Do Dual-Mobility Cups Reduce the Risk of Dislocation in Total Hip Arthroplasty for Fractured Neck of Femur in Patients Aged Older Than 75 Years?
Abstract Background Total hip arthroplasty (THA) for intracapsular neck of femur (NOF) fracture remains debatable as it is associated with higher rates of dislocation, notably in the older part of the population. We hypothesized this risk could be limited using dual-mobility cups (DMCs). Methods Eig...
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| Veröffentlicht in: | The Journal of arthroplasty 2016-06, Vol.31 (6), p.1256-1260 |
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| creator | Nich, Christophe, MD, PhD Vandenbussche, Eric, MD, PhD Augereau, Bernard, MD Sadaka, Jérôme, MD |
| description | Abstract Background Total hip arthroplasty (THA) for intracapsular neck of femur (NOF) fracture remains debatable as it is associated with higher rates of dislocation, notably in the older part of the population. We hypothesized this risk could be limited using dual-mobility cups (DMCs). Methods Eighty-two patients (83 hips) aged older than 75 years underwent DMC-THA using a posterolateral approach for an intracapsular NOF fracture. Results Clinical data were collected in 45 patients at a mean of 23.8 ± 9.4 months (12.1-42 months). The mortality rates were 19% (16 patients) and 36.5% (30 patients) at 1 year postoperatively and at the last follow-up, respectively. Postoperatively, there were 2 dislocations of the large articulation (4.4%) and one intraprosthetic dislocation (2.2%), all related to technical errors. Functional results were rated at least good in 71% cases, whereas the Parker and Devane scores were stable, indicating optimal restoration of autonomy and physical activity. Conclusion Although technically demanding, DMC-THA may prevent dislocation in intracapsular NOF fracture in elderly patients, while consistently limiting the risk of loss of independence. |
| doi_str_mv | 10.1016/j.arth.2015.11.041 |
| format | Article |
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We hypothesized this risk could be limited using dual-mobility cups (DMCs). Methods Eighty-two patients (83 hips) aged older than 75 years underwent DMC-THA using a posterolateral approach for an intracapsular NOF fracture. Results Clinical data were collected in 45 patients at a mean of 23.8 ± 9.4 months (12.1-42 months). The mortality rates were 19% (16 patients) and 36.5% (30 patients) at 1 year postoperatively and at the last follow-up, respectively. Postoperatively, there were 2 dislocations of the large articulation (4.4%) and one intraprosthetic dislocation (2.2%), all related to technical errors. Functional results were rated at least good in 71% cases, whereas the Parker and Devane scores were stable, indicating optimal restoration of autonomy and physical activity. Conclusion Although technically demanding, DMC-THA may prevent dislocation in intracapsular NOF fracture in elderly patients, while consistently limiting the risk of loss of independence.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2015.11.041</identifier><identifier>PMID: 26718778</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - methods ; dislocation ; dual-mobility cup ; elderly ; Female ; Femoral Neck Fractures - surgery ; Femur - surgery ; fracture ; Hip Dislocation - surgery ; Hip Prosthesis ; Humans ; Joint Dislocations - surgery ; Male ; Middle Aged ; Multivariate Analysis ; neck of femur ; Orthopedics ; Prosthesis Failure ; Risk Factors ; Severity of Illness Index ; total hip arthroplasty ; Treatment Outcome</subject><ispartof>The Journal of arthroplasty, 2016-06, Vol.31 (6), p.1256-1260</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-e66519f459ad170da6a1c7e9e98c92906c374ce8f51ca81ae2196588409d7a9f3</citedby><cites>FETCH-LOGICAL-c411t-e66519f459ad170da6a1c7e9e98c92906c374ce8f51ca81ae2196588409d7a9f3</cites><orcidid>0000-0003-2017-2267</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2015.11.041$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26718778$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nich, Christophe, MD, PhD</creatorcontrib><creatorcontrib>Vandenbussche, Eric, MD, PhD</creatorcontrib><creatorcontrib>Augereau, Bernard, MD</creatorcontrib><creatorcontrib>Sadaka, Jérôme, MD</creatorcontrib><title>Do Dual-Mobility Cups Reduce the Risk of Dislocation in Total Hip Arthroplasty for Fractured Neck of Femur in Patients Aged Older Than 75 Years?</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Background Total hip arthroplasty (THA) for intracapsular neck of femur (NOF) fracture remains debatable as it is associated with higher rates of dislocation, notably in the older part of the population. We hypothesized this risk could be limited using dual-mobility cups (DMCs). Methods Eighty-two patients (83 hips) aged older than 75 years underwent DMC-THA using a posterolateral approach for an intracapsular NOF fracture. Results Clinical data were collected in 45 patients at a mean of 23.8 ± 9.4 months (12.1-42 months). The mortality rates were 19% (16 patients) and 36.5% (30 patients) at 1 year postoperatively and at the last follow-up, respectively. Postoperatively, there were 2 dislocations of the large articulation (4.4%) and one intraprosthetic dislocation (2.2%), all related to technical errors. Functional results were rated at least good in 71% cases, whereas the Parker and Devane scores were stable, indicating optimal restoration of autonomy and physical activity. Conclusion Although technically demanding, DMC-THA may prevent dislocation in intracapsular NOF fracture in elderly patients, while consistently limiting the risk of loss of independence.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>dislocation</subject><subject>dual-mobility cup</subject><subject>elderly</subject><subject>Female</subject><subject>Femoral Neck Fractures - surgery</subject><subject>Femur - surgery</subject><subject>fracture</subject><subject>Hip Dislocation - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Joint Dislocations - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>neck of femur</subject><subject>Orthopedics</subject><subject>Prosthesis Failure</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>total hip arthroplasty</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kkGP0zAQhSMEYsvCH-CAfOSS4EliO5EQqGopi7SwaCkHTpbXmVB33ThrO0j9F_xkHLpw4MDJh3nf0_i9ybLnQAugwF_tC-XjrigpsAKgoDU8yBbAqjJvasofZgvaNFXOalqdZU9C2FMKwFj9ODsruYBGiGaR_Vw7sp6UzT-6G2NNPJLVNAZyjd2kkcQdkmsTbonrydoE67SKxg3EDGTrorLkwoxkmZbwbrQqJLp3nmy80nHy2JFPqH-zGzxMfqY-Jx6HGMjyexpf2Q492e7UQAQj31D58PZp9qhXNuCz-_c8-7p5t11d5JdX7z-slpe5rgFijpwzaPuataoDQTvFFWiBLbaNbsuWcl2JWmPTM9CqAYUltJw1KZi2E6rtq_Ps5cl39O5uwhDlwQSN1qoB3RQkiBaqsuacJml5kmrvQvDYy9Gbg_JHCVTOTci9nJuQcxMSQKYmEvTi3n-6OWD3F_kTfRK8Pgkw_fKHQS-DTtlo7IxHHWXnzP_93_yDa2sGo5W9xSOGvZv8kPKTIEMpqfwy38J8CsAoUM5E9Qv8dq4g</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Nich, Christophe, MD, PhD</creator><creator>Vandenbussche, Eric, MD, PhD</creator><creator>Augereau, Bernard, MD</creator><creator>Sadaka, Jérôme, MD</creator><general>Elsevier Inc</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><orcidid>https://orcid.org/0000-0003-2017-2267</orcidid></search><sort><creationdate>20160601</creationdate><title>Do Dual-Mobility Cups Reduce the Risk of Dislocation in Total Hip Arthroplasty for Fractured Neck of Femur in Patients Aged Older Than 75 Years?</title><author>Nich, Christophe, MD, PhD ; Vandenbussche, Eric, MD, PhD ; Augereau, Bernard, MD ; Sadaka, Jérôme, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-e66519f459ad170da6a1c7e9e98c92906c374ce8f51ca81ae2196588409d7a9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>dislocation</topic><topic>dual-mobility cup</topic><topic>elderly</topic><topic>Female</topic><topic>Femoral Neck Fractures - surgery</topic><topic>Femur - surgery</topic><topic>fracture</topic><topic>Hip Dislocation - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Joint Dislocations - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>neck of femur</topic><topic>Orthopedics</topic><topic>Prosthesis Failure</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>total hip arthroplasty</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nich, Christophe, MD, PhD</creatorcontrib><creatorcontrib>Vandenbussche, Eric, MD, PhD</creatorcontrib><creatorcontrib>Augereau, Bernard, MD</creatorcontrib><creatorcontrib>Sadaka, Jérôme, MD</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><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nich, Christophe, MD, PhD</au><au>Vandenbussche, Eric, MD, PhD</au><au>Augereau, Bernard, MD</au><au>Sadaka, Jérôme, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do Dual-Mobility Cups Reduce the Risk of Dislocation in Total Hip Arthroplasty for Fractured Neck of Femur in Patients Aged Older Than 75 Years?</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>31</volume><issue>6</issue><spage>1256</spage><epage>1260</epage><pages>1256-1260</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Background Total hip arthroplasty (THA) for intracapsular neck of femur (NOF) fracture remains debatable as it is associated with higher rates of dislocation, notably in the older part of the population. We hypothesized this risk could be limited using dual-mobility cups (DMCs). Methods Eighty-two patients (83 hips) aged older than 75 years underwent DMC-THA using a posterolateral approach for an intracapsular NOF fracture. Results Clinical data were collected in 45 patients at a mean of 23.8 ± 9.4 months (12.1-42 months). The mortality rates were 19% (16 patients) and 36.5% (30 patients) at 1 year postoperatively and at the last follow-up, respectively. Postoperatively, there were 2 dislocations of the large articulation (4.4%) and one intraprosthetic dislocation (2.2%), all related to technical errors. Functional results were rated at least good in 71% cases, whereas the Parker and Devane scores were stable, indicating optimal restoration of autonomy and physical activity. Conclusion Although technically demanding, DMC-THA may prevent dislocation in intracapsular NOF fracture in elderly patients, while consistently limiting the risk of loss of independence.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26718778</pmid><doi>10.1016/j.arth.2015.11.041</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-2017-2267</orcidid></addata></record> |
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| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Hip - methods dislocation dual-mobility cup elderly Female Femoral Neck Fractures - surgery Femur - surgery fracture Hip Dislocation - surgery Hip Prosthesis Humans Joint Dislocations - surgery Male Middle Aged Multivariate Analysis neck of femur Orthopedics Prosthesis Failure Risk Factors Severity of Illness Index total hip arthroplasty Treatment Outcome |
| title | Do Dual-Mobility Cups Reduce the Risk of Dislocation in Total Hip Arthroplasty for Fractured Neck of Femur in Patients Aged Older Than 75 Years? |
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