双动组件在全髋关节置换术中的应用：适应证与结果
Use of dual mobility components in total hip arthroplasty: Indications and outcomes.
作者信息
Vajapey Sravya P, Fideler Kathryn L, Lynch Daniel, Li Mengnai
机构信息
Department of Orthopaedics, The Ohio State University Wexner Medical Center, United States.
School of Medicine, The Ohio State University Wexner Medical Center, United States.
出版信息
J Clin Orthop Trauma. 2020 Oct;11(Suppl 5):S760-S765. doi: 10.1016/j.jcot.2020.07.035. Epub 2020 Jul 31.
Abstract
Instability after total hip arthroplasty (THA) can be a problematic complication and remains one of the leading causes of revision surgery in the early post-operative period. Dual mobility (DM) implants decrease dislocation risk after THA but they come with their own set of complications. Selective use of DM implants for THA in high risk groups can confer the advantages of this construct while mitigating the risks. In this paper, we review the current literature to examine the evidence for or against use of DM implants in various clinical scenarios and provide an algorithm for when to consider using DM design construct in THA.
摘要
全髋关节置换术（THA）后的不稳定可能是一个棘手的并发症，并且仍然是术后早期翻修手术的主要原因之一。双动（DM）植入物可降低THA后的脱位风险，但它们也有自身的一系列并发症。在高危人群中选择性使用DM植入物进行THA可以在降低风险的同时赋予这种结构的优势。在本文中，我们回顾了当前的文献，以研究在各种临床情况下支持或反对使用DM植入物的证据，并提供一个算法，用于确定何时考虑在THA中使用DM设计结构。
相似文献
1
Use of dual mobility components in total hip arthroplasty: Indications and outcomes.
J Clin Orthop Trauma. 2020 Oct;11(Suppl 5):S760-S765. doi: 10.1016/j.jcot.2020.07.035. Epub 2020 Jul 31.
2
Revision total hip arthroplasty with a Kerboull plate: comparative outcomes using standard versus dual mobility cups.
Int Orthop. 2019 Oct;43(10):2245-2251. doi: 10.1007/s00264-018-4209-z. Epub 2018 Oct 29.
3
Utilizing Dual Mobility Components for First-Time Revision Total Hip Arthroplasty for Instability.
J Arthroplasty. 2018 Feb;33(2):505-509. doi: 10.1016/j.arth.2017.09.029. Epub 2017 Sep 23.
4
Risk of revision and dislocation in single, dual mobility and large femoral head total hip arthroplasty: systematic review and network meta-analysis.
Eur J Orthop Surg Traumatol. 2018 Apr;28(3):445-455. doi: 10.1007/s00590-017-2073-y. Epub 2017 Nov 8.
5
Spine Fusions, Yoga Instructors, and Hip Fractures: The Role of Dual Mobility in Primary Total Hip Arthroplasty.
J Arthroplasty. 2021 Jul;36(7S):S70-S79. doi: 10.1016/j.arth.2020.12.057. Epub 2021 Jan 7.
6
Causes for revision of dual-mobility and standard primary total hip arthroplasty : Matched case-control study based on a prospective multicenter study of two thousand and forty four implants.
Int Orthop. 2017 Mar;41(3):455-459. doi: 10.1007/s00264-015-3064-4. Epub 2015 Dec 14.
7
Dislocation following total hip arthroplasty using dual mobility acetabular components: a systematic review.
Bone Joint J. 2017 Jan;99-B(ASuppl1):18-24. doi: 10.1302/0301-620X.99B1.BJJ-2016-0398.R1.
8
Risk factors and modes of failure in the modern dual mobility implant. A systematic review and meta-analysis.
BMC Musculoskelet Disord. 2021 Jun 14;22(1):541. doi: 10.1186/s12891-021-04404-4.
9
Dual-mobility implants in primary and revision total hip arthroplasty: A systematic review and meta-analysis.
J Clin Orthop Trauma. 2024 Jul 18;54:102495. doi: 10.1016/j.jcot.2024.102495. eCollection 2024 Jul.
10
The Use of Dual Mobility Implants in Patients Who Are at High Risk for Dislocation After Primary Total Hip Arthroplasty.
JBJS Rev. 2020 Aug;8(8):e20.00028. doi: 10.2106/JBJS.RVW.20.00028.
引用本文的文献
1
Dual Mobility Acetabular Cup Utilization in Total Hip Arthroplasty: Mitigating Instability Risks.
Med J Islam Repub Iran. 2025 Apr 7;39:51. doi: 10.47176/mjiri.39.51. eCollection 2025.
2
[Why does a total hip replacement dislocate? : Diagnosis and management].
Orthopadie (Heidelb). 2025 May 31. doi: 10.1007/s00132-025-04662-3.
3
Dual-mobility implants in primary and revision total hip arthroplasty: A systematic review and meta-analysis.
J Clin Orthop Trauma. 2024 Jul 18;54:102495. doi: 10.1016/j.jcot.2024.102495. eCollection 2024 Jul.
4
Dislocation of primary total hip arthroplasty: Analysis of risk factors and preventive options.
World J Orthop. 2024 Jun 18;15(6):501-511. doi: 10.5312/wjo.v15.i6.501.
5
Dual-Mobility Acetabular Components in Primary Total Hip Arthroplasty Do Not Increase the Risk of Complication Compared to Conventional Articulations: A Matched Cohort Comparative Analysis.
Arthroplast Today. 2024 Feb 26;26:101332. doi: 10.1016/j.artd.2024.101332. eCollection 2024 Apr.
6
Central Fracture-Dislocation of the Hip with Ipsilateral Femoral Neck Fracture in an Elderly Patient with Parkinsonism Managed with Dual Mobility Total Hip Arthroplasty: A Case Report and Review of Literature.
J Orthop Case Rep. 2024 Jan;14(1):26-30. doi: 10.13107/jocr.2024.v14.i01.4134.
7
Instantaneous Generation of Subject-Specific Finite Element Models of the Hip Capsule.
Bioengineering (Basel). 2023 Dec 28;11(1):37. doi: 10.3390/bioengineering11010037.
8
3D-printed hemipelvic prosthesis combined with a dual mobility bearing in patients with primary malignant neoplasm involving the acetabulum: clinical outcomes and finite element analysis.
BMC Surg. 2022 Oct 6;22(1):357. doi: 10.1186/s12893-022-01804-8.
9
Dual Mobility Cups as the Routine Choice in Total Hip Arthroplasty.
Medicina (Kaunas). 2022 Apr 9;58(4):528. doi: 10.3390/medicina58040528.
10
Risk Factors for Revision After Early and Delayed Total Hip Arthroplasty Dislocation. An Analysis of Lithuanian Arthroplasty Register.
Cureus. 2021 Mar 28;13(3):e14155. doi: 10.7759/cureus.14155.
本文引用的文献
1
Use of dual mobility cups in patients undergoing primary total hip arthroplasty with prior lumbar spine fusion.
Int Orthop. 2020 May;44(5):857-862. doi: 10.1007/s00264-020-04507-y. Epub 2020 Feb 20.
2
A Comparison of Risk of Dislocation and Cause-Specific Revision Between Direct Anterior and Posterior Approach Following Elective Cementless Total Hip Arthroplasty.
J Arthroplasty. 2020 Jun;35(6):1651-1657. doi: 10.1016/j.arth.2020.01.033. Epub 2020 Jan 22.
3
Primary total hip arthroplasty: mid-term outcomes of dual-mobility cups in patients at high risk of dislocation.
Hip Int. 2021 Mar;31(2):174-180. doi: 10.1177/1120700019889031. Epub 2019 Dec 26.
4
Dual Mobility for Monoblock Metal-on-Metal Revision-Is It Safe?
J Arthroplasty. 2020 Feb;35(2):508-512. doi: 10.1016/j.arth.2019.09.028. Epub 2019 Sep 26.
5
Cementation of a monoblock dual mobility bearing in a newly implanted porous revision acetabular component in patients undergoing revision total hip arthroplasty.
Arthroplast Today. 2019 Jun 14;5(3):341-347. doi: 10.1016/j.artd.2019.05.001. eCollection 2019 Sep.
6
Causes of and treatment options for dislocation following total hip arthroplasty.
Exp Ther Med. 2019 Sep;18(3):1715-1722. doi: 10.3892/etm.2019.7733. Epub 2019 Jul 3.
7
High Rate of Early Intraprosthetic Dislocations of Dual Mobility Implants: A Single Surgeon Series of Primary and Revision Total Hip Replacements.
J Arthroplasty. 2019 Nov;34(11):2793-2798. doi: 10.1016/j.arth.2019.06.003. Epub 2019 Jun 25.
8
Outcomes of Augmented Dual Mobility Acetabular Cups.
Surg Technol Int. 2019 Nov 10;35:274-279.
9
Reduced Revision Risk for Dual-Mobility Cup in Total Hip Replacement Due to Hip Fracture: A Matched-Pair Analysis of 9,040 Cases from the Nordic Arthroplasty Register Association (NARA).
J Bone Joint Surg Am. 2019 Jul 17;101(14):1278-1285. doi: 10.2106/JBJS.18.00614.
10
Conversion of Hip Resurfacing With Retention of Monoblock Acetabular Shell Using Dual-Mobility Components.
J Arthroplasty. 2019 Sep;34(9):2037-2044. doi: 10.1016/j.arth.2019.04.065. Epub 2019 May 14.
Zotero 插件