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Use of dual-mobility cup in revision hip arthroplasty reduces the risk for further dislocation: analysis of seven hundred and ninety one first-time revisions performed due to dislocation, reported to the Swedish Hip Arthroplasty Register.
- Source :
-
International Orthopaedics . Mar2017, Vol. 41 Issue 3, p583-588. 6p. - Publication Year :
- 2017
-
Abstract
- <bold>Purpose: </bold>Dislocation after total hip arthroplasty (THA) is a common reason for revision. The last decade fostered a significant increase in the use of dual-mobility cups (DMCs). Here we report our study on the short-term survival rate of a cemented DMC reported to the Swedish Hip Arthroplasty Register (SHAR) compared with other cemented designs used in first-time revision due to dislocation.<bold>Methods: </bold>During 2005-2015, 984 first-time revisions for dislocation were reported to SHAR. In 436 of these cases a cemented dual articular cup was used. During the same time period, 355 revisions performed with a standard cemented cup (femoral head size 28-36 mm) were reported to the SHAR. Patients receiving a DMC were slightly older (75 years, p = 0.005). Re-revision for all reasons was used as primary endpoint. We also anlaysed risk for re-revision of the acetabular component and re-revision due to dislocation. Kaplan-Meier implant survival and a Cox regression analyses adjusted for age and gender were performed.<bold>Results: </bold>Implant survival at 4 years for all reasons (91% ± 3.7% vs 86% ± 4.1%, p = 0.02), and especially for re-operation because of dislocation, favours the DMC group (96% ± 3.0% vs 92% ± 3.3%, p = 0.001).<bold>Discussion: </bold>Our findings indicate that use of a cemented DMC reduces the short- to mid-term risk of a second revision in first-time revisions compared with classic cup designs. Longer follow-up is needed to establish any long-term clinical advantages when DMCs are used in revisions performed due to dislocation. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 03412695
- Volume :
- 41
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- International Orthopaedics
- Publication Type :
- Academic Journal
- Accession number :
- 121610674
- Full Text :
- https://doi.org/10.1007/s00264-016-3381-2