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Dual mobility tha

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https://www.readbyqxmd.com/read/29674847/good-function-and-high-patient-satisfaction-at-mean-2-8-years-after-dual-mobility-tha-following-femoral-neck-fracture-a-cross-sectional-study-of-124-patients
#1
Steffan Tabori-Jensen, Torben B Hansen, Søren Bøvling, Peter Aalund, Morten Homilius, Maiken Stilling
Aims: Our aim was to investigate function, health status and satisfaction in patients treated with primary dual mobility (DM) total hip arthroplasty (THA) after displaced femoral neck fracture (FNF). Patients and methods: From 2005-2011, 414 consecutive FNF patients received Saturne DM THA. At a minimum of 1-year follow-up, 124 (95 women) were evaluated with Oxford Hip Score (OHS), Harris Hip Score (HHS), health-related quality of life (HRQoL) measure (EQ-5D) and two functional tests: Timed Up and Go (TUG) and Sit to Stand 10 times (STS)...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29661526/a-retrieval-analysis-of-impingement-in-dual-mobility-liners
#2
Trevor P Scott, Lydia Weitzler, Anthony Salvatore, Timothy M Wright, Geoffrey H Westrich
BACKGROUND: Implant-related impingement is likely a major causative factor of total hip arthroplasty (THA) instability. Dual-mobility (DM) cups can theoretically improve stability in THA, but impingement rates with DM cups are not well studied. We examined retrieved DM THA liners to determine if less evidence existed for prosthetic impingement between the neck and the polyethylene liner than historical studies from our institution on fixed-bearing THAs. METHODS: DM components from 93 THAs were identified from 164 THAs whose DM components were revised between 2008 and 2015 through our institutional review board-approved implant retrieval program...
March 16, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29656965/total-hip-arthroplasty-for-periacetabular-metastatic-disease-an-original-technique-of-reconstruction-according-to-the-harrington-classification
#3
Julien Wegrzyn, Matthieu Malatray, Turki Al-Qahtani, Vincent Pibarot, Cyrille Confavreux, Gilles Freyer
BACKGROUND: Periacetabular metastatic disease requires complex acetabular reconstruction. The complication rate for these frail patients is high. Various cement-rebar reinforced techniques allowing cemented total hip arthroplasty (THA) have been described. The optimal procedure has not yet been identified. METHODS: A continuous series of 131 THAs performed in 126 patients with periacetabular metastatic disease was prospectively included in this study. After bone metastasis curettage and cementation, an original technique of acetabular reconstruction was performed using a dual mobility cup cemented into an acetabular reinforcement device (ie, Kerboull cross-plate or Burch-Schneider antiprotrusio cage) according to the Harrington classification...
March 17, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29529661/corr-insights%C3%A2-can-dislocation-of-a-constrained-liner-be-salvaged-with-dual-mobility-constructs-in-revision-tha
#4
Scott S Kelley
No abstract text is available yet for this article.
February 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29529660/can-dislocation-of-a-constrained-liner-be-salvaged-with-dual-mobility-constructs-in-revision-tha
#5
Brian P Chalmers, Graham D Pallante, Michael J Taunton, Rafael J Sierra, Robert T Trousdale
BACKGROUND: Revision THA to treat recurrent instability can itself be complicated by recurrent instability, and when this occurs, this problem is difficult to treat. Some patients' THAs will continue to dislocate despite use of a constrained liner. One option in this difficult-to-treat group is conversion to a dual-mobility (DM) construct, but there are few data on this approach. QUESTIONS/PURPOSES: (1) What were the Harris hip scores in a small group of patients whose constrained liners were converted to DM constructs to treat recurrent dislocation? (2) What were the redislocation, rerevision, and DM construct retention rates in these patients? METHODS: We conducted a retrospective analysis of a longitudinally maintained institutional database maintained by individuals other than the treating surgeons to identify patients undergoing conversion of constrained liners to DM constructs in revision THA from 2011 to 2014...
February 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29529659/corr-insights%C3%A2-otto-aufranc-award-dual-mobility-constructs-in-revision-tha-reduced-dislocation-rerevision-and-reoperation-compared-with-large-femoral-heads
#6
Kevin L Garvin
No abstract text is available yet for this article.
February 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29529658/otto-aufranc-award-dual-mobility-constructs-in-revision-tha-reduced-dislocation-rerevision-and-reoperation-compared-with-large-femoral-heads
#7
Molly A Hartzler, Matthew P Abdel, Peter K Sculco, Michael J Taunton, Mark W Pagnano, Arlen D Hanssen
BACKGROUND: Dislocation is one of the most common complications after revision THA. Dual-mobility constructs and large femoral heads (ie, 40 mm) are two contemporary, nonconstrained bearing options used in revision THA to minimize the risk of dislocation; however, it is not currently established if there is a clear benefit to using dual-mobility constructs over large femoral heads in the revision setting. QUESTIONS/PURPOSES: We sought to determine if dual-mobility constructs would provide a reduction in dislocation, rerevision for dislocation, and reoperation or other complications as compared with large femoral heads in revision THA...
February 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29525344/prevention-of-dislocation-after-total-hip-arthroplasty
#8
Fiachra E Rowan, Biju Benjamin, Jurek R Pietrak, Fares S Haddad
BACKGROUND: Prevention of dislocation after primary total hip arthroplasty (THA) begins with patient preoperative assessment and planning. METHODS: We performed a literature search to assess historical perspectives and current strategies to prevent dislocation after primary THA. The search yielded 3458 articles, and 154 articles are presented. RESULTS: Extremes of age, body mass index >30 kg/m2 , lumbosacral pathology, surgeon experience, and femoral head size influence dislocation rates after THA...
March 7, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29500088/dual-mobility-constructs-in-revision-total-hip-arthroplasties
#9
Matthew P Abdel
Dislocation after revision total hip arthroplasty (THA) continues to be one of the most common and concerning complications after the procedure. As with every hip arthroplasty, it is essential to optimize component positioning, minimize impingement, and maintain the integrity of the abductor complex during the revision THAs. However, in several revision circumstances, additional strategies are required to mitigate the risk of dislocation, particularly those being revised for instability or those with cognitive or neuromuscular disorders...
February 27, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29469804/early-results-of-total-hip-arthroplasty-using-dual-mobility-cup-in-patients-with-osteonecrosis-of-the-femoral-head
#10
Chahine Assi, Nadim Kheir, Camille Samaha, Pascal Kouyoumjian, Kaissar Yammine
INTRODUCTION: Osteonecrosis of the femoral head (ONFH) remains a therapeutic challenge for patients undergoing total hip arthroplasty (THA). The majority of these patients are young with high functional demand, and show an increased risk of dislocation following surgery than patients with osteoarthritis. The use of double mobility cup (DMC) has been linked with lower rates of complications when compared to conservative cups; however, the literature is scarce over DMC results in patients with ONFH...
2018: SICOT-J
https://www.readbyqxmd.com/read/29454973/comparison-of-dual-mobility-total-hip-arthroplasty-and-bipolar-arthroplasty-for-femoral-neck-fractures-a-retrospective-case-control-study-of-199-hips
#11
B Boukebous, P Boutroux, R Zahi, C Azmy, P Guillon
BACKGROUND: The choice between performing total hip arthroplasty (THA) or hemiarthroplasty (HA) is not straightforward in older patients with femoral neck fracture, particularly when co-morbidities are factored in. This led us to carry out a case-control study to determine (1) the rate of mechanical complications for these two types of implants, and (2) the rate of medical complications and mortality. HYPOTHESIS: THA with dual mobility cup (DM) will result in fewer mechanical complications than HA...
February 15, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29367367/dual-mobility-total-hip-dislocation-femoral-stem-loosening-while-attempting-closed-reduction-a-cautionary-note
#12
Sharukh Dotivala, Ross Coomber, Majid Chowdhry, Andrew D Carrothers
A 77-year-old man sustained an acetabular fracture after falling from a staircase and landing on his right side. He fractured the anterior column of his acetabulum and the quadrilateral plate. He underwent a single-stage open reduction and internal fixation of the fracture combined with a dual mobility total hip arthroplasty (THA). He sustained a traumatic hip dislocation 1 month postoperatively. Closed reduction was attempted at another hospital, and the femoral stem was pulled out. We believe this was caused by the polyliner being hitched either to the acetabular cup or in the soft tissues around the ilium...
January 23, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29305445/outcomes-of-dual-mobility-components-in-total-hip-arthroplasty-a-systematic-review-of-the-literature
#13
REVIEW
B Darrith, P M Courtney, C J Della Valle
AIMS: Instability remains a challenging problem in both primary and revision total hip arthroplasty (THA). Dual mobility components confer increased stability, but there are concerns about the unique complications associated with these designs, as well as the long-term survivorship. MATERIALS AND METHODS: We performed a systematic review of all English language articles dealing with dual mobility THAs published between 2007 and 2016 in the MEDLINE and Embase electronic databases...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29277516/course-of-dislocated-posterior-hip-arthroplasty-a-continuous-232-patient-series-at-a-mean-10-years-follow-up-range-1-22-years
#14
P Martinot, A Blairon, S Putman, G Pasquier, J Girard, H Migaud
BACKGROUND: Dislocation rates in posterior total hip arthroplasty (THA) range between 2% and 5%, but long-term course (recurrence of dislocation or revision surgery) is not known, most series having short follow-up or small populations. We therefore conducted a retrospective study on a large series, to determine long-term rates of recurrence and surgical revision and recurrence risk factors. HYPOTHESIS: Long-term follow-up of a large cohort of THA dislocations enables recurrence rate and factors to be determined...
December 22, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29276118/total-hip-arthroplasty-in-patients-with-parkinson-disease-improved-outcomes-with-dual-mobility-implants-and-cementless-fixation
#15
Jean Y Lazennec, Youngwoo Kim, Aidin Eslam Pour
BACKGROUND: Parkinson disease (PD) results in severe limitation in ambulation caused by abnormality of gait and posture. The rate of complications, including fractures and dislocation after total hip arthroplasty (THA), can be higher among these patients. The goal of this study was to investigate the long-term outcomes of primary and revision THAs with cementless dual mobility implants. METHODS: This retrospective study examines 59 PD patients who had surgery between 2002 and 2012...
December 5, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29273288/cementation-of-a-dual-mobility-construct-in-recurrently-dislocating-and-high-risk-patients-undergoing-revision-total-arthroplasty
#16
Brian P Chalmers, Cameron K Ledford, Michael J Taunton, Rafael J Sierra, David G Lewallen, Robert T Trousdale
BACKGROUND: Recurrent instability remains a challenge after revision total hip arthroplasty (THA). We report the outcomes of cementing a cementless dual mobility (DM) component into a stable acetabular shell for the treatment and/or prevention of instability in revision THA. METHODS: Eighteen patients (18 THAs) undergoing revision THA with a specific monoblock DM construct cemented into a new acetabular component or an existing well-fixed component from 2011 to 2014 were retrospectively reviewed...
December 6, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29218688/is-dual-mobility-associated-with-an-increased-risk-of-revision-for-infection-matched-cohort-of-231-cases-of-dual-mobility-cups-and-231-fixed-cups
#17
Jean Louis Prudhon, Romain Desmarchelier, Moussa Hamadouche, Christian Delaunay, Regis Verdier
INTRODUCTION: We used a matched cohort of 231 cases of revision of primary dual-mobility cups (DMC) total hip arthroplasty (THA) and 231 cases of fixed cups (FC) THA, to determine whether (i) revision for infection was more frequent when using DMC-THA than FC-THA; (ii) Causes for revision were significantly different. METHODS: The French Society of Orthopaedics and Traumatology carried out a prospective multicentre study from 2010 to 2011. The inclusion criterion was an exhaustive collection of 1st revision THA (at least 1 component revised, re-revision excluded)...
December 4, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29119371/risk-of-revision-and-dislocation-in-single-dual-mobility-and-large-femoral-head-total-hip-arthroplasty-systematic-review-and-network-meta-analysis
#18
Kwanchai Pituckanotai, Alisara Arirachakaran, Harit Tuchinda, Chinundorn Putananon, Nitiphol Nualsalee, Kittipong Setrkraising, Jatupon Kongtharvonskul
Postoperative dislocation is a challenging complication after total hip arthroplasty (THA) that affects patient outcome worldwide. Instability is one of the main complications with rates exceeding 20% in some series. Currently, alternative acetabular components are available with dual mobility (DMTHA) bearing surfaces and larger femoral head size that may reduce the risk of dislocation, yet provide the functional benefit of standard single mobility (STHA) bearing surface THA. However, whether STHA, big femoral head (BTHA) and DMTHA should be used is still controversial...
November 8, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29079169/utilizing-dual-mobility-components-for-first-time-revision-total-hip-arthroplasty-for-instability
#19
Jeffrey K Lange, Sara K Spiro, Geoffrey H Westrich
BACKGROUND: Dislocation following total hip arthroplasty (THA) remains a significant clinical problem. Few studies have focused on the use of dual mobility (DM) components in the setting of first-time revision for instability following THA. Here, we investigate patient outcomes following first-time revision THA with DM components for a diagnosis of instability. METHODS: Institution-wide revision THAs using DM components performed between 2010 and 2013 were identified...
September 23, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28986663/dislocations-after-use-of-dual-mobility-cups-in-cementless-primary-total-hip-arthroplasty-prospective-multicentre-series
#20
Ji-Hyo Hwang, Sang-Min Kim, Kwang-Jun Oh, Yeesuk Kim
BACKGROUND: The purpose of this study was to investigate the incidence of dislocation and specific complications of the dual-mobility cup. METHODS: The arthroplasties involved 167 hips in 165 patients; 51 hips (30.5%) were in men and 116 (69.4%) were in women. The active articulation E1® dual-mobility cup (Biomet, Warsaw, IN, USA) was used, and the surgical approach was posterolateral in 120 hips and anterolateral in 47 hips. RESULTS: Four (2...
October 7, 2017: International Orthopaedics
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