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Long-term wear of dual mobility total hip replacement cups: explant study

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Abstract

Purpose

Dual mobility THA implantations are increasing. THA survival of more than 15 years is considered long-term survival based on the Charnley prosthesis, which has a median wear rate of 39 to 98 mm3/year. What is the median wear rate of dual mobility THA cups and its repartition on the liner volume? What are the factors influencing dual mobility wear?

Methods

Thirty-five explants were analysed. The liners were entirely mapped with a fully automatic stripe light scanner that uses green LED light.

Results

The liners had a median wear rate of 38 mm3/year. The distribution of the wear between the two bearings varied greatly. No factor was found influencing wear volumes.

Conclusions

The median annual wear of dual mobility liners is at least as low as the wear of cemented polyethylene liners and lower than equivalent cementless liners. The two articulations of the dual mobility THA do not cause more wear.

Level of evidence

Level IV - case series.

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Acknowledgements

We thank SERF (Décines, France) for giving us complete data on the implants used in this study (blueprints, 3D models, manufacturing tolerances).

Author information

Authors and Affiliations

  1. Mines de Saint-Etienne, Unité SAINBIOSE, INSERM U1059, Université de Lyon-St Etienne, Lyon, France

    Bertrand Boyer & Jean Geringer

  2. Laboratoire de Physiologie de l’Exercice, Centre d’Orthopédie Traumatologie CHU St Etienne, Université Jean Monnet, 42055, St Etienne Cedex 2, France

    Bertrand Boyer, Thomas Neri, Alexandre Di Iorio, Remi Philippot & Frederic Farizon

Authors
  1. Bertrand Boyer
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  2. Thomas Neri
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  3. Jean Geringer
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  4. Alexandre Di Iorio
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  5. Remi Philippot
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  6. Frederic Farizon
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Corresponding author

Correspondence to Bertrand Boyer.

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Conflict of interest

Bertrand Boyer and Thomas Neri are consultants for SERF (Décines, France).

Rémi Philippot and Frédéric Farizon receive royalties from SERF (Décines, France).

Alexandre Di Iorio and Jean Geringer had no conflict of interest concerning this study.

Ethical review committee statement

As this study involves only implant retrieval, anonymously collected, the Ethical Review Committee Approval was not required for this study, according to the Ethical Review Committee from our institution.

Funding

No funding was necessary for this study.

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Boyer, B., Neri, T., Geringer, J. et al. Long-term wear of dual mobility total hip replacement cups: explant study. International Orthopaedics (SICOT) 42, 41–47 (2018). https://doi.org/10.1007/s00264-017-3525-z

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  • DOI: https://doi.org/10.1007/s00264-017-3525-z

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