject>Prosthesis Design - adverse effects</subject><subject>Prosthesis Design - methods</subject><subject>Prosthesis Failure - etiology</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAURS0EokPhB7BBXsIi4K84DruqKrTSSGxgbT07DuMqiVPbmWoW_Pc6SjtLVpb8zj2LexH6SMlXSkjzLRHCpKgIlRXnQlb1K7SjgrOqpm39Gu0IF7Risq0v0LuU7gmhjVT0LbpgjWpUiezQv5uHxR9hcFPGjw4inl3sQxxhsg6HHncLDHgMxg8-n7AphJ_-YhvGGaLr8KPPB5wyTB3E7nz2E84hl-DBzxhiPsQwD5Dy6ft6OvocQwkt3ek9etPDkNyH5_cS_flx8_v6ttr_-nl3fbWvLG9UrrhtmQRFaW-h7q0lpOXGNK6jfQ8gVMM7Y0wnoTVCkF5ZJhgTRilRW6dqyy_Rl817gEHP0Y8QTzqA17dXe73-EVqXQlp6pIX9vLFzDA-LS1mPPlk3DDC5sCRNleAto0quKN1QG0NK0fVnNyV6XUhvCxW91OtCui6ZT8_6xYyuOydeJikA24A0r2W6qO_DEqdSz3-sT8YOnfg</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Gaudin, Gaël</creator><creator>Ferreira, André</creator><creator>Gaillard, Romain</creator><creator>Prudhon, Jean Louis</creator><creator>Caton, Jacques H.</creator><creator>Lustig, Sébastien</creator><general>Springer Berlin Heidelberg</general><general>Springer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-6739-4601</orcidid></search><sort><creationdate>20170301</creationdate><title>Equivalent wear performance of dual mobility bearing compared with standard bearing in total hip arthroplasty: in vitro study</title><author>Gaudin, Gaël ; Ferreira, André ; Gaillard, Romain ; Prudhon, Jean Louis ; Caton, Jacques H. ; Lustig, Sébastien</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-3c926a811fca5fcc0093bb7ed1ffaa4873dbbbd6a9b440f8c24224b8845ce85c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Biomechanical Phenomena</topic><topic>Biomechanics</topic><topic>Engineering Sciences</topic><topic>Hip Prosthesis - adverse effects</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Linear Models</topic><topic>Mechanics</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Polyethylenes - adverse effects</topic><topic>Polyethylenes - analysis</topic><topic>Prospective Studies</topic><topic>Prosthesis Design - adverse effects</topic><topic>Prosthesis Design - methods</topic><topic>Prosthesis Failure - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gaudin, Gaël</creatorcontrib><creatorcontrib>Ferreira, André</creatorcontrib><creatorcontrib>Gaillard, Romain</creatorcontrib><creatorcontrib>Prudhon, Jean Louis</creatorcontrib><creatorcontrib>Caton, Jacques H.</creatorcontrib><creatorcontrib>Lustig, Sébastien</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gaudin, Gaël</au><au>Ferreira, André</au><au>Gaillard, Romain</au><au>Prudhon, Jean Louis</au><au>Caton, Jacques H.</au><au>Lustig, Sébastien</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Equivalent wear performance of dual mobility bearing compared with standard bearing in total hip arthroplasty: in vitro study</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>41</volume><issue>3</issue><spage>521</spage><epage>527</epage><pages>521-527</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
Osteolysis in total hip arthroplasty (THA) depends on polyethylene wear and dictates the survival of the prosthesis. Dual mobility in THAs, which is claimed to reduce dislocation risk, has very good long-term clinical results. However, little is known about how the liner wears in this design, compared to the standard single mobility model.
Methods
A comparative study looking at wear of a conventional ultra-high-molecular-weight polyethylene liner, using gravimetric measurement, between dual mobility implants and standard implants, was performed on a simulator in accordance with a normed protocol based on the same dimensions, environmental conditions and stresses. A linear regression test was employed.
Results
Under the same conditions (loading, cycles, sterilization, material and surface roughness), the gravimetric wear (for conventional polyethylene) is comparable between a standard and a dual mobility cup. This correlates to ten year follow-up results of dual mobility cup.
Discussion - Conclusion
This in vitro equivalent wear serves to confirm the very good long-term clinical results observed with dual mobility bearing, whose use should not be restricted by concerns about increased polyethylene wear.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27878334</pmid><doi>10.1007/s00264-016-3346-5</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6739-4601</orcidid></addata></record> |
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subjects | Arthroplasty, Replacement, Hip - adverse effects Biomechanical Phenomena Biomechanics Engineering Sciences Hip Prosthesis - adverse effects Humans In Vitro Techniques Linear Models Mechanics Medicine Medicine & Public Health Original Paper Orthopedics Polyethylenes - adverse effects Polyethylenes - analysis Prospective Studies Prosthesis Design - adverse effects Prosthesis Design - methods Prosthesis Failure - etiology |
title | Equivalent wear performance of dual mobility bearing compared with standard bearing in total hip arthroplasty: in vitro study |
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