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Total hip arthroplasty using direct anterior approach and dual mobility cup: safe and efficient strategy against post-operative dislocation

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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.

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Authors and Affiliations

  1. Albert Trillat Center, Lyon North University Hospital, Lyon, France

    Cécile Batailler, Elvire Servien, Philippe Neyret & Sébastien Lustig

  2. Western Hospital, Melbourne, Australia

    Camdon Fary

  3. Public Health Center, Grenoble University Hospital, Grenoble, France

    Pierre Batailler

Authors
  1. Cécile Batailler
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  2. Camdon Fary
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  3. Pierre Batailler
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  4. Elvire Servien
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  5. Philippe Neyret
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  6. Sébastien Lustig
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Corresponding author

Correspondence to Sébastien Lustig.

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Conflict of interest

CB, CF, and PB declare that they have no conflict of interest.

ES: consultant for Smith & Nephew.

PN: consultant for Smith & Nephew, royalties from Tornier-Wright, institutional research support to Tornier-Wright and Amplitude.

SL: consultant for Smith & Nephew, consultant for Medacta, institutional research support to Tornier-Wright and Amplitude.

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There is no funding source.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

For this type of study formal consent is not required.

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Batailler, C., Fary, C., Batailler, P. et al. Total hip arthroplasty using direct anterior approach and dual mobility cup: safe and efficient strategy against post-operative dislocation. International Orthopaedics (SICOT) 41, 499–506 (2017). https://doi.org/10.1007/s00264-016-3333-x

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  • DOI: https://doi.org/10.1007/s00264-016-3333-x

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