Dual mobility Cup in Patients Younger Than 70 Years: Preliminary Results of a Case series
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Abstract
Materials and Methods: Retrospective descriptive study of 61 patients (mean age, 62 years) treated with cemented and uncemented dual mobility acetabular components between 2014 and 2019. Mean follow-up was 47 months (range, 36-86). Clinical evaluation included the Harris Hip Score and the Oxford Hip Score, together with radiographic assessment of both hips.
Results: Indications for surgery were avascular necrosis of the hip (8 cases), femoral neck fracture (17 cases), and hip osteoarthritis (36 cases). During follow-up, no dislocations or component loosening were observed. One patient reported localized pain associated with trochanteric bursitis. The mean postoperative Harris Hip Score was 95 points, and the mean Oxford Hip Score was 45, which was a significant improvement.
Conclusions: The dual mobility cup is a valid option for patients younger than 70 years, regardless of the underlying condition. Its use reduces the risk of prosthetic dislocation and provides good clinical outcomes, while also lowering hospitalization and reoperation costs.
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References
2. Lamo-Espinosa JM, Gómez-Álvarez J, Gatica J, Suárez Á, Moreno V, Díaz de Rada P, et al. Cemented dual mobility cup for primary total hip arthroplasty in elder patients with high-risk instability. Geriatrics (Basel) 2021;6(1):23. https://doi.org/10.3390/geriatrics6010023
3. Nilsdotter A, Bremander A. Measures of hip function and symptoms: Harris Hip Score (HHS), Hip Disability and Osteoarthritis Outcome Score (HOOS), Oxford Hip Score (OHS), Lequesne Index of Severity for Osteoarthritis of the Hip (LISOH), and American Academy of Orthopedic Surgeons (AAOS) Hip and Knee Questionnaire. Arthritis Care Res (Hoboken) 2011;63(Suppl 11):S200-S207. https://doi.org/10.1002/acr.20549
4. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 1976;(121):20-32. PMID: 991504
5. Gruen TA, McNeice GM, Amstutz HC. “Modes of failure” of cemented stem-type femoral components: a radiographic análisis of loosening. Clin Orthop Relat Res 1979;(141):17-27. PMID: 477100
6. De Martino I, Triantafyllopoulos GK, Sculco PK, Sculco TP. Dual mobility cups in total hip arthroplasty. World J Orthop 2014;5(3):180-7. https://doi.org/10.5312/wjo.v5.i3.180
7. Gómez-García F. Copa de doble movilidad: aciertos, riesgos y enseñanzas. Acta Ortop Mex 2022;36(5):308-17. https://doi.org/10.35366/111166
8. Matsen Ko LJ, Pollag KE, Yoo JY, Sharkey PF. Serum metal ion levels following total hip arthroplasty with modular dual mobility components. J Arthroplasty 2016;31(1):186-9. https://doi.org/10.1016/j.arth.2015.07.035
9. Puch JM, Derhi G, Descamps L, Verdier R, Caton JH. Dual-mobility cup in total hip arthroplasty in patients les than fifty-five years and over ten years of follow-up: A prospective and comparative series. Int Orthop 2017;41(3):475-80. https://doi.org/10.1007/s00264-016-3325-x
10. Prudhon JL, Ferreira A, Verdier R. Dual mobility cup: dislocation rate and survivorship at ten years of follow-up. Int Orthop 2013;37(12):2345-50. https://doi.org/10.1007/s00264-013-2067-2
11. Garabano G, Alonso MI, Pérez Alamino L, Jaime A, Cullari M, Pesciallo CÁ. Resultados iniciales del uso de cotilos de doble movilidad en pacientes <65 años con fractura de cadera. Análisis retrospectivo de 102 casos. Rev Asoc Arg Ortop Traumatol 2023;88(5):520-6. https://doi.org/10.15417/issn.1852-7434.2023.88.5.1757
