Dual-mobility total hip arthroplasty in patients younger than 55 years old: a systematic review
Total hip arthroplasty (THA) is regarded as one of the most successful and cost-effective orthopedic procedures. However, THA is a surgical procedure with potential intraoperative and postoperative risks. Dislocation is one of the common postoperative complications and remains one of the main indica...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2023-11, Vol.143 (11), p.6821-6828 |
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| container_title | Archives of orthopaedic and trauma surgery |
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| creator | Zampogna, Biagio Papalia, Giuseppe Francesco Ferrini, Augusto Torre, Guglielmo Vorini, Ferruccio Diaz Balzani, Lorenzo Alirio Farsetti, Pasquale Papalia, Rocco |
| description | Total hip arthroplasty (THA) is regarded as one of the most successful and cost-effective orthopedic procedures. However, THA is a surgical procedure with potential intraoperative and postoperative risks. Dislocation is one of the common postoperative complications and remains one of the main indications for THA revision. The purpose of this systematic review was to evaluate the role and the outcomes of dual-mobility implant to prevent dislocation in patients younger than |
| doi_str_mv | 10.1007/s00402-023-04882-2 |
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However, THA is a surgical procedure with potential intraoperative and postoperative risks. Dislocation is one of the common postoperative complications and remains one of the main indications for THA revision. The purpose of this systematic review was to evaluate the role and the outcomes of dual-mobility implant to prevent dislocation in patients younger than < 55 years in primary THA. In this systematic review, we included observational, prospective, and retrospective studies that evaluated the outcome and the complications of the dual-mobility cup in < 55-year-old patients. After applying exclusion criteria (femoral neck fractures or THA revision, case series, reviews, and meta-analyses), ten articles were included in the study. The overall number of participants in all the studies was 1530. The mean age of the participants was 50 years. The mean follow-up was 11.7 years. A total of 46 patients (2.7%) reported intraprosthetic dislocations, in which the polyethylene liner dissociates from the femoral head, while 4.8% of revision was due to aseptic loosening. The mean revision rate at twelve years was 11%. The mean value of Harris Hip Score increased from 50.9 pre-operatively to 91.6 after surgery. Dual mobility is a valid option for young patients with extended survivorship and low rates of instability and dislocation after primary THA.</description><identifier>ISSN: 1434-3916</identifier><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-023-04882-2</identifier><identifier>PMID: 37062001</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Hip Arthroplasty ; Joint replacement surgery ; Medicine ; Medicine & Public Health ; Orthopedics ; Systematic review</subject><ispartof>Archives of orthopaedic and trauma surgery, 2023-11, Vol.143 (11), p.6821-6828</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. 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However, THA is a surgical procedure with potential intraoperative and postoperative risks. Dislocation is one of the common postoperative complications and remains one of the main indications for THA revision. The purpose of this systematic review was to evaluate the role and the outcomes of dual-mobility implant to prevent dislocation in patients younger than < 55 years in primary THA. In this systematic review, we included observational, prospective, and retrospective studies that evaluated the outcome and the complications of the dual-mobility cup in < 55-year-old patients. After applying exclusion criteria (femoral neck fractures or THA revision, case series, reviews, and meta-analyses), ten articles were included in the study. The overall number of participants in all the studies was 1530. The mean age of the participants was 50 years. The mean follow-up was 11.7 years. A total of 46 patients (2.7%) reported intraprosthetic dislocations, in which the polyethylene liner dissociates from the femoral head, while 4.8% of revision was due to aseptic loosening. The mean revision rate at twelve years was 11%. The mean value of Harris Hip Score increased from 50.9 pre-operatively to 91.6 after surgery. Dual mobility is a valid option for young patients with extended survivorship and low rates of instability and dislocation after primary THA.</description><subject>Hip Arthroplasty</subject><subject>Joint replacement surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Systematic review</subject><issn>1434-3916</issn><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMtOxSAQhonReH8BF4bEjZvqAC0Fd8Z7YuJG10hb6qlpSwWq6dv4LD6ZHI-3uHDFwHz8DB9COwQOCEB-6AFSoAlQlkAqBE3oElonKUsTJglf_lWvoQ3vHwEIFRJW0RrLgdO4XUf3p6Nuk84WTduECQcbdItnzYC1CzNnh1b7eNz0eNChMX3weLJj_2AcDjPd4yx7e52Mdh7btjrCGvvJB9NFtsTOPDfmZQut1Lr1Zvtz3UR352e3J5fJ9c3F1cnxdVKyPAsJy1iVcwApqMhqTqSAVLIslbIoSE45jx8sS13xKqtEbYqS8bpKtTSSMTAlZZtof5E7OPs0Gh9U1_jStK3ujR29ogKIzLnMRET3_qCPdnR9nC5SORBBU84jRRdU6az3ztRqcE2n3aQIqLl_tfCvon_14V_Np9j9jB6LzlTfV76ER4AtAB9bc48_b_8T-w7n_pA7</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Zampogna, Biagio</creator><creator>Papalia, Giuseppe Francesco</creator><creator>Ferrini, Augusto</creator><creator>Torre, Guglielmo</creator><creator>Vorini, Ferruccio</creator><creator>Diaz Balzani, Lorenzo Alirio</creator><creator>Farsetti, Pasquale</creator><creator>Papalia, Rocco</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4140-738X</orcidid></search><sort><creationdate>20231101</creationdate><title>Dual-mobility total hip arthroplasty in patients younger than 55 years old: a systematic review</title><author>Zampogna, Biagio ; 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| subjects | Hip Arthroplasty Joint replacement surgery Medicine Medicine & Public Health Orthopedics Systematic review |
| title | Dual-mobility total hip arthroplasty in patients younger than 55 years old: a systematic review |
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