Evidence map›Paper›PMID 41359268›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Comparison between dual mobility and conventional total hip arthroplasty in East Asian, using nationwide database.

Young-Kyun Lee, Danbee Kang, Hyunsoo Kim, Eunjee Kang, Juhee Cho, Jung-Wee Park

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Young-Kyun LeeSeoul National University Bundang Hospital, Seongnam-si, Korea, Republic of.
Danbee KangDepartment of Clinical Research Design and Evaluation, Sungkyunkwan University, Seoul, Korea, Republic of.
Hyunsoo KimCenter for Clinical Epidemiology, Samsung Medical Center, Seoul, Korea, Republic of.
Eunjee KangCenter for Clinical Epidemiology, Samsung Medical Center, Seoul, Korea, Republic of.
Juhee ChoDepartment of Clinical Research Design and Evaluation, Sungkyunkwan University, Seoul, Korea, Republic of. alfadur2j@gmail.com.
Jung-Wee ParkSeoul National University Bundang Hospital, Seongnam-si, Korea, Republic of. jwepark@gmail.com.

Funding

Ministry of Food and Drug Safety 21173MFDS244
6 · The paper itself

Abstract

introductionDual mobility (DM) design increases the effective femoral head size and improve stability with increased jump distance and without impingement. The purpose of this study was to compare clinical outcomes and revision rate between conventional total hip arthroplasty (THA) and DM. MATERIALS AND

methodsUsing the Korean National Health Insurance Service database, patients ≥ 19 years who underwent primary THA between 2015 and 2019 (n = 47,119) were identified. Cumulative incidences of dislocation, periprosthetic joint infection (PJI), periprosthetic fracture were evaluated. Multivariable Cox proportional hazard regression ratios (HRs) were used to compare cup revision, stem revision and any revision within 6 years follow-up.

resultsIn adjusted analyses, DM showed a lower risk of dislocation (aHR = 0.57, 95% CI = 0.42–0.77) and higher risk of PJI (aHR = 1.46, 95% CI = 1.04–2.05), compared to conventional THA within 1 year, as well as within 30 days, 90 days. There were no significant differences in risk of cup revision (aHR = 0.66, 95% CI = 0.39 to 1.11), stem revision (aHR = 1.38, 95% CI = 0.95 to 2.01) and any revision (aHR = 0.99, 95% CI = 0.76 to 1.30).

conclusionsWe found a lower risk of dislocation and a higher risk of PJI for DM compared with conventional THA. And there was no difference in the overall revision rate between both groups. Our findings suggested that we can recommend DM when used, especially in patients with high risk of dislocation.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisProsthesis DesignAdultAgedDatabases, FactualFemaleHumansMaleMiddle AgedPeriprosthetic FracturesProsthesis FailureProsthesis-Related InfectionsReoperationRepublic of KoreaComplicationsDual mobilityNational registrySurvivorshipTotal hip arthroplasty

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