Dual mobility cup: dislocation rate and survivorship at ten years of follow-up

Abstract

Purpose: The dual mobility cup introduced in France by Gilles Bousquet has been used in total hip replacement in high-risk patients. This device acts as a large ball implant and significantly reduces the risk of dislocation following hip arthroplasty. Published French literature has focused on low rates of dislocation and long-term follow-up similar to the low-friction arthroplasty.

Methods: We retrospectively reviewed a continuous series of 105 cases of dual mobility cup Quattro (Groupe Lépine, Genay, France) implanted from 2000 to 2002. Selection of the patients requiring a primary hip replacement depended on risk criteria such as age, hip disease and activity score. The dual mobility cup was associated with a modular cemented femoral component and a 22.2-mm stainless steel head.

Results: One dislocation occurred one month after the index surgery requiring no revision surgery. According to the Kaplan-Meier method, survival probability was 95.0% (95% confidence interval 81.5-98.8) at ten years of follow-up.

Conclusions: Based on clinical outcome and patient assessment we conclude that the dual mobility cup is a reliable option to decrease dislocation risk without increasing polyethylene wear.

Fig. 1

The Quattro® dual mobility cup associated with a Charnley-type femoral stem

Fig. 2

Specific design of the liner

Fig. 3

Survival probability of dual mobility cup

Fig. 4

Dual mobility cup at 10 years of follow-up