Dual mobility cup in hip arthroplasty: An in-depth analysis of joint registries.
Artif Organs
; 46(5): 804-812, 2022 May.
Article
en En
| MEDLINE
| ID: mdl-34153137
ABSTRACT
Although total hip arthroplasty (THA) has shown successful results, instability remains a major complication. In recent years, dual mobility cups (DMC) have gained interest among clinicians thanks to its low rate of dislocation and good clinical results. The main aim of this work was to describe the accuracy of data on DMC from national and regional joint registries (JRs) and the available worldwide literature. We identified topics on DMC among JRs to propose a new harmonized and standardized section for DMC with the aim to understand its surveillance over the time. We extracted survival and implant data for a separate analysis. After performing a critical exclusion process, nine JRs were considered eligible and included for final synthesis; these were the results from the available worldwide data from JRs. In our study, eight analyzed JRs reported a slight increase in DMC use in the last decade. In all the JRs evaluated and the available articles, dislocation remains one of the main reasons for revision and re-revision in hip arthroplasties. DMC is considered to be a valid construct increasingly used worldwide in primary and revision THA with the primary aim of reducing dislocation rates. Annual reports from JRs collect heterogeneous and low-quality information about outcomes and surveillance of DMC, creating a burden for clinicians to extract comparable data from different JRs. Longer follow-up and a systematic registering of DMCs with international registry harmonization are needed to monitor DMC outcomes.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Artroplastia de Reemplazo de Cadera
/
Luxaciones Articulares
/
Luxación de la Cadera
/
Prótesis de Cadera
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Artif Organs
Año:
2022
Tipo del documento:
Article
País de afiliación:
Italia