Ten to 16 years results of a modern cementless dual-mobility acetabular implant in primary total hip arthroplasty
Journal of Arthroplasty Jul 04, 2019
Gaillard R, et al. - Through a retrospective study 310 primary total hip arthroplasty (THAs), the researchers investigated the radiographic results, clinical outcomes and survivorship of a modern cementless dual mobility cup (DMC) implant as a primary THA with a minimum of 10 years follow-up. Patients were randomized into pre- and postoperative groups. A significant elevation of the mean Harris and Postel-Merle d’Aubigne scores between pre- and post-operative cohorts was observed. At the final follow-up, no loosened cup and no acetabular osteolysis were seen. Further, no prosthetic dislocation, no intraprosthetic dislocation, and no infections were ascertained. At 10 years, the survival curve of THA in the total cohort (N=310) was about 98% along with three stems revision for femoral fracture. One psoas impingement was also reported. Hence, at 10 years, no acetabular component breakdown and no reported cases of acetabular osteolysis were seen with this DMC acetabular component retention. Moreover, no prosthetic or intraprosthetic dislocation was listed.
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