Functional Outcomes of Dual Mobility Cups in Primary Total Hip Arthroplasty

Authors

  • Kashif Anwar
  • Mukhtar Ahmad Tariq
  • Tauseef Raza
  • Naveed Khan
  • Muhammad Rizwan Khan Lodhi
  • Saeed Taj Din
  • Muhammad Saqib

DOI:

https://doi.org/10.63682/jns.v14i32S.7958

Keywords:

Dual mobility cup, total hip arthroplasty, functional outcome, dislocation, hip replacement, orthopedic surgery

Abstract

Background: Total hip arthroplasty (THA) is one of the most common surgical interventions performed to restore function and alleviate discomfort in patients with severe hip joint diseases. Nonetheless, THA carries a risk of postoperative dislocation which continues to remain a significant concern. Dislocation risks may be lowered with the new design dual mobility cups that attempt to balance range of motion and stability within the joint components. This study was conducted ‘to assess the functional outcomes and complication rates associated with the use of dual mobility cups in patients undergoing primary total hip arthroplasty’.

Methods: A prospective observational study was carried out from January 2023 to January 2024 on a sample of 59 patients who underwent primary THA with dual mobility cup implantation. ‘Patient demographics, comorbidities, surgical approach, fixation type, and postoperative complications were recorded’. Functional outcomes were measured using Harris Hip Scores over a follow-up period of up to one year.

Results: Dual mobility cups showed promising functional outcomes, with a notable improvement in mobility and pain reduction in most patients. The complication rate was low, with no cases of dislocation reported during the follow-up period. Most patients reported high satisfaction levels and returned to independent daily activities.

Conclusion: The application of dual mobility cups in primary total hip arthroplasty enhances functional outcomes, improves stability, and minimizes complications. These findings support their continued use, especially in populations at higher risk of instability.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Assi, C., et al., Primary total hip arthroplasty: mid-term outcomes of dual-mobility cups in patients at high risk of dislocation. Hip International, 2021. 31(2): p. 174-180.

Nessler, J.M., et al., Use of dual mobility cups in patients undergoing primary total hip arthroplasty with prior lumbar spine fusion. International orthopaedics, 2020. 44: p. 857-862.

Mufarrih, S.H., et al., Outcomes of total hip arthroplasty using dual-mobility cups for femoral neck fractures: a systematic review and meta-analysis. Hip International, 2021. 31(1): p. 12-23.

Aguado-Maestro, I., et al., Dual mobility cups as the routine choice in total hip arthroplasty. Medicina, 2022. 58(4): p. 528.

Samy, A.M., A.A. Mahmoud, and A. El-Tantawy, Dual mobility cup: does it improve patient's satisfaction after total hip arthroplasty? A prospective comparative randomized study. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 2021. 29(22): p. e1141-e1150.

Moon, N.H., et al., The usefulness of dual mobility cups in primary total hip arthroplasty patients at a risk of dislocation. Scientific Reports, 2022. 12(1): p. 774.

Van Eecke, E., et al., Comparison of constrained acetabular components and dual mobility cups in revision total hip arthroplasty: a literature review. Hip & pelvis, 2020. 32(2): p. 59.

Rashed, R.A., et al., Comparison of functional outcome of cemented total hip replacement versus cemented dual-mobility cup total hip replacement for the management of displaced femoral neck fractures in the active elderly patients. Hip International, 2021. 31(5): p. 683-690.

Favreau, H., et al., Total hip arthroplasty with exclusive use of dual-mobility cup after failure of internal fixation in trochanteric fracture. Orthopaedics & Traumatology: Surgery & Research, 2020. 106(4): p. 645-649.

Jonker, R.C., et al., Can dual mobility cups prevent dislocation without increasing revision rates in primary total hip arthroplasty? A systematic review. Orthopaedics & Traumatology: Surgery & Research, 2020. 106(3): p. 509-517.

Van Beers, L.W., et al., Study protocol: effectiveness of dual-mobility cups compared with uni-polar cups for preventing dislocation after primary total hip arthroplasty in elderly patients—design of a randomized controlled trial nested in the Dutch Arthroplasty Registry. Acta orthopaedica, 2020. 91(5): p. 514-519.

Makeen, T.M., et al., Functional outcome after dual mobility cups total hip replacement versus bipolar hemiarthroplasty in femoral neck fractures in active elderly patients: a randomized controlled trial. Current Orthopaedic Practice, 2021. 32(5): p. 468-473.

Kumar, S., et al., Dual Mobility Cup in Total Hip Replacements: A Single Center Experience. Journal of Orthopaedics, Traumatology and Rehabilitation, 2022. 14(2): p. 126-133.

Lannes, X., et al., Outcomes of combined hip procedure with dual mobility cup versus osteosynthesis for acetabular fractures in elderly patients: a retrospective observational cohort study of fifty one patients. International orthopaedics, 2020. 44: p. 2131-2138.

Tigani, D., et al., Hip stability parameters with dual mobility, modular dual mobility and fixed bearing in total hip arthroplasty: an analytical evaluation. BMC Musculoskeletal Disorders, 2022. 23(1): p. 373.

Paderni, S., et al., Third generation dual mobility cups: could be the future in total hip arthroplasty? A five-year experience with dualis. Acta Bio Medica: Atenei Parmensis, 2021. 92(Suppl 3): p. e2021553.

Bertault-Le Gourrierec, J., et al., Comparative study of total hip arthroplasties with dual mobility cups versus hemiarthroplasties in management of femoral neck fractures: Survival and dislocation rate at 5 years of follow-up? Orthopaedics & Traumatology: Surgery & Research, 2022. 108(1): p. 103098.

Canetti, R., et al., Dual mobility cups associated with proximal femoral replacement in nontumoral indications: Results and complications. Orthopaedics & Traumatology: Surgery & Research, 2022. 108(2): p. 103029.

Viricel, C., et al., Survival and complications of total hip arthroplasty using third-generation dual-mobility cups with non-cross-linked polyethylene liners in patients younger than 55 years. Orthopaedics & Traumatology: Surgery & Research, 2022. 108(2): p. 103208

Downloads

Published

2025-07-03

How to Cite

1.
Anwar K, Tariq MA, Raza T, Khan N, Khan Lodhi MR, Din ST, Saqib M. Functional Outcomes of Dual Mobility Cups in Primary Total Hip Arthroplasty. J Neonatal Surg [Internet]. 2025Jul.3 [cited 2025Jul.12];14(32S):3513-8. Available from: https://jneonatalsurg.com/index.php/jns/article/view/7958