Skip to main content
SpringerLink
Log in

Low friction arthroplasty and dual mobility cup: a new gold standard

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Introduction

Low friction arthroplasty (LFA) introduced by Sir John Charnley was the gold standard for many years. Dislocation and infection are the first causes for early revision. Late failures are polyethylene (PE) wear and loosening. Due to dislocation risk we slowly switched to the use of LFA with dual mobility cups (DMC). The purposes of this study are (1) to assess whether our changes have improved outcomes and (2) what is the new gold standard?

Material and methods

We selected from an observational registry of 1,091 cases of hybrid Charnley total hip arthroplasty (THA). The acetabular component was either DMC in 455 cases or fixed cup (FC) in 636 cases.

Results

Three dislocations (0.6%) occurred in the DMC group (none revised). In the FC group 54 dislocated (8.49%) and 20 were recurrent and underwent revision (revision rate 3.14%). In the DMC group, five acetabular and three femoral revisions were performed (revision rate for loosening 1.7%). In the FC group 19 cases underwent acetabular revision, and five cases had femoral component revised (revision rate for loosening 3.7%).

Discussion

Charnley’s LFA has proven over 50 years of excellent survivorship. To decrease dislocation risk, one suggested increasing femoral head diameter. Gilles Bousquet proposed another way, namely, the DMC concept. Dislocation is no longer a critical issue with DMC as demonstrated in our series and main series. DMC in primary THA is still a subject of debate. Mid-term results do not demonstrate a higher rate of wear than LFA. What is the current gold standard? LFA was and is our current gold standard in association with a DMC.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Charnley J (1979) Low friction arthroplasty of the hip. Theory and practice. Berlin - Heidelberg - New York

  2. Charnley J (1972) The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg (Br) 54:61–76

    CAS  Google Scholar 

  3. Wroblewski BM (1986) 15-21-year results of the Charnley low-friction arthroplasty. Clin Orthop Relat Res 211:30–35

  4. Wroblewski BM, Siney PD (1993) Charnley low-friction arthroplasty of the hip. Long-term results. Clin Orthop Relat Res 292:191–201

  5. Devitt A, O’Sullivan T, Quinlan W (1997) 16- to 25-year follow-up study of cemented arthroplasty of the hip in patients aged 50 years or younger. J Arthroplasty 12:479–89

    Article  CAS  PubMed  Google Scholar 

  6. Wroblewski BM, Fleming PA, Siney PD (1999) Charnley low-frictional torque arthroplasty of the hip. 20-to-30 year results. J Bone Joint Surg (Br) 81:427–30

    Article  CAS  Google Scholar 

  7. Wroblewski BM, Siney PD, Fleming PA (2002) Charnley low-frictional torque arthroplasty in patients under the age of 51 years. Follow-up to 33 years. J Bone Joint Surg (Br) 84:540–3

    Article  CAS  Google Scholar 

  8. Berry DJ, Harmsen WS, Cabanela ME, Morrey BF (2002) Twenty-five-year survivorship of two thousand consecutive primary Charnley total hip replacements: factors affecting survivorship of acetabular and femoral components. J Bone Joint Surg Am 84-A:171–7

    Article  PubMed  Google Scholar 

  9. Older J (2002) Charnley low-friction arthroplasty: a worldwide retrospective review at 15 to 20 years. J Arthroplasty 17:675–80

    Article  PubMed  Google Scholar 

  10. Callaghan JJ, Templeton JE, Liu SS, Pedersen DR, Goetz DD, Sullivan PM, Johnston RC (2004) Results of Charnley total hip arthroplasty at a minimum of thirty years. a concise follow-up of a previous report. J Bone Joint Surg Am 86-A:690–5

    Article  PubMed  Google Scholar 

  11. Kerboull L, Hamadouche M, Courpied JP, Kerboull M (2004) Long-term results of Charnley-Kerboull hip arthroplasty in patients younger than 50 years. Clin Orthop Relat Res 418:112–118

  12. Wroblewski BM, Siney PD, Fleming PA (2007) Charnley low-friction arthroplasty: survival patterns to 38 years. J Bone Joint Surg (Br) 89-B:1015–8

    Article  Google Scholar 

  13. Mullins MM, Norbury W, Dowell JK, Heywood-Waddington M (2007) Thirty-year results of a prospective study of Charnley total hip arthroplasty by the posterior approach. J Arthroplasty 22:833–9

    Article  PubMed  Google Scholar 

  14. Hernandez-Vaquero D, Suarez-Vazquez A, Fernandez-Lombardia J (2008) Charnley low-friction arthroplasty of the hip. Five to 25 years survivorship in a general hospital. BMC Musculoskelet Disord 9:69

    Article  PubMed  PubMed Central  Google Scholar 

  15. Espehaug B, Furnes O, Engesaeter LB, Havelin LI (2009) 18 years of results with cemented primary hip prostheses in the Norwegian Arthroplasty Register: concerns about some newer implants. Acta Orthop 80:402–12

    Article  PubMed  PubMed Central  Google Scholar 

  16. Bjorgul K, Novicoff WM, Andersen ST, Brevig K, Thu F, Wiig M, Ahlund O (2010) The Charnley stem: clinical, radiological and survival data after 11–14 years. Orthop Traumatol Surg Res 96:97–103

    Article  CAS  PubMed  Google Scholar 

  17. Wroblewski BM, Purbach B, Siney PD, Fleming PA (2010) Charnley low-friction arthroplasty in teenage patients: the ultimate challenge. J Bone Joint Surg (Br) 92:486–8

    Article  CAS  Google Scholar 

  18. Caton J, Prudhon JL (2011) Over 25 years survival after Charnley’s total hip arthroplasty. Int Orthop 35:185–8

    Article  PubMed  PubMed Central  Google Scholar 

  19. Hartofilakidis GC, Lampropoulou-Adamidou KI, Stathopoulos IP, Vlamis JA (2015) The outcome of 241 Charnley total hip arthroplasties performed by One Surgeon 30 to 40 years ago. J Arthroplasty 30:1767–71

    Article  PubMed  Google Scholar 

  20. Swedish Hip Arthroplasty Register (2006) Annual Report 2005, Swedish Hip Arthroplasty RegisterRegister, Gothenburg, Sweden

  21. Swedish Hip Arthroplasty Register (2007) Annual Report 2006, Swedish Hip Arthroplasty RegisterRegister, Gothenburg, Sweden

  22. Swedish Hip Arthroplasty Register (2008) Annual Report 2007, Swedish Hip Arthroplasty RegisterRegister, Gothenburg, Sweden

  23. Berry DJ, von Knoch KM, Schleck CD, Harmsen WS (2004) The cumulative long-term risk of dislocation after primary Charnley total hip arthroplasty. J Bone Joint SurgAm 86-A:9–14

    Article  Google Scholar 

  24. Bozic KJ, Kurtz SM, Lau E, Ong K, Vail TP, Berry DJ (2009) The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg Am 91:128–33

    Article  PubMed  Google Scholar 

  25. Wroblewski BM, Siney PD, Fleming PA (2004) Wear of the cup in the Charnley LFA in the young patient. J Bone Joint Surg (Br) 86:498–503

    CAS  Google Scholar 

  26. Halley DK, Glassman AH (2003) Twenty- to twenty-six-year radiographic review in patients 50 years of age or younger with cemented Charnley low-friction arthroplasty. J Arthroplasty 18:79–85

    Article  PubMed  Google Scholar 

  27. Sochart DH, Hardinge K (1998) Comparison of the Wrightington FC hip with the Charnley low-friction arthroplasty. 10- to 15-year results and survival analysis. J Bone Joint Surg (Br) 80:577–84

    Article  CAS  Google Scholar 

  28. Eftekhar NS, Tzitzikalakis GI (1986) Failures and reoperations following low-friction arthroplasty of the hip. A five- to fifteen-year follow-up study. Clin Orthop Relat Res 211:65–78

  29. Abdel MP, Von Roth P, Harmsen W, Berry DJ (2015) Lifetime outcome of 2000 primary Charnley total hip arthroplasties. In AAOS 2015 annual meeting, Las Vegas

  30. Kotwal RS, Ganapathi M, John A, Maheson M, Jones SA (2009) Outcome of treatment for dislocation after primary total hip replacement. J Bone Joint Surg (Br) 91:321–6

    Article  CAS  Google Scholar 

  31. Merle D’Aubigne R, Postel M (1954) Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am 36-A:451–75

    Article  Google Scholar 

  32. Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51:737–55

    Article  CAS  PubMed  Google Scholar 

  33. Caton J, Prudhon JL, Aslanian T, Lifante JC, Ritz B (2002) Obturateur diaphysaire perméable aux gaz Etude d’efficacité sur la cimentation fémorale et la prévention des désordres cardio-respiratoires associés. Revue de chirurgie orthopédique 88:767–76

    CAS  Google Scholar 

  34. 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):267–71

  35. Caton JH, Prudhon JL, Ferreira A, Aslanian T, Verdier R (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 38:1125–9

    Article  PubMed  PubMed Central  Google Scholar 

  36. Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F (2009) The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years. Int Orthop 33:927–32

    Article  PubMed  Google Scholar 

  37. Prudhon JL, Ferreira A, Verdier R (2013) Dual mobility cup: dislocation rate and survivorship at ten years of follow-up. Int Orthop 37:2345–50

    Article  PubMed  PubMed Central  Google Scholar 

  38. Combes A, Migaud H, Girard J, Duhamel A, Fessy MH (2013) Low rate of dislocation of dual-mobility cups in primary total hip arthroplasty. Clin Orthop Relat Res 471:3891–900

    Article  PubMed  PubMed Central  Google Scholar 

  39. Epinette JA, Beracassat R, Tracol P, Pagazani G, Vandenbussche E (2014) Are modern dual mobility cups a valuable option in reducing instability after primary hip arthroplasty, even in younger patients? J Arthroplasty 29:1323–8

    Article  PubMed  Google Scholar 

  40. Philippot R, Adam P, Farizon F, Fessy M-H, Bousquet G (2006) Survie à dix ans d’une cupule double mobilité non cimentée. Rev Chir Orthop 92:326–31

    CAS  PubMed  Google Scholar 

  41. Guyen O, Pibarot V, Vaz G, Chevillotte C, Carret JP, Bejui-Hugues J (2007) Unconstrained tripolar implants for primary total hip arthroplasty in patients at risk for dislocation. J Arthroplasty 22:849–58

    Article  PubMed  Google Scholar 

  42. Lautridou C, Lebel B, Burdin G, Vielpau C (2008) Survie à 16,5 ans de recul moyen de la cupule, double mobilité, non scellée de Bousquet dans l’arthroplastie totale de hanche. Série historique de 437 hanches. Revue de chirurgie orthopédique 94:731–739

    CAS  Google Scholar 

  43. Vielpeau C, Lebel B, Ardouin L, Burdin G, Lautridou C (2011) The dual mobility socket concept: experience with 668 cases. Int Orthop 35:225–30

    Article  PubMed  Google Scholar 

  44. Leclercq S, Benoit JY, de Rosa JP, Tallier E, Leteurtre C, Girardin PH (2013) Evora chromium-cobalt dual mobility socket: Results at a minimum 10 years’ follow-up. Orthop Traumatol Surg Res 99:758–64

    Google Scholar 

  45. Vermersch T, Viste A, Desmarchelier R, Fessy MH (2015) Prospective longitudinal study of one hundred patients with total hip arthroplasty using a second-generation cementless dual-mobility cup. Int Orthop 39:2097–101

    Article  PubMed  Google Scholar 

  46. De Martino I, Triantafyllopoulos GK, Sculco PK, Sculco TP (2014) Dual mobility cups in total hip arthroplasty. World J Orthop 5:180–7

    Article  PubMed  PubMed Central  Google Scholar 

  47. Torres-Perez P, Fernandez-Fairen M, Murcia-Mazon A, Merono A (2014) Results of the latest generation dual-mobility cup in Spain (135 THAs followed-up for a mean of 32 months). Acta Ortop Mex 28:277–86

    CAS  PubMed  Google Scholar 

  48. Chughtai M, Mistry JB, Diedrich AM, Jauregui JJ, Elmallah RK, Bonutti PM, Harwin SF, Malkani AL, Kolisek FR, Mont MA (2016) Low frequency of early complications with dual-mobility acetabular cups in cementless primary THA. Clin Orthop Relat Res 474:2181–7

    Article  PubMed  Google Scholar 

  49. Swedish Hip Arthroplasty Register (2012) Annual Report 2011, Swedish Hip Arthroplasty RegisterRegister, Gothenburg, Sweden

  50. The New Zealand Joint Registry (2013) Fourteen year report. January 1999 to December 2012. The New Zealand Joint Registry, Christchurch, New Zealand

  51. Australian Orthopaedic Association National Joint Replacement Registry (2015) Annual Report 2015. Australian Orthopaedic Association National Joint Replacement Registry, Adelaide, Australia

  52. Delaunay C, Hamadouche M, Girard J, Duhamel A (2013) What are the causes for failures of primary hip arthroplasties in france? Clin Orthop Relat Res 471:3863–9

    Article  PubMed  PubMed Central  Google Scholar 

  53. Prudhon JL, Desmarchelier R, Hamadouche M, Delaunay C, Verdier R, SoFcot (2015) Causes for revision of dual-mobility and standard primary total hip arthroplasty : matched case–control study based on a prospective multicenter study of two thousand and forty four implants. Int Orthop. doi:10.1007/s00264-015-3064-4

    PubMed  Google Scholar 

  54. HAS (2007) Evaluation des prothèses de hanche. Révision des descriptions génériques de la liste de produits et prestations remboursables implants articulaires de hanche. HAS, Paris

  55. Hamadouche M, Arnould H, Bouxin B (2012) Is a cementless dual mobility socket in primary THA a reasonable option? Clin Orthop Relat Res 470:3048–53

    Article  PubMed  PubMed Central  Google Scholar 

  56. Ko LM, Hozack WJ (2016) The dual mobility cup: what problems does it solve? Bone Joint J 98-B:60–3

    Article  PubMed  Google Scholar 

  57. Lecuire F, Benareau I, Rubini J, Basso M (2004) [Intra-prosthetic dislocation of the Bousquet dual mobility socket]. Rev Chir Orthop Reparatrice Appar Mot 90:249–55

    Article  CAS  PubMed  Google Scholar 

  58. Philippot R, Boyer B, Farizon F (2013) Intraprosthetic dislocation: a specific complication of the dual-mobility system. Clin Orthop Relat Res 471:965–70

    Article  PubMed  Google Scholar 

  59. Fabry C, Langlois J, Hamadouche M, Bader R (2016) Intra-prosthetic dislocation of dual-mobility cups after total hip arthroplasty: potential causes from a clinical and biomechanical perspective. Int Orthop 40:901–6

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Centre Osteo-Articulaire, 5 rue des tropiques, 38130, Echirolles, France

    Jean Louis Prudhon

  2. 175 rue Jacquard, CS 50307 – 69727, Genay Cedex, France

    Régis Verdier

  3. Clinique Orthopédique, 103 rue Coste, 69300, Caluire, France

    Jacques H. Caton

Authors
  1. Jean Louis Prudhon
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Régis Verdier
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jacques H. Caton
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jean Louis Prudhon.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Funding

There is no funding source.

Ethical approval

For this type of study formal consent is not required

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Prudhon, J.L., Verdier, R. & Caton, J.H. Low friction arthroplasty and dual mobility cup: a new gold standard. International Orthopaedics (SICOT) 41, 563–571 (2017). https://doi.org/10.1007/s00264-016-3375-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-016-3375-0

Keywords

Search

Navigation