Outcome of Total Hip Arthroplasty using Dual Mobility Total Hip Arthroplasty Implant
Keywords:
Total Hip Arthroplasty, Harris Hip Score, Dislocation.Abstract
Objective: To evaluate the outcomes of total hip arthroplasty (THA) using a dual mobility implant.
Methodology: A cohort of 49 patients, aged 35 to 80 years and including both genders, who were scheduled for THA for various indications, were enrolled in this study. Patients underwent both clinical and radiographic evaluations prior to the surgery. The dual mobility implant was utilized during THA. Follow-up assessments were conducted three months postoperatively to monitor for any incidents of dislocation. The study spanned from [start date] to [end date] and received ethical approval under the reference number [ethical approval reference number].
Results: Out of the 49 patients, 32 (65.3%) were male, resulting in a male-to-female ratio of 2:1. The mean age of the patients was 61.00 ± 10.51 years. The mean preoperative Harris Hip Score was 49.04 ± 7.33, which improved significantly to 88.45 ± 8.58 postoperatively (p < 0.001). There were no dislocations observed during the follow-up period.
Conclusion: The study found a statistically significant improvement in Harris Hip Scores from preoperative to postoperative assessments, with no dislocations occurring following THA using a dual mobility implant.
References
1. Varacallo MA, Herzog L, Toossi N, Johanson NA. Ten-Year Trends, and Independent Risk Factors for Unplanned Readmission Following Elective Total Joint Arthroplasty at a Large Urban Academic Hospital. J Arthroplasty. 2017;32(6):1739-6.
2. Varacallo M, Chakravarty R, Denehy K, Star A. Joint perception and patient perceived satisfaction after total hip and knee arthroplasty in the American population. J Orthop. 2018 ;15(2):495-99.
3. Singh JA, Chen J, Inacio MC, Namba RS, Paxton EW. An underlying diagnosis of osteonecrosis of bone is associated with worse outcomes than osteoarthritis after total hip arthroplasty. BMC Musculoskelet Disord. 2017;18(1):8.
4. Varacallo M, Luo TD, Johanson NA. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Nov 3, 2022. Total Knee Arthroplasty Techniques.
5. Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007;370(9597):1508-19.
6. Gold M, Munjal A, Varacallo M. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Jul 25, 2022. Anatomy, Bony Pelvis and Lower Limb, Hip Joint.
7. Peters RM, Van Steenbergen LN, Stevens M, Rijk PC, Bulstra SK, Zijlstra WP. The effect of bearing type on the outcome of total hip arthroplasty. Acta Orthop. 2018;89(2):163-169.
8. Sarunas T, Alfredas S, Kazimieras G, Otto RJ. Short-term outcome after total hip arthroplasty using dual-mobility cup: report from Lithuanian Arthroplasty Register. Int Ortho. 2017;1-4.
9. Carkci E, Polat AE, Ozturkmen Y, Tuzuner T. Long-Term results of total Hip Arthroplasty performed using a cementless expansive Acetabular Cup and Spotorno Femoral Stem. Pak J Med Sci. 2021;37(1):52-58.
10. You D, Sepehri A, Kooner S, Krzyzaniak H, Johal H, Duffy P, Schneider P, Powell J. Outcomes of total hip arthroplasty using dual mobility components in patients with a femoral neck fracture. Bone Joint J. 2020 Jul;102-B(7):811-821.
11. Mufarrih SH, Qureshi NQ, Masri B, Noordin S. Outcomes of total hip arthroplasty using dual-mobility cups for femoral neck fractures: a systematic review and meta-analysis. Hip Int. 2021 Jan;31(1):12-23.
12. Ma, HH., Chou, TF.A., Pai, FY. et al. Outcomes of dual-mobility total hip arthroplasty versus bipolar hemiarthroplasty for patients with femoral neck fractures: a systematic review and meta-analysis. J Orthop Surg Res 16, 152 (2021). https://doi.org/10.1186/s13018-021-02316-6.
13. You D, Sepehri A, Kooner S, et al. Outcomes of total hip arthroplasty using dual mobility components in patients with a femoral neck fracture. Bone Joint J. 2020;102-B(7):811-821. doi:10.1302/0301-620X.102B7.BJJ-2019-1486.R1.
14. William GB, Jean AE, Pascal AE. EFORT Open Rev 2019;4:541-547. DOI: 10.1302/2058-5241.4.180045
15. Zampogna B, Papalia GF, Ferrini A, Torre G, Vorini F, Diaz Balzani LA, Farsetti P, Papalia R. Dual-mobility total hip arthroplasty in patients younger than 55 years old: a systematic review. Arch Orthop Trauma Surg. 2023 Nov;143(11):6821-6828.
16. Pai FY, Ma HH, Chou TA, Huang TW, Huang KC, Tsai SW, Chen CF, Chen WM. Risk factors and modes of failure in the modern dual mobility implant. A systematic review and meta-analysis. BMC Musculoskelet Disord. 2021 Jun 14;22(1):541