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Equivalent wear performance of dual mobility bearing compared with standard bearing in total hip arthroplasty: in vitro study

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Abstract

Purpose

Osteolysis in total hip arthroplasty (THA) depends on polyethylene wear and dictates the survival of the prosthesis. Dual mobility in THAs, which is claimed to reduce dislocation risk, has very good long-term clinical results. However, little is known about how the liner wears in this design, compared to the standard single mobility model.

Methods

A comparative study looking at wear of a conventional ultra-high-molecular-weight polyethylene liner, using gravimetric measurement, between dual mobility implants and standard implants, was performed on a simulator in accordance with a normed protocol based on the same dimensions, environmental conditions and stresses. A linear regression test was employed.

Results

Under the same conditions (loading, cycles, sterilization, material and surface roughness), the gravimetric wear (for conventional polyethylene) is comparable between a standard and a dual mobility cup. This correlates to ten year follow-up results of dual mobility cup.

Discussion - Conclusion

This in vitro equivalent wear serves to confirm the very good long-term clinical results observed with dual mobility bearing, whose use should not be restricted by concerns about increased polyethylene wear.

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Authors and Affiliations

  1. Centre Albert Trillat, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69004, Lyon, France

    Gaël Gaudin, Romain Gaillard & Sébastien Lustig

  2. Clinique du Parc, 155 Ter Boulevard de Stalingrad, 69006, Lyon, France

    André Ferreira

  3. Centre Ostéo-articulaire des Cèdres, 5 rue des tropiques, 38130, Echirolles, France

    Jean Louis Prudhon

  4. Institut d’orthopédie, 103 rue Coste, 69300, Caluire et Cuire, France

    Jacques H. Caton

Authors
  1. Gaël Gaudin
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  2. André Ferreira
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  3. Romain Gaillard
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  4. Jean Louis Prudhon
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  5. Jacques H. Caton
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  6. Sébastien Lustig
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Correspondence to Sébastien Lustig.

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Conflict of interest

Gaudin G. and Gaillard R. have no conflict of interest. Ferreira A. received consulting fees for Groupe Lépine and Lima and Noraker and Royalties from Groupe Lépine and Lima. Prudhon JL. received consulting fees for Groupe Lépine and Dedienne Santé. Caton JH. have non conflict of interest in this article. Lustig S. received consulting fees for Smith et Nephew et Medacta, and institutional support from Tornier et Amplitude.

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There is no funding source.

Ethical approval

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.

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Gaudin, G., Ferreira, A., Gaillard, R. et al. Equivalent wear performance of dual mobility bearing compared with standard bearing in total hip arthroplasty: in vitro study. International Orthopaedics (SICOT) 41, 521–527 (2017). https://doi.org/10.1007/s00264-016-3346-5

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  • DOI: https://doi.org/10.1007/s00264-016-3346-5

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