Evidence map›Paper›PMID 31754471›Full record

ReviewEFORT open reviews2019

Dual mobility in primary total hip arthroplasty: current concepts.

Rory Cuthbert, James Wong, Philip Mitchell, Parag Kumar Jaiswal

Open access · goldAbstract readReview
In one paragraph

Review in EFORT open reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
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  17. Narrative Review of the Mechanism of Hip Prosthesis Dislocation and Methods to Reduce the Risk of Dislocation.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Review
  18. Article
  19. Intracapsular Femoral Neck Fractures in the Elderly.Revista brasileira de ortopedia · 2022
    Article
  20. Article
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

4 authors at 4 institutions in 1 country.

Rory CuthbertThe Royal London Hospital, London, UK.
James WongBarking, Havering and Redbridge University Hospitals, Romford, UK.
Philip MitchellSouth West London Elective Orthopaedic Centre, Epsom, UK.
Parag Kumar JaiswalRoyal Free London NHS Foundation Trust, London, UK.
Barking, Havering And Redbridge University Hospitals NHS Trust · GBEpsom Hospital · GBRoyal Free London NHS Foundation Trust · GBRoyal London Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total hip arthroplasty (THA) is one of the most successful surgical procedures - reducing pain and providing functional improvement. However, THA instability is a disabling condition and remains the most common indication for revision THA. To combat the risk of instability, the concept of dual mobility (DM) was developed. This article provides a comprehensive review of DM in the literature.Widespread use of first-generation DM was limited due to concern regarding wear of the polyethylene head and the unique complication of intraprosthetic dislocation (IPD). Implant modifications using highly cross-linked, durable polyethylene and a smooth, cylindrical femoral neck have all but eliminated IPD in contemporary DM.In multiple studies, DM demonstrates statistically significant reductions in dislocation rates comparative to standard bearing primary THA. These results have been particular promising in high-risk patient populations and femoral neck fractures - where low dislocation rates and improved functional outcomes are a recurrent theme. From an economic perspective, DM is equally exciting - with lower accrued costs and higher accrued utility comparative to standard bearing THA.Longer-term clinical evidence and higher-quality prospective comparative studies are required to strengthen current research. Dual mobility may well represent the future gold standard for THA in high-risk patient populations and femoral neck fractures, but due diligence of long-term performance is needed before recommendations for widespread use can be justified. Cite this article:

Indexed as

dislocationdual mobilitytotal hip arthroplastytotal hip replacement

Identifiers

PMID31754471
PMCPMC6851525
OpenAlexW2983912344

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.