Cécile Batailler1, Camdon Fary2, Pierre Batailler3, Elvire Servien1, Philippe Neyret1, Sébastien Lustig4. 1. Albert Trillat Center, Lyon North University Hospital, Lyon, France. 2. Western Hospital, Melbourne, Australia. 3. Public Health Center, Grenoble University Hospital, Grenoble, France. 4. Albert Trillat Center, Lyon North University Hospital, Lyon, France. Sebastien.lustig@gmail.com.
Abstract
AIM: We hypothesize that a dual mobility cup can be safely used via the direct anterior approach, without increasing the risk of complications or incorrect positioning. MATERIALS AND METHODS: This retrospective study compared 201 primary total hip arthroplasties using a dual mobility cup performed via direct anterior approach without a traction table, to 101 arthroplasties performed via posterolateral approach. Implant positioning, function scores, and early complications were recorded. RESULTS: Implant positioning was appropriate in both groups, with a higher cup anteversion in direct anterior approach. The complications rates were similar in both groups, with no dislocation or infection. CONCLUSION: The direct anterior approach without traction table associated with a dual mobility cup does not increase the risk of complications or non-optimal positioning of implants. This strategy is interesting for patients with high risk of post-operative dislocation.
AIM: We hypothesize that a dual mobility cup can be safely used via the direct anterior approach, without increasing the risk of complications or incorrect positioning. MATERIALS AND METHODS: This retrospective study compared 201 primary total hip arthroplasties using a dual mobility cup performed via direct anterior approach without a traction table, to 101 arthroplasties performed via posterolateral approach. Implant positioning, function scores, and early complications were recorded. RESULTS: Implant positioning was appropriate in both groups, with a higher cup anteversion in direct anterior approach. The complications rates were similar in both groups, with no dislocation or infection. CONCLUSION: The direct anterior approach without traction table associated with a dual mobility cup does not increase the risk of complications or non-optimal positioning of implants. This strategy is interesting for patients with high risk of post-operative dislocation.
Entities:
Keywords:
Direct anterior approach; Dislocation; Dual mobility cup; Implants positioning; Total hip arthroplasty
Authors: S Leclercq; J Y Benoit; J P de Rosa; E Tallier; C Leteurtre; P H Girardin Journal: Orthop Traumatol Surg Res Date: 2013-10-29 Impact factor: 2.256
Authors: Joseph D Maratt; Joel J Gagnier; Paul D Butler; Brian R Hallstrom; Andrew G Urquhart; Karl C Roberts Journal: J Arthroplasty Date: 2016-03-15 Impact factor: 4.757
Authors: Jacques H Caton; Jean Louis Prudhon; André Ferreira; Thierry Aslanian; Régis Verdier Journal: Int Orthop Date: 2014-04-16 Impact factor: 3.075
Authors: Vivek Singh; Jeremiah Thomas; Jerry Arraut; Christian T Oakley; Joshua C Rozell; Roy I Davidovitch; Ran Schwarzkopf Journal: Iowa Orthop J Date: 2022-06
Authors: Larry E Miller; Joseph S Gondusky; Atul F Kamath; Friedrich Boettner; John Wright; Samir Bhattacharyya Journal: Acta Orthop Date: 2018-02-16 Impact factor: 3.717