Bull Hosp Jt Dis (2013). 2022 Mar;80(1):4-10.
Dual mobility designs in total arthroplasty allow for increased range of motion prior to impingement and dislocation. While valuable for reducing dislocation, dual mobility has its own unique complication profile that includes intraprosthetic dislocation, corrosion, and femoral notching. Despite these relatively rare complications, dual mobility articulations are valuable options for patients at higher risk of dislocation-both early and contemporary reports on dual mobility in total hip arthroplasty suggest that it can reduce the risk of dislocation without leading to unacceptable rates of complication or early revision. Cost analyses and longer follow-up studies on newer dual mobility designs will help determine the future of dual mobility in total hip arthroplasty.
双动设计在全髋关节置换术中允许在撞击和脱位之前增加活动范围。虽然对于减少脱位很有价值,但双动设计也有其独特的并发症谱,包括关节内脱位、腐蚀和股骨切迹。尽管这些并发症相对罕见,但双动关节对于脱位风险较高的患者仍然是有价值的选择——全髋关节置换术中双动的早期和当代报告均表明,它可以降低脱位风险,而不会导致不可接受的并发症发生率或早期翻修。对新型双动设计的成本分析和更长时间的随访研究将有助于确定双动在全髋关节置换术中的未来。