ArticleInternational orthopaedics2019
A comparative study about the incidence of dislocation and peri-prosthetic fracture between dual mobility versus standard cups after primary total hip arthroplasty.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Risk factors for periprosthetic femoral fractures following hip arthroplasty: a systematic review and meta-analysis.Annals of medicine · 2025Pooled it
- Survivorship of the dual-mobility construct in elective primary total hip replacement: a systematic review and meta-analysis including registry data.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Functional and Safety Outcomes of Third-Generation Zimmer Biomet G7Journal of clinical medicine · 2025Article
- Comparative Outcomes of Dual Mobility Cup versus Bipolar Hemiarthroplasty in Patients with Neurological Disorder with Femoral Neck Fractures.Hip & pelvis · 2025Article
- Mixed Manufacturer Combination With a Cementless Hemispherical Dual Mobility Cup and Polished Taper-Slip Cemented Femoral Stem: Short- to Medium-Term Results in Primary Total Hip Arthroplasty in Elderly Patients.Arthroplasty today · 2025Article
- Dual mobility cups reduce dislocation in isolated cup revision.BMC musculoskeletal disorders · 2025Observational
- Dislocation of primary total hip arthroplasty: Analysis of risk factors and preventive options.World journal of orthopedics · 2024Review
- Post-operative complications following total hip arthroplasty for trauma: A multicentre cohort study comparing dual mobility with conventional acetabular bearings.Journal of orthopaedics · 2023Article
- Evaluating the Effectiveness of Conventional Prostheses Against Dual-Mobility Prostheses in the Treatment of Femoral Neck Fractures in Two Separate Groups of Patients: A Clinical Trial Study.Advanced biomedical research · 2023Article
- Third generation Dual Mobility Cups: could be the future in total hip arthroplasty? A five-year experience with dualis.Acta bio-medica : Atenei Parmensis · 2022Article
- Risk factors for dislocation after bipolar hemiarthroplasty: a retrospective case-control study of patients with CT data.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Use of dual mobility components in total hip arthroplasty: Indications and outcomes.Journal of clinical orthopaedics and trauma · 2020Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDislocation and peri-prosthetic fracture (PPF) are major reasons for revision THA (total hip arthroplasty). The main advantage of dual mobility (DM) cups is to minimize the incidence of dislocation compared to single mobility (SM) cups. We hypothesized that the use of DM would lead to an increased risk of PPF because of its greater stability. In contrast, standard cups would be at higher risk of dislocation.
methodsA retrospective comparative study was performed in our institution including 126 revision THAs between January 2013 and December 2017. Collected data included gender, age, BMI, Parker score, ASA score, the etiology for primary THA, type of cup (SM or DM), cortical index, Noble index, and the stem fixation.
resultsOverall, 53 standard and 73 DM cups were included for study. In the dislocation group, 29 had standard cups (83%) and 6 had DM cups (17%). Dislocation was 12-fold higher in SM cups (p < 0.001). In the PPF group, 24 had standard cups (26%) and 67 had DM cups (74%). PFF was 12-fold higher for DM cups (p < 0.001). A higher Parker score and a higher cortical index had a protective effect on the risk of PPF (OR = 0.76 (p = 0.03), OR = 0.57 (p = 0.048)).
conclusionThe use of DM increased hip stability but led to a higher rate of PPF by load transfer on the femur. Further studies with larger cohort and follow-up are needed to confirm these findings and measure the incidence of these complications.
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