Dual mobility total hip arthroplasty: should everyone get one?

被引：53

作者：

Blakeney, William G. ^{[1
,2
]}

Epinette, Jean-Alain ^{[3
]}

Vendittoli, Pascal-Andre ^{[2
,4
]}

机构：

[1] Hop Maison Neuve Rosemont, Dept Surg, CIUSSS Est Ile Montreal, Montreal, PQ, Canada

[2] Albany Hlth Campus, Dept Surg, Albany, Australia

[3] Clin Med Chirurg, Bruay La Buissiere, France

[4] Univ Montreal, Dept Surg, Montreal, PQ, Canada

来源：

EFORT OPEN REVIEWS | 2019年 / 4卷 / 09期

关键词：

dislocation; dual mobility; total hip arthroplasty; MOLECULAR-WEIGHT POLYETHYLENE; FOLLOW-UP; WEAR; IMPINGEMENT; PERFORMANCE; DISLOCATION; BEARINGS; SOCKET; CUPS;

D O I：

10.1302/2058-5241.4.180045

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Hip instability following total hip arthroplasty (THA) remains a major challenge and is one of the main causes of revision surgery. Dual mobility (DM) implants have been introduced to try to overcome this problem. The DM design consists of a small femoral head captive and mobile within a polyethylene liner. Numerous studies have shown that DM implants reduce the rate of dislocation compared to fixed-bearing inserts. Early designs for DM implants had problems with wear and intra-prosthetic dislocations, so their use was restricted to limited indications. The results of the latest generation of DM prostheses demonstrate that these problems have been overcome. Given the results of these studies presented in this review, surgeons may now consider DM THA for a wider patient selection.

引用

页码：541 / 547

页数：7

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