Evidence map›Paper›PMID 35020024›Full record

ArticleInternational orthopaedics2022

Polyethylene wear of dual mobility cups: a comparative analysis based on patient-specific finite element modeling.

Julien Wegrzyn, Alexander Antoniadis, Ehsan Sarshari, Matthieu Boubat, Alexandre Terrier

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In one paragraph

Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
5.0field-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

7 citing papers in PubMed, 25 citations in OpenAlex.

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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 2 institutions in 1 country.

Julien WegrzynDepartment of Orthopedic Surgery, Lausanne University Hospital-Centre Hospitalier Universitaire Vaudois-CHUV, Hôpital Orthopédique, Avenue Pierre-Decker, 4, CH-1011, Lausanne, Switzerland. julien.wegrzyn@chuv.ch.ORCID http://orcid.org/0000-0003-0194-8664
Alexander AntoniadisDepartment of Orthopedic Surgery, Lausanne University Hospital-Centre Hospitalier Universitaire Vaudois-CHUV, Hôpital Orthopédique, Avenue Pierre-Decker, 4, CH-1011, Lausanne, Switzerland.
Ehsan SarshariLaboratory of Biomechanical Orthopedics, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
Matthieu BoubatLaboratory of Biomechanical Orthopedics, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
Alexandre TerrierDepartment of Orthopedic Surgery, Lausanne University Hospital-Centre Hospitalier Universitaire Vaudois-CHUV, Hôpital Orthopédique, Avenue Pierre-Decker, 4, CH-1011, Lausanne, Switzerland.
University Hospital of Lausanne · CHÉcole Polytechnique Fédérale de Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeConcerns remain about potential increased wear with dual mobility cups related to the multiple articulations involved in this specific design of implant. This finite element analysis study aimed to compare polyethylene (PE) wear between dual mobility cup and conventional acetabular component, and between the use of conventional ultra-high molecular weight PE (UHMWPE) and highly cross-linked PE (XPLE).

methodsPatient-specific finite element modeling was developed for 15 patients undergoing primary total hip arthroplasty (THA). Five acetabular components were 3D modeled and compared in THA constructs replicating existing implants: a dual mobility cup with a 22.2-mm-diameter femoral head against UHMWPE or XLPE (DM22PE or DM22XL), a conventional cup with a 22.2-mm-diameter femoral head against UHMWPE (SD22PE) and a conventional cup with a 32-mm-diameter femoral head against UHMWPE or XLPE (SD32PE or SD32XL).

resultsDM22PE produced 4.6 times and 5.1 times more volumetric wear than SD32XL and DM22XL (p < 0.0001, Cohen's d = 6.97 and 7.11; respectively). However, even if significant, the differences in volumetric wear between DM22XL and SD32XL as well as between DM22PE and SD22PE or SD32PE were small according to their effect size (p < 0.0001, Cohen's |d|= 0.48 to 0.65) and could be therefore considered as clinically negligible.

conclusionWhen using XLPE instead of UHMWPE, dual mobility cup with a 22.2-mm-diameter femoral head produced a similar amount of volumetric wear than conventional acetabular component with a 32-mm-diameter femoral head against XLPE. Therefore, XLPE is advocated in dual mobility cup to improve its wear performance.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisFinite Element AnalysisHumansPolyethyleneProsthesis DesignProsthesis FailurePolyethyleneDual mobility cupHighly cross-linked polyethylenePatient-specific modelingPolyethylene mobile componentPolyethylene wear

Identifiers

PMID35020024
PMCPMC8930956
OpenAlexW4205296053

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Registered trials

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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.