{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T05:29:08Z","timestamp":1738042148030,"version":"3.33.0"},"reference-count":19,"publisher":"Universa BV","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Dislocation is the second most common indication for revision total hip arthroplasty (THA). In revision cases the dislocation rate can be as high as 5-30%. The aim of this study was to assess the outcome, specifically the dislocation rate in revision THA where a dual mobility cup was used. We retrospectively reviewed all the revision THAs where a dual mobility cup (G7) was used. The pre-operative and post-operative oxford hip scores were recorded. Patients\u2019 electronic records and radiographs were studied for the indications, approaches used, post-operative complications, re-operation rates, and re-revision surgery. Between 2016 and 2020, we performed 59 revision total hip replacements where a dual mobility cup (G7) was used. There were 23 males and 36 females. The average age was 74 years (range, 64-89). Acetabular components were revised in 47 (80%) cases and both the femoral and the acetabular components were revised in 12 (20%) cases. The average follow-up time was 4 years (range, 2-6 years). Average pre-operative and post-operative oxford hip scores were 17 and 36 respectively. The improvement was significant with P value of &lt;.001. Complications were noted in 5 (8%) patients. One patient had dislocation. This patient required re-revision with constrained liner. One patient had intraoperative fracture of the femur and was treated with plate and cables. We conclude that the dual mobility cup can significantly reduce the risk of dislocation when used in revision THA.<\/jats:p>","DOI":"10.52628\/90.4.12752","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T10:59:53Z","timestamp":1737975593000},"page":"575-579","source":"Crossref","is-referenced-by-count":0,"title":["Low dislocation rate following revision total hip arthroplasty (THA) with dual mobility cup with minimum 2-year follow-up"],"prefix":"10.52628","volume":"90","author":[{"given":"Shah","family":"JEHAN","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"BY NG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"CE JONES","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajit","family":"SHETTY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"27062","published-online":{"date-parts":[[2025,1]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Van Eecke E, Vanbiervliet J, Dauwe J, Mulier M. Comparison of Constrained Acetabular Components and Dual Mobility Cups in Revision Total Hip Arthroplasty: A Literature Review. Hip Pelvis. 2020;32(2):59.","DOI":"10.5371\/hp.2020.32.2.59"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Iorio R, Robb WJ, Healy WL, Berry DJ, Hozack WJ, Kyle RF, et al. Orthopaedic surgeon workforce and volume assessment for total hip and knee replacement in the United States: preparing for an epidemic. J Bone Joint Surg Am. 2008 Jul;90(7):1598\u2013605.","DOI":"10.2106\/jbjs.h.00067"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Wera GD, Ting NT, Moric M, Paprosky WG, Sporer SM, Della Valle CJ. Classification and management of the unstable total hip arthroplasty. J Arthroplasty. 2012 May;27(5):710\u20135.","DOI":"10.1016\/j.arth.2011.09.010"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Biedermann R, Tonin A, Krismer M, Rachbauer F, Eibl G, St\u00f6ckl B. Reducing the risk of dislocation after total hip arthroplasty: THE EFFECT OF ORIENTATION OF THE ACETABULAR COMPONENT. The Journal of Bone and Joint Surgery British volume. 2005 Jun;87-B(6):762\u20139.","DOI":"10.1302\/0301-620x.87b6.14745"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Pai FY, Ma HH, Chou TFA, Huang TW, Huang KC, Tsai SW, et al. Risk factors and modes of failure in the modern dual mobility implant. A systematic review and meta-analysis. BMC Musculoskelet Disord. 2021 Dec;22(1):541.","DOI":"10.1186\/s12891-021-04404-4"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Alberton GM, High WA, Morrey BF. Dislocation after revision total hip arthroplasty : an analysis of risk factors and treatment options. J Bone Joint Surg Am. 2002 Oct;84(10):1788-92.","DOI":"10.2106\/00004623-200210000-00008"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Philippot R, Adam P, Reckhaus M, Delangle F, Verdot FX, Curvale G, et al. Prevention of dislocation in total hip revision surgery using a dual mobility design. Orthopaedics & Traumatology: Surgery & Research. 2009 Oct;95(6):407\u201313.","DOI":"10.1016\/j.otsr.2009.04.016"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Mohammed R, Hayward K, Mulay S, Bindi F, Wallace M.Outcomes of dual-mobility acetabular cup for instability in primary and revision total hip arthroplasty. J Orthopaed Traumatol. 2015 Mar;16(1):9\u201313.","DOI":"10.1007\/s10195-014-0324-9"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Batailler C, Fary C, Verdier R, Aslanian T, Caton J, Lustig S. The evolution of outcomes and indications for the dual-mobility cup: a systematic review. Int Orthop. 2017 Mar;41(3):645\u201359.","DOI":"10.1007\/s00264-016-3377-y"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Su EP, Pellicci PM. The role of constrained liners in total hip arthroplasty. Clin Orthop Relat Res. 2004 Mar;(420):122\u20139.","DOI":"10.1097\/00003086-200403000-00017"},{"key":"ref10","unstructured":"Yang S, Xie F, Cui W, Zhang Y, Jin Z. A review of the clinical and engineering performance of dual-mobility cups for total hip arthroplasty. Am J Transl Res. 2021 Aug 15;13(8):9383-9394"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Plummer DR, Haughom BD, Della Valle CJ. Dual mobility in total hip arthroplasty. Orthop Clin North Am. 2014 Jan;45(1):1\u20138.","DOI":"10.1016\/j.ocl.2013.08.004"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Wakeling CP, Sandiford NA, Ghani R, Bridle SJ, Mitchell PA, Hutt JR. Dual-mobility bearings in complex revision hip arthroplasty. Hip Int. 2022 Jul;32(4):460-465","DOI":"10.1177\/1120700021999795"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Simian E, Chatellard R, Druon J, Berhouet J, Rosset P. Dual mobility cup in revision total hip arthroplasty: Dislocation rate and survival after 5 years. Orthopaedics & Traumatology: Surgery & Research. 2015 Sep;101(5):577\u201381.","DOI":"10.1016\/j.otsr.2015.05.002"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Hailer NP, Weiss RJ, Stark A, K\u00e4rrholm J. Dual-mobility cups for revision due to instability are associated with a low rate of re-revisions due to dislocation: 228 patients from the Swedish Hip Arthroplasty Register. Acta Orthopaedica. 2012Dec;83(6):566\u201371.","DOI":"10.3109\/17453674.2012.742395"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"De Martino I, D\u2019Apolito R, Soranoglou VG, Poultsides LA, Sculco PK, Sculco TP. Dislocation following total hip arthroplasty using dual mobility acetabular components: a systematic review. The Bone & Joint Journal. 2017 Jan;99-B(1_ Supple_A):18\u201324.","DOI":"10.1302\/0301-620x.99b1.bjj-2016-0398.r1"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"D\u2019Apuzzo MR, Koch CN, Esposito CI, Elpers ME, Wright TM, Westrich GH. Assessment of Damage on a Dual Mobility Acetabular System. J Arthroplasty. 2016 Aug;31(8):1828-35.","DOI":"10.1016\/j.arth.2016.01.039"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"Adam P, Farizon F, Fessy MH. Dual mobility retentive acetabular liners and wear: surface analysis of 40 retrieved polyethylene implants. Orthop Traumatol Surg Res. 2014 Feb;100(1):85-91.","DOI":"10.1016\/j.otsr.2013.12.011"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"Neri T, Boyer B, Geringer J, Di Iorio A, Caton JH, PhiIippot R, et al. Intraprosthetic dislocation of dual mobility total hip arthroplasty: still occurring? International Orthopaedics (SICOT). 2019 May;43(5):1097\u2013105.","DOI":"10.1007\/s00264-018-4054-0"}],"container-title":["Acta Orthopaedica Belgica"],"original-title":[],"deposited":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T11:00:33Z","timestamp":1737975633000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actaorthopaedica.be\/archive\/volume-90\/issue-4\/original-studies\/low-dislocation-rate-following-revision-tha-with-dual-mobility-cup-with-minimum-2-year-follow-up\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":19,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,1]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.52628\/90.4.12752","relation":{},"ISSN":["0001-6462"],"issn-type":[{"value":"0001-6462","type":"print"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}