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Dual mobility total hip replacements in young patients- a systematic review

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journal contribution
posted on 2023-01-06, 15:17 authored by Saima Waseem, Daniel FongDaniel Fong, Mohammed Onsa, Wasim Khan, Sarvpreet Singh

Background

There is little consensus on outcomes of dual Mobility total hip replacement (DM-THR) in younger patients. We performed a systematic review to examine this.

Methods

A systematic review of all observational studies and randomised controlled trials of patients under 70 with primary DM-THR in MEDLINE, EMBASE, Pubmed, Cochrane was performed according to PRISMA guidelines. Collected data included demographics, revision, dislocation and infection rates and functional scores.

Results

12 papers studying 738 DM-THR in 664 patients were included. The mean patient age was 46.9 years (13.5-69.0), with 319 (48.0%) being female and 419 (52.0%) being male. After an average follow-up of 90.0 months (1-371 months), the revision rate was 12.7% (84 hips), 0 dislocations were reported but 2.5% (15 hips) underwent intra-prosthetic dislocation. 32.1% hip revisions were due to aseptic loosening.

Conclusion

Limited literature surrounding the use of DM-THR suggests favourable stability but higher revision rates than conventional THR.

History

School

  • Sport, Exercise and Health Sciences

Published in

Indian Journal of Orthopaedics

Volume

57

Issue

2

Pages

203 - 210

Publisher

Springer Nature

Version

  • AM (Accepted Manuscript)

Rights holder

© Indian Orthopaedics Association

Publisher statement

This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s43465-022-00787-1

Acceptance date

2022-11-27

Publication date

2023-01-02

Copyright date

2023

ISSN

0019-5413

eISSN

1998-3727

Language

  • en

Depositor

Dr Daniel Fong. Deposit date: 29 November 2022

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