Evidence map›Paper›PMID 30027352›Full record

ArticleInternational orthopaedics2019

Intraprosthetic dislocation of dual mobility total hip arthroplasty: still occurring?

Thomas Neri, Bertrand Boyer, Jean Geringer, Alexandre Di Iorio, Jacques H Caton, Remi PhiIippot, Frederic Farizon

Erratum issuedAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Thomas NeriDepartment of Orthopaedic Surgery, University Hospital Centre of Saint-Etienne, Saint-Etienne, France. thomas.neri@chu-st-etienne.fr.ORCID 0000-0001-8793-1956
Bertrand BoyerDepartment of Orthopaedic Surgery, University Hospital Centre of Saint-Etienne, Saint-Etienne, France.
Jean GeringerEcole des mines de Saint-Etienne, Saint-Etienne, France.
Alexandre Di IorioDepartment of Orthopaedic Surgery, University Hospital Centre of Saint-Etienne, Saint-Etienne, France.
Jacques H CatonInstitut orthopédique, 103 rue Coste, 69300, Caluire, France.
Remi PhiIippotDepartment of Orthopaedic Surgery, University Hospital Centre of Saint-Etienne, Saint-Etienne, France.
Frederic FarizonDepartment of Orthopaedic Surgery, University Hospital Centre of Saint-Etienne, Saint-Etienne, France.
Université Claude Bernard Lyon 1 · FRMines Saint-Étienne · FRCentre Hospitalier Universitaire de Saint-Étienne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective was to identify predictive factors for intraprosthetic dislocation (IPD) and to understand how improvements in dual mobility cups (DMC) have helped to reduce dramatically the occurrence of this complication.

methodsDM mobile inserts retrieved from 93 hips were divided into three groups: first-generation DMC with IPD ("firstDMC-IPD"), first-generation DMC with over 15 years of implantation without IPD ("firstDMC-noIPD"), and latest-generation DMC ("newDMC"). The predictive factors for IPD based on clinical, prosthetic, radiological and intraoperative characteristics were analysed by multivariate analysis. The surface of each retrieved mobile insert was analysed using three-dimensional CT scan in order to compare their rim wear.

resultsThree predictive factors for IPD were found: a high BMI, a wide rough stem neck and a large cup size. Wear of the firstDMC-noIPD inserts was significantly less than those of firstDMC-IPD inserts and significantly more than those of newDMC inserts. For the firstDMC-IPD inserts, the rim's outer surface wear was significantly greater than the rim's inner surface wear.

conclusionsIPD is a specific complication related to wear of the DM mobile insert due to failure of the liner's retaining rim, especially from the rim's outer surface. This long-term issue is different to the early traumatic complication, which can happen after an attempt at closed reduction of a DM THA dislocation. Recent modifications in the design and the coating of contemporary DMC and femoral stems, as well as improvements in the mobile insert itself, seem to corroborate our assumptions about the IPD mechanism and contribute to the quasi-disappearance of this complication.

Indexed as

AdolescentAdultAgedAged, 80 and overArthroplasty, Replacement, HipDevice RemovalFemaleHip DislocationHip ProsthesisHumansImaging, Three-DimensionalMaleMiddle AgedProsthesis DesignProsthesis FailureRange of Motion, ArticularDual mobilityIntraprosthetic dislocationTotal hip arthroplasty

Identifiers

PMID30027352
OpenAlexW2883221005

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.