Evidence map›Paper›PMID 27872981›Full record

SynthesisInternational orthopaedics2017

Dual-mobility arthroplasty failure: a rationale review of causes and technical considerations for revision.

Philippe Hernigou, Arnaud Dubory, Damien Potage, François Roubineau, Charles Henri Flouzat Lachaniette

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 54 citations in OpenAlex.

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  20. No free lunch in orthopedics.International orthopaedics · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Philippe HernigouChirurgie Orthopedique, Hopital Henri Mondor, 51 Av Mal de Lattre de Tassigny, Creteil, 94000, France. philippe.hernigou@hmn.aphp.fr.
Arnaud DuboryChirurgie Orthopedique, Hopital Henri Mondor, 51 Av Mal de Lattre de Tassigny, Creteil, 94000, France.
Damien PotageChirurgie Orthopedique, Hopital Henri Mondor, 51 Av Mal de Lattre de Tassigny, Creteil, 94000, France.
François RoubineauChirurgie Orthopedique, Hopital Henri Mondor, 51 Av Mal de Lattre de Tassigny, Creteil, 94000, France.
Charles Henri Flouzat LachanietteChirurgie Orthopedique, Hopital Henri Mondor, 51 Av Mal de Lattre de Tassigny, Creteil, 94000, France.
Centre Hospitalier Universitaire Henri-Mondor · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDual-mobility arthroplasty is an alternative to conventional total hip arthroplasty (THA) in appropriately selected, active adults with degenerative, necrotic or post-traumatic hip disease or with revision hip arthroplasty. Numerous papers have been published with results of dual-mobility arthroplasty, but there have been no comprehensive literature reviews that summarise the most recent findings and help the orthopaedic surgeon facing different scenarios in which revision of one or both components of a dual-mobility arthroplasty is indicated.

methodsWe performed a PubMed search for papers published on dual-mobility arthroplasty that provided data on revision and add our experience in order to describe different revision scenarios. We collected data on revision for any reason, for aseptic loosening, for infection, or for dislocation. For each complication, we summarise causes and diagnosis of this complication and describe the direction of possible therapeutic options.

resultsThe dual-mobility arthroplasty offers the benefit of increased stability without compromising clinical outcomes and implant longevity. However, as with conventional arthroplasties, complications are also reported, with the most frequent being cup loosening, dislocation, accelerated wear and infection. Dual-mobility implants also have some specific complications secondary to their specific design, with the presence of a third joint. For example, intraprosthetic dislocation due to retentive failure of the polyethylene (PE) liner on the femoral head is a complication observed exclusively with this type of implant and involves articulation failure between the femoral head and the PE liner. Mechanical conflict with the iliopsoas tendon has also been reported, probably due to femoral head size, cup design, and/or a dysplastic hip. This systematic review of the literature identified several options for treating each complication, and in particular, options regarding conserving or not of one the two articulating devices.

conclusionsThese findings can inform discussions relating to risks and benefits of different therapeutic options when performing revision of a dual-mobility arthroplasty.

Indexed as

AdultAgedArthroplasty, Replacement, HipHip JointHip ProsthesisHumansPostoperative ComplicationsProsthesis DesignProsthesis FailureReoperationCup looseningDual-mobility failureDual-mobility revisionHip dislocationInfectionIntraprosthetic dislocation

Identifiers

PMID27872981
OpenAlexW2556941094

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.