Dual-mobility cups in total hip arthroplasty after femoral neck fractures: A retrospective study comparing outcomes between cemented and cementless fixation

被引:5
|
作者
Uriarte, Iker [1 ,2 ]
Moreta, Jesus [1 ,2 ]
Jimenez, Inigo [1 ]
Legarreta, Maria Jose [3 ,4 ]
Mozos, Jose Luis Martinez de los [1 ]
机构
[1] Hosp Galdakao Usansolo, Dept Orthoped Surg & Trauma, Bizkaia, Spain
[2] Hosp Galdakao Usansolo, Lower Limb Reconstruct Grp, Biocruces Bizkaia Hlth Res Inst, Osakidetza, Bizkaia, Spain
[3] Hosp Galdakao Usansolo, Res Unit, Bizkaia, Spain
[4] REDISSEC, Hlth Serv Res Chron Dis Network, Donostia San Sebastian, Spain
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2021年 / 52卷 / 06期
关键词
Femoral neck fracture; Dual-mobility cup; Total hip arthroplasty; Dislocation; Cup fixation; REDUCES DISLOCATION; HEMIARTHROPLASTY; REPLACEMENT; COHORT; RISK; THA;
D O I
10.1016/j.injury.2020.12.032
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Introduction: Total hip arthroplasty (THA) after femoral neck fracture (FNF) is associated with an increased risk of dislocation. The goals of our study were (1) to determine dislocation and revision rates when dual-mobility cups (DMCs) are used in these patients, (2) to analyze clinical and radiographic outcomes, survivorship, complications and mortality rate, and (3) to compare results between cemented and cementless cups. Patients and methods: We retrospectively reviewed patients with FNF treated using DMC-THA between 2011 and 2018. A minimum 2-year follow-up was required for clinical and radiographic assessment. The clinical outcome was assessed using the Harris Hip Score (HHS) and Merle D & acute;Aubigne-Postel score (MDP). Radiolucent lines, osteolysis and cup loosening were analyzed. Results: We included 105 patients (105 hips) with a mean age of 75.5 years. There were no dislocations. One patient (1.0%) underwent cup revision at 39 months for aseptic cup loosening. The mean HHS and MDP were 80.5 and 14.2 respectively at a mean follow-up of 4.1 years. A higher MDP was found in patients with cementless rather than cemented cups (15.0 vs. 13.1; p = 0.006). Four patients had radiolucent lines > 1 mm, around cemented cups. At 6.8 years, estimated cup survival was 98.2% for revision for aseptic loosening and 97.3% for revision for any reason. The mortality rates were 6.7% at 1 year and 23.8% at last follow-up. Conclusion: Our findings suggest that using DMC in THA for FNF may prevent dislocation with a low revision rate. Cementless cups had a higher MDP than cemented cups. (c) 2020 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1467 / 1472
页数:6
相关论文
共 50 条
  • [41] The association of dual-mobility total hip arthroplasty with dislocation compared to conventional hip arthroplasty for neck of femur fracture
    Arnold, Matthew C. A.
    Kennedy, John W.
    Wright, Evan
    Reece, Madeleine
    Meek, R. M. Dominic
    AIMS MEDICAL SCIENCE, 2023, 10 (04): : 304 - 309
  • [42] Modern Dual-Mobility Cups in Revision Total Hip Arthroplasty: A Systematic Review and Meta-Analysis
    Levin, Jay M.
    Sultan, Assem A.
    O'Donnell, Jeffrey A.
    Sodhi, Nipun
    Khlopas, Anton
    Piuzzi, Nicolas S.
    Mont, Michael A.
    JOURNAL OF ARTHROPLASTY, 2018, 33 (12): : 3793 - 3800
  • [43] Cemented Vs Cementless Femoral Fixation for Total Hip Arthroplasty After Displaced Femoral Neck Fracture: A Nationwide Analysis of Short-Term Complications and Readmission Rates
    Heckmann, Nathanael D.
    Chen, Xiao T.
    Ballatori, Alexander M.
    Ton, Andy
    Shahrestani, Shane
    Chung, Brian C.
    Christ, Alexander B.
    JOURNAL OF ARTHROPLASTY, 2021, 36 (11): : 3667 - +
  • [44] Can cemented dual-mobility cups be used without a reinforcement device in cases of mild acetabular bone stock alteration in total hip arthroplasty?
    Haen, T. X.
    Lonjon, G.
    Vandenbussche, E.
    ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2015, 101 (08) : 923 - 927
  • [45] FEMORAL-SHAFT FRACTURES AFTER CEMENTED TOTAL HIP-ARTHROPLASTY
    GARCIACIMBRELO, E
    MUNUERA, L
    GILGARAY, E
    INTERNATIONAL ORTHOPAEDICS, 1992, 16 (01) : 97 - 100
  • [46] Total hip arthroplasty with exclusive use of dual-mobility cup after failure of internal fixation in trochanteric fracture
    Favreau, Henri
    Ehlinger, Matthieu
    Adam, Philippe
    Bonnomet, Francois
    ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2020, 106 (04) : 645 - 649
  • [47] Outcomes of total hip arthroplasty using dualmobility cups for femoral neck fractures: a systematic review and meta-analysis
    Mufarrih, Syed H.
    Qureshi, Nada Q.
    Masri, Bassam
    Noordin, Shahryar
    HIP INTERNATIONAL, 2021, 31 (01) : 12 - 23
  • [48] Prevalence of groin pain after primary dual-mobility total hip arthroplasty
    Lenartowicz, Karina A.
    Wyles, Cody C.
    Carlson, Samuel W.
    Sierra, Rafael J.
    Trousdale, Robert T.
    HIP INTERNATIONAL, 2023, 33 (02) : 214 - 220
  • [49] Dual Mobility Cups Hip Arthroplasty as A Treatment for Displaced Fracture of the Femoral Neck in the Elderly Patients: A Prospective Study
    Patel, Dharmesh
    Singh, Avtar
    Vohra, Rajeev
    Chauhan, Sandeep
    TRAUMA MONTHLY, 2022, 27 (03) : 504 - 512
  • [50] Total Hip Arthroplasty After In Situ Fixation of Minimally Displaced Femoral Neck Fractures in Elderly Patients
    Hernandez, Nicholas M.
    Chalmers, Brian P.
    Perry, Kevin I.
    Berry, Daniel J.
    Yuan, Brandon J.
    Abdel, Matthew P.
    JOURNAL OF ARTHROPLASTY, 2018, 33 (01): : 144 - 148