Il cotile a doppia mobilità: una nuova rivoluzione nell’artroprotesi d’anca

  • Jacques Caton
  • Luca AmendolaEmail author
  • Emanuela Castiello
  • Saverio Comitini
  • Domenico Tigani

Dual mobility cup: a new THA revolution


Dislocation following Total Hip Arthroplasty (THA) remains the leading reason for revision in the first 2 years. Dual mobility cup (DMC) was developed in France in the early seventies by G. Bousquet and his engineer A. Rambert with the aim of reducing dislocation rate in THA, representing also an alternative to large femoral head.

Based on our clinical results and the current literature, DMC is a reliable surgical procedure. In France the dislocation rate has globally decreased from 9.06% in 2005 to 6.10% in 2014. In the field of THA, the DMC may be considered as the second “French revolution”.


Conflitto di interesse

Gli autori Jacques Caton, Luca Amendola, Emanuela Castiello, Saverio Comitini, Domenico Tigani dichiarano di non avere alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.


  1. 1.
    Goldsmith AA, Dowson D, Wroblewski BM et al. (2001) Comparative study of the activity of total hip arthroplasty patients and normal subjects. J Arthroplast 16(5):613–619 CrossRefGoogle Scholar
  2. 2.
    Nayak KN, Rorabeck CH, Bourne RB et al. (1996) Interpretation by radiologists of orthopedic total joint radiographs: is it necessary or cost-effective? Can J Surg 39(5):393–396 PubMedGoogle Scholar
  3. 3.
    Chang RW, Pellisier JM, Hazen GB (1996) A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip. JAMA 275(11):858–865 CrossRefPubMedGoogle Scholar
  4. 4.
    Quarto Report del RIAP (Registro italiano artroprotesi).
  5. 5.
    Di Laura A, Hothi H, Battisti C et al. (2017) Wear of dual-mobility cups: a review article. Int Orthop 41(3):625–633 CrossRefPubMedGoogle Scholar
  6. 6.
    Sanchez-Sotelo J, Haidukewych GJ, Boberg CJ (2006) Hospital cost of dislocation after primary total hip arthroplasty. J Bone Jt Surg, Am 88:290–294 CrossRefGoogle Scholar
  7. 7.
    Briggs TW, Hanna SA, Kayani B et al. (2015) Metal-on-polyethylene versus metal-on-metal bearing surfaces in total hip arthroplasty: a prospective randomised study investigating metal ion levels and chromosomal aberrations in peripheral lymphocytes. Bone Jt J 97-B:1183–1191 CrossRefGoogle Scholar
  8. 8.
    Kop AM, Swarts E (2009) Corrosion of a hip stem with a modular neck taper junction: a retrieval study of 16 cases. J Arthroplast 24:1019–1023 CrossRefGoogle Scholar
  9. 9.
    Molloy DO, Munir S, Jack CM et al. (2014) Fretting and corrosion in modular-neck total hip arthroplasty femoral stems. J Bone Jt Surg, Am 96:488–493 CrossRefGoogle Scholar
  10. 10.
    Cogan A, Nizard R, Sedel L (2011) Occurrence of noise in alumina-on-alumina total hip arthroplasty. A survey on 284 consecutive hips. Orthop Traumatol, Surg Res 97:206–210 CrossRefGoogle Scholar
  11. 11.
    Judet J, Judet R (1950) The use of an artificial femoral head for arthroplasty of the hip joint. J Bone Jt Surg, Br 32-B:166–173 CrossRefGoogle Scholar
  12. 12.
    Charnley J (1961) Arthroplasty of the hip. A new operation. Lancet 1:1129–1132 CrossRefPubMedGoogle Scholar
  13. 13.
    Charnley J (1970) The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. Clin Orthop Relat Res 2005:3–11 Google Scholar
  14. 14.
    Aubriot JH, Lesimple P, Leclercq S (1993) Study of Bousquet’s non-cemented acetabular implant in 100 hybrid total hip prostheses (Charnley type cemented femoral component). Average 5-year follow-up. Acta Orthop Belg 59(Suppl 1):267–271 PubMedGoogle Scholar
  15. 15.
    Farizon F, De Lavison R, Azoulay JJ, Bousquet G (1998) Results with a cementless alumina-coated cup with dual mobility. A twelve-year follow-up study. Int Orthop 22:219–224 CrossRefPubMedGoogle Scholar
  16. 16.
    McKee GK, Watson-Farrar J (1966) Replacement of arthritic hips by the McKee-Farrar prosthesis. J Bone Jt Surg, Br 48:245–259 CrossRefGoogle Scholar
  17. 17.
    Noyer D, Groupe G (2003) La troisième articulation des prothèses de hanche à double mobilité. Maîtrise Orthop 121:20–22 Google Scholar
  18. 18.
    Bousquet G, Gazielly DF, Debiesse JL et al. (1985) The ceramic coated cementless total hip arthroplasty. Basic concepts and surgical technique. J Orthop Surg Tech 1(2):15–28 Google Scholar
  19. 19.
    Caton J, Prudhon JL, Ferreira A et al. (2014) A comparative and retrospective study of three hundred and twenty primary Charnley type hip replacements with a minimum follow up of ten years to assess whether a dual mobility cup has a decreased dislocation risk. Int Orthop 38:1125–1129 CrossRefPubMedGoogle Scholar
  20. 20.
    Prudhon JL (2011) Dual-mobility cup and cemented femoral component: 6 year follow-up results. Hip Int 21:713–717 CrossRefPubMedGoogle Scholar
  21. 21.
    Prudhon JL, Ferreira A, Verdier R (2013) Dual mobility cup: dislocation rate and survivorship at ten years of follow-up. Int Orthop 37:2345–2350 CrossRefPubMedGoogle Scholar
  22. 22.
    Prudhon JL, Steffann F, Ferreira A et al. (2014) Cementless dual-mobility cup in total hip arthroplasty revision. Int Orthop 38:2463–2468 CrossRefPubMedGoogle Scholar
  23. 23.
    Cook SD, Thomas KA, Dalton JE et al. (1992) Hydroxylapatite coating of porous implants improves bone ingrowth and interface attachment strength. J Biomed Mater Res 26:989–1001 CrossRefPubMedGoogle Scholar
  24. 24.
    Frayssinet P, Tourenne F, Rouquet N et al. (1994) Comparative biological properties of HA plasma-sprayed coating having different crystallinities. J Mater Sci, Mater Med 5:11–17 CrossRefGoogle Scholar
  25. 25.
    Lecuire F, Benareau I, Rubini J, Basso M (2004) Intra-prosthetic dislocation of the Bousquet dual mobility socket. Rev Chir Orthop Repar Appar Mot 90:249–255 CrossRefGoogle Scholar
  26. 26.
    Philippot R, Boyer B, Farizon F (2013) Intraprosthetic dislocation: a specific complication of the dual-mobility system. Clin Orthop Relat Res 471:965–970 CrossRefPubMedGoogle Scholar
  27. 27.
    Neri T, Boyer B, Geringer J et al. (2018) Intraprosthetic dislocation of dual mobility total hip arthroplasty: still occurring? Int Orthop 42(11):2733 CrossRefPubMedGoogle Scholar
  28. 28.
    De Martino I, D’Apolito R, Waddell BS et al. (2017) Early intraprosthetic dislocation in dual-mobility implants: a systematic review. Arthroplast Today 3(3):197–202 CrossRefPubMedGoogle Scholar
  29. 29.
    Pace N, Aucone D, Enea D, Ramazzotti D (2016) Protesi a doppia mobilità. Dual mobility cups in total hip arthroplasty. G Ital Ortop Traumatol 42:286–291 Google Scholar
  30. 30.
    Vielpeau C, Lebel B, Ardouin L et al. (2011) The dual mobility socket concept: experience with 668 cases. Int Orthop 35(2):225–230 CrossRefPubMedGoogle Scholar
  31. 31.
    Prudhon JL, Ferreira A, Verdier R (2013) Dual mobility cup: dislocation rate and survivorship at ten years of follow-up. Int Orthop 37(12):2345–2350 CrossRefPubMedGoogle Scholar
  32. 32.
    Jameson SS, Lees D, James P et al. (2011) Lower rates of dislocation with increased femoral head size after primary total hip replacement: a five-year analysis of NHS patients in England. J Bone Jt Surg, Br 93(7):876–880 CrossRefGoogle Scholar
  33. 33.
    von Berry DJ, Knoch M, Schleck CD, Harmsen WS (2005) Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Jt Surg, Am 87(11):2456–2463 Google Scholar
  34. 34.
    Girard J (2015) Femoral head diameter considerations for primary total hip arthroplasty. Orthop Traumatol, Surg Res 101(1 Suppl):S25–S29 CrossRefGoogle Scholar
  35. 35.
    Crowninshield RD, Maloney WJ, Wentz DH et al. (2004) Biomechanics of large femoral heads: what they do and don’t do. Clin Orthop Relat Res 429:102–107 CrossRefGoogle Scholar
  36. 36.
    Caton J, Aslanian T, Prudhon JL et al. (2016) La cupule à double mobilité: une nouvelle révolution technique dans la prothèse totale de hanche. Dual mobility cup: a new THA revolution. Mém Acad Natl Chir 15(1):004 Google Scholar
  37. 37.
    Leclercq S, Benoit JY, De Rosa JP et al. (2013) Evora chromium-cobalt dual mobility socket: results at a minimum 10 years’ follow-up. Orthop Traumatol, Surg Res 99:758–764 Google Scholar
  38. 38.
    Lewinnek GE, Lewis JL, Tarr R et al. (1978) Dislocations after total hip-replacement arthroplasties. J Bone Jt Surg, Am 60:217–220 CrossRefGoogle Scholar
  39. 39.
    Gioe TJ (2002) Dislocation following revision total hip arthroplasty. Am J Orthop (Belle Mead NJ) 31:225–227 Google Scholar
  40. 40.
    Alberton GM, High WA, Morrey BF (2002) Dislocation after revision total hip arthroplasty: an analysis of risk factors and treatment options. J Bone Jt Surg, Am 84-A:1788–1792 CrossRefGoogle Scholar
  41. 41.
    Ballard WT, Callaghan JJ, Johnston RC (1995) Revision of total hip arthroplasty in octogenarians. J Bone Jt Surg, Am 77:585–589 CrossRefGoogle Scholar
  42. 42.
    Fessy MH (2010) La double mobilité. Rev Chir Orthop 96:891–898 Google Scholar
  43. 43.
    Leiber-Wackenheim F, Brunschweiler B, Ehlinger M et al. (2011) Treatment of recurrent THR dislocation using of a cementless dual-mobility cup: a 59 cases series with a mean 8 years’ follow-up. Orthop Traumatol, Surg Res 97:8–13 CrossRefGoogle Scholar
  44. 44.
    Hamadouche M, Biau DJ, Huten D et al. (2010) The use of a cemented dual mobility socket to treat recurrent dislocation. Clin Orthop Relat Res 468:3248–3254 CrossRefPubMedGoogle Scholar
  45. 45.
    Guyen O, Pibarot V, Vaz G et al. (2009) Use of a dual mobility socket to manage total hip arthroplasty instability. Clin Orthop Relat Res 467:465–472 CrossRefPubMedGoogle Scholar
  46. 46.
    Langlais FL, Ropars M, Gaucher F et al. (2008) Dual mobility cemented cups have low dislocation rates in THA revisions. Clin Orthop Relat Res 466:389–395 CrossRefPubMedGoogle Scholar
  47. 47.
    Iorio R, Healy WL, Lemos DW et al. (2001) Displaced femoral neck fractures in the elderly: outcomes and cost effectiveness. Clin Orthop 383:229–242 CrossRefGoogle Scholar
  48. 48.
  49. 49. Accessed on 14-01-2019
  50. 50. Accessed on 14-01-2019
  51. 51.
    Aubriot JH, Lesimple P, Leclercq S (1993) Study of Bousquet’s non-cemented acetabular implant in 100 hybrid total hip prostheses (Charnley type cemented femoral component). Average 5-year follow-up. Acta Orthop Belg 59(Suppl 1):267–271 PubMedGoogle Scholar

Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2019

Authors and Affiliations

  • Jacques Caton
    • 1
  • Luca Amendola
    • 2
    Email author
  • Emanuela Castiello
    • 2
  • Saverio Comitini
    • 2
  • Domenico Tigani
    • 2
  1. 1.Institut orthopédiqueCaluireFrance
  2. 2.Department of Orthopaedic SurgeyOspedale MaggioreBolognaItalia

Personalised recommendations