{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:46:11Z","timestamp":1792021571589,"version":"4.4.0"},"reference-count":50,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.arth.2026.02.038","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T17:47:52Z","timestamp":1772473672000},"page":"3420-3428.e3","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dual Mobility versus Jumbo Head (\u2265 40 mm) Following Primary Total Hip Arthroplasty: A Registry-Based Cohort Study"],"prefix":"10.1016","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7720-6187","authenticated-orcid":false,"given":"Foster","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather A.","family":"Prentice","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian H.","family":"Fasig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth W.","family":"Paxton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monti","family":"Khatod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanu M.","family":"Okike","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.02.038_bib1","series-title":"American Joint Replacement Registry (AJRR)","year":"2024"},{"key":"10.1016\/j.arth.2026.02.038_bib2","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.arth.2015.08.011","article-title":"Is there a benefit to head size greater than 36 mm in total hip arthroplasty?","volume":"31","author":"Haughom","year":"2016","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib3","doi-asserted-by":"crossref","first-page":"S124","DOI":"10.1016\/j.arth.2023.02.011","article-title":"Large femoral heads and select dual-mobility bearings are associated with reduced instability in contemporary posterior approach total hip arthroplasty","volume":"38","author":"Pitz-Gon\u00e7alves","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib4","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1177\/11207000221082927","article-title":"Dual-mobility constructs versus large femoral head bearings in primary and revision total hip arthroplasty: a systematic review and meta-analysis of comparative studies","volume":"33","author":"Hoskins","year":"2023","journal-title":"Hip Int"},{"key":"10.1016\/j.arth.2026.02.038_bib5","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1302\/0301-620X.93B7.26657","article-title":"Lower rates of dislocation with increased femoral head size after primary total hip replacement: a five-year analysis of NHS patients in England","volume":"93","author":"Jameson","year":"2011","journal-title":"J Bone Jt Surg Br"},{"key":"10.1016\/j.arth.2026.02.038_bib6","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1007\/s11999-010-1605-0","article-title":"Do large heads enhance stability and restore native anatomy in primary total hip arthroplasty?","volume":"469","author":"Lombardi","year":"2011","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.02.038_bib7","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1016\/j.arth.2024.10.135","article-title":"Dual-mobility articulations in primary total hip arthroplasty: mid-term outcomes from the American Joint Replacement Registry","volume":"40","author":"Heckmann","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib8","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1007\/s43465-021-00471-w","article-title":"Dual mobility in total hip arthroplasty: biomechanics, indications and complications-current concepts","volume":"55","author":"Patil","year":"2021","journal-title":"Indian J Orthop"},{"key":"10.1016\/j.arth.2026.02.038_bib9","doi-asserted-by":"crossref","first-page":"S685","DOI":"10.1016\/j.arth.2022.01.075","article-title":"Large femoral heads in total hip arthroplasty with vitamin E highly cross-linked polyethylene: head penetration rates compared to highly cross-linked polyethylene","volume":"37","author":"Nielson","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/j.jcot.2024.102495","article-title":"Dual-mobility implants in primary and revision total hip arthroplasty: a systematic review and meta-analysis","volume":"54","author":"Saroha","year":"2024","journal-title":"J Clin Orthop Trauma"},{"key":"10.1016\/j.arth.2026.02.038_bib11","first-page":"307","article-title":"Dual-mobility articulations in total hip arthroplasty: a durable game changer or the next cause for concern?","volume":"72","author":"Lustig","year":"2023","journal-title":"Instr Course Lect"},{"key":"10.1016\/j.arth.2026.02.038_bib12","article-title":"2023 hip and knee implant review","volume":"34","author":"Labs","year":"2023","journal-title":"Orthop Netw News"},{"key":"10.1016\/j.arth.2026.02.038_bib13","doi-asserted-by":"crossref","first-page":"S290","DOI":"10.1016\/j.arth.2025.05.078","article-title":"Should we use the largest femoral head with the smallest acetabular component in primary total hip arthroplasty?","volume":"40","author":"Wu","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib14","doi-asserted-by":"crossref","first-page":"S582","DOI":"10.1016\/j.arth.2022.01.090","article-title":"Pairing 40-mm femoral heads with the smallest compatible acetabular components in total hip arthroplasty: mid-term outcomes in 177 cases","volume":"37","author":"Bukowski","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib15","doi-asserted-by":"crossref","first-page":"118","DOI":"10.3928\/01477447-20230804-07","article-title":"Large femoral heads with small acetabular components: an examination of 10-year polyethylene wear","volume":"47","author":"Thalody","year":"2024","journal-title":"Orthopedics"},{"key":"10.1016\/j.arth.2026.02.038_bib16","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.arth.2022.08.023","article-title":"What patient and implant factors affect trunnionosis severity? An implant retrieval analysis of 664 femoral stems","volume":"38","author":"Codirenzi","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib17","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1016\/j.arth.2023.11.026","article-title":"Can dual mobility cups reduce revision and dislocation risks? An analysis of 107,528 primary total hip arthroplasties in the United States","volume":"39","author":"Khatod","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib18","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1007\/s00264-022-05639-z","article-title":"Use of dual-mobility cup in primary total hip arthroplasties: an Italian regional register (RIPO) study on three thousand, seven hundred and ten cases","volume":"47","author":"Tigani","year":"2023","journal-title":"Int Orthop"},{"key":"10.1016\/j.arth.2026.02.038_bib19","doi-asserted-by":"crossref","first-page":"87","DOI":"10.7812\/TPP\/22.172","article-title":"Comparing kaiser permanente members to the general population: implications for generalizability of research","volume":"27","author":"Davis","year":"2023","journal-title":"Perm J"},{"issue":"Suppl 2","key":"10.1016\/j.arth.2026.02.038_bib20","doi-asserted-by":"crossref","first-page":"117","DOI":"10.2106\/JBJS.J.00807","article-title":"A prospective study of 80,000 total joint and 5000 anterior cruciate ligament reconstruction procedures in a community-based registry in the United States","volume":"92","author":"Paxton","year":"2010","journal-title":"J Bone Jt Surg Am"},{"key":"10.1016\/j.arth.2026.02.038_bib21","first-page":"246","article-title":"Kaiser permanente implant registries benefit patient safety, quality improvement, cost-effectiveness","volume":"39","author":"Paxton","year":"2013","journal-title":"Jt Comm J Qual Patient Saf"},{"key":"10.1016\/j.arth.2026.02.038_bib22","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/00005650-199801000-00004","article-title":"Comorbidity measures for use with administrative data","volume":"36","author":"Elixhauser","year":"1998","journal-title":"Med Care"},{"key":"10.1016\/j.arth.2026.02.038_bib23","doi-asserted-by":"crossref","first-page":"1130","DOI":"10.1097\/01.mlr.0000182534.19832.83","article-title":"Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data","volume":"43","author":"Quan","year":"2005","journal-title":"Med Care"},{"key":"10.1016\/j.arth.2026.02.038_bib24","doi-asserted-by":"crossref","first-page":"2066","DOI":"10.1016\/j.arth.2025.01.020","article-title":"The association of jumbo femoral heads and acetabular cup position on patient outcomes after modern posterior approach total hip arthroplasty","volume":"40","author":"Darden","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib25","doi-asserted-by":"crossref","first-page":"S577","DOI":"10.1016\/j.arth.2022.03.020","article-title":"The effect of femoral head size on groin pain in total hip arthroplasty","volume":"37","author":"Moore","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10195-016-0391-1","article-title":"Trunnionosis in total hip arthroplasty: a review","volume":"17","author":"Mistry","year":"2016","journal-title":"J Orthop Traumatol"},{"key":"10.1016\/j.arth.2026.02.038_bib27","doi-asserted-by":"crossref","DOI":"10.1016\/j.artd.2025.101800","article-title":"Fracture of dual-mobility polyethylene liner in a primary total hip arthroplasty: a new complication to a modern design: a case report","volume":"35","author":"Bailey","year":"2025","journal-title":"Arthroplast Today"},{"key":"10.1016\/j.arth.2026.02.038_bib28","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1007\/s00264-016-3328-7","article-title":"Dual-mobility arthroplasty failure: a rationale review of causes and technical considerations for revision","volume":"41","author":"Hernigou","year":"2017","journal-title":"Int Orthop"},{"key":"10.1016\/j.arth.2026.02.038_bib29","doi-asserted-by":"crossref","first-page":"2172","DOI":"10.1016\/j.arth.2025.01.037","article-title":"Surveillance of dual-mobility hip systems: damage mode and clinical data analysis","volume":"40","author":"Ahlgren","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib30","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1007\/s11999-015-4381-z","article-title":"Dissociation and intrapelvic entrapment of a dual-mobility polyethylene component","volume":"474","author":"Fehring","year":"2016","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2026.02.038_bib31","series-title":"G7 Acetabular System Surgical Technique","article-title":"Zimmer Biomet","year":"2025"},{"key":"10.1016\/j.arth.2026.02.038_bib32","series-title":"PINNACLE Hip Solutions Product Catalogue","year":"2023"},{"key":"10.1016\/j.arth.2026.02.038_bib33","series-title":"PINNACLE Dual Mobility Surgical Technique","year":"2020"},{"key":"10.1016\/j.arth.2026.02.038_bib34","series-title":"R3 Acetabular System International Surgical Technique","year":"2022"},{"key":"10.1016\/j.arth.2026.02.038_bib35","series-title":"OR3O Dual Mobility with Oxinium DH Liner Technology Surgical Technique","year":"2022"},{"key":"10.1016\/j.arth.2026.02.038_bib36","series-title":"Trident II Tritanium Acetabular System Surgical Protocol","year":"2020"},{"key":"10.1016\/j.arth.2026.02.038_bib37","series-title":"Trident Tritanium Acetabular System Surgical Protocol","year":"2006"},{"key":"10.1016\/j.arth.2026.02.038_bib38","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1007\/s00590-017-2073-y","article-title":"Risk of revision and dislocation in single, dual mobility and large femoral head total hip arthroplasty: systematic review and network meta-analysis","volume":"28","author":"Pituckanotai","year":"2018","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.arth.2026.02.038_bib39","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1302\/0301-620X.107B7.BJJ-2025-0008.R1","article-title":"Primary total hip arthroplasty using jumbo femoral heads (40 and 44 mm): a series of over 1,800 patients","volume":"107-B","author":"Meissner","year":"2025","journal-title":"Bone Jt J"},{"key":"10.1016\/j.arth.2026.02.038_bib40","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.jor.2024.08.001","article-title":"Short-term outcomes with routine use of size \u226540 femoral heads in THA: a retrospective cohort study","volume":"59","author":"Ralles","year":"2025","journal-title":"J Orthop"},{"key":"10.1016\/j.arth.2026.02.038_bib41","doi-asserted-by":"crossref","DOI":"10.1016\/j.artd.2024.101556","article-title":"A mathematical evaluation of the effects of the head and neck diameter on the arc of motion and the implications in total hip arthroplasty","volume":"30","author":"Asnis","year":"2024","journal-title":"Arthroplast Today"},{"key":"10.1016\/j.arth.2026.02.038_bib42","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1016\/j.ajem.2005.03.002","article-title":"Closed reduction of prosthetic hip dislocation by emergency physicians","volume":"23","author":"Germann","year":"2005","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.arth.2026.02.038_bib43","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0883-5403(98)90070-5","article-title":"Prognosis of dislocation after total hip arthroplasty","volume":"13","author":"Joshi","year":"1998","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib44","doi-asserted-by":"crossref","first-page":"S206","DOI":"10.1016\/j.arth.2023.03.089","article-title":"Dual-mobility versus large femoral heads in revision total hip arthroplasty: interim analysis of a randomized controlled trial","volume":"38","author":"Weintraub","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib45","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1302\/0301-620X.106B5.BJJ-2023-0860.R1","article-title":"Incidence, treatment, and outcomes of modern dual-mobility intraprosthetic dissociations","volume":"106-B","author":"Mallett","year":"2024","journal-title":"Bone Jt J"},{"key":"10.1016\/j.arth.2026.02.038_bib46","doi-asserted-by":"crossref","first-page":"2793","DOI":"10.1016\/j.arth.2019.06.003","article-title":"High rate of early intraprosthetic dislocations of dual mobility implants: a single surgeon series of primary and revision total hip replacements","volume":"34","author":"Addona","year":"2019","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.02.038_bib47","article-title":"Dislocated and dissociated dual-mobility components are easily missed and more than half fail closed reduction: six tips to aid management","volume":"8","author":"Mallett","year":"2023","journal-title":"JB JS Open Access"},{"key":"10.1016\/j.arth.2026.02.038_bib48","doi-asserted-by":"crossref","first-page":"6439","DOI":"10.1007\/s00402-023-04826-w","article-title":"What is the rate of successful closed reduction of dislocated dual mobility cups following complex revision hip arthroplasty?","volume":"143","author":"Unter Ecker","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.arth.2026.02.038_bib49","doi-asserted-by":"crossref","first-page":"539","DOI":"10.37765\/ajmc.2022.89251","article-title":"Turnover among new medicare advantage enrollees may be greater than perceived","volume":"28","year":"2022","journal-title":"Am J Manag Care"},{"key":"10.1016\/j.arth.2026.02.038_bib50","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.0320","article-title":"Trends in disenrollment and reenrollment within US commercial health insurance plans, 2006-2018","volume":"5","author":"Fang","year":"2022","journal-title":"JAMA Netw Open"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326001828?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540326001828?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T22:53:48Z","timestamp":1792018428000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540326001828"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":50,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S0883540326001828"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.02.038","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Dual Mobility versus Jumbo Head (\u2265 40 mm) Following Primary Total Hip Arthroplasty: A Registry-Based Cohort Study","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.02.038","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}