Outcomes of Modular Dual Mobility Acetabular Components in Revision Total Hip Arthroplasty.

Published

Journal Article

There is a high rate of dislocation after revision total hip arthroplasty. This study evaluated the outcomes of 1 modular dual mobility component in revision total hip arthroplasty in patients at high risk of dislocation.We reviewed 64 revisions performed in 27 (42%) patients for recurrent dislocation, 16 (25%) for adverse local tissue reaction, 11 (17%) for reimplantation infection, and 10 (16%) for aseptic loosening, malposition, or fracture. Complications, reoperations, and survivorship were evaluated.Three-year survival was 98% with failure defined as aseptic loosening and 91% with failure as cup removal for any reason. With mean follow-up time of 38 months, there were 14 complications, including 2 dislocations treated with closed reduction, 9 infections, and 12 reoperations. All complications occurred in patients revised for instability, adverse local tissue reaction, or infection.The early results of this component are promising, with good overall survival and low rate of dislocation.

Full Text

Duke Authors

Cited Authors

  • Sutter, EG; McClellan, TR; Attarian, DE; Bolognesi, MP; Lachiewicz, PF; Wellman, SS

Published Date

  • September 2017

Published In

Volume / Issue

  • 32 / 9S

Start / End Page

  • S220 - S224

PubMed ID

  • 28413142

Pubmed Central ID

  • 28413142

Electronic International Standard Serial Number (EISSN)

  • 1532-8406

International Standard Serial Number (ISSN)

  • 0883-5403

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2017.03.035

Language

  • eng