Intraprosthetic Dislocation of Modular Dual-Mobility Total Hip Arthroplasty Components During Closed Reduction: A Report of Two Cases

Abstract

Dual-mobility bearing total hip arthroplasty offers several advantages over traditional prosthesis designs in the treatment of degenerative hip disease. Over decades of use, they have shown proven benefits in both durability and stability. However, despite their practical and theoretical advantages, they present a unique mode of failure not seen with other implants. In this report, the authors present two patients who sustained intraprosthetic dislocation of their dual-mobility total hip arthroplasty components during closed reduction of a hip dislocation.

Keywords

dual mobility - total hip arthroplasty - dislocation - closed reduction - intraprosthetic dislocation

• References

• 1 Philippot R, Boyer B, Farizon F. Intraprosthetic dislocation: a specific complication of the dual-mobility system. Clin Orthop Relat Res 2013; 471 (03) 965-970
• 2 Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F. 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 2009; 33 (04) 927-932
• 3 Lachiewicz PF, Watters TS. The use of dual-mobility components in total hip arthroplasty. J Am Acad Orthop Surg 2012; 20 (08) 481-486
• 4 Hamadouche M, Arnould H, Bouxin B. Is a cementless dual mobility socket in primary THA a reasonable option?. Clin Orthop Relat Res 2012; 470 (11) 3048-3053
• 5 van Heumen M, Heesterbeek PJ, Swierstra BA, Van Hellemondt GG, Goosen JH. Dual mobility acetabular component in revision total hip arthroplasty for persistent dislocation: no dislocations in 50 hips after 1-5 years. J Orthop Traumatol 2015; 16 (01) 15-20
• 6 Mohammed R, Hayward K, Mulay S, Bindi F, Wallace M. Outcomes of dual-mobility acetabular cup for instability in primary and revision total hip arthroplasty. J Orthop Traumatol 2015; 16 (01) 9-13
• 7 Bouchet R, Mercier N, Saragaglia D. Posterior approach and dislocation rate: a 213 total hip replacements case-control study comparing the dual mobility cup with a conventional 28-mm metal head/polyethylene prosthesis. Orthop Traumatol Surg Res 2011; 97 (01) 2-7
• 8 Jauregui JJ, Pierce TP, Elmallah RK, Cherian JJ, Delanois RE, Mont MA. Dual mobility cups: an effective prosthesis in revision total hip arthroplasties for preventing dislocations. Hip Int 2016; 26 (01) 57-61
• 9 Fabry C, Langlois J, Hamadouche M, Bader R. Intra-prosthetic dislocation of dual-mobility cups after total hip arthroplasty: potential causes from a clinical and biomechanical perspective. Int Orthop 2016; 40 (05) 901-906
• 10 Langlois J, El Hage S, Hamadouche M. Intraprosthetic dislocation: a potentially serious complication of dual mobility acetabular cups. Skeletal Radiol 2014; 43 (07) 1013-1016
• 11 De Martino I, D'Apolito R, Waddell BS, McLawhorn AS, Sculco PK, Sculco TP. Early intraprosthetic dislocation in dual-mobility implants: a systematic review. Arthroplas Today 2017; 3 (03) 197-202
• 12 Waddell BS, De Martino I, Sculco T, Sculco P. Total hip arthroplasty dislocations are more complex than they appear: a case report of intraprosthetic dislocation of an anatomic dual-mobility implant after closed reduction. Ochsner J 2016; 16 (02) 185-190
• 13 Fehring KA, Berry DJ. Dissociation and intrapelvic entrapment of a dual-mobility polyethylene component. Clin Orthop Relat Res 2016; 474 (04) 1072-1076
• 14 Banka TR, Ast MP, Parks ML. Early intraprosthetic dislocation in a revision dual-mobility hip prosthesis. Orthopedics 2014; 37 (04) e395-e397
• 15 Samona J, Flanagan B, Walter N. Acute disassembly and dissociation of a dual-mobility next-generation prosthesis. Orthopedics 2016; 39 (05) e980-e983
• 16 Stigbrand H, Ullmark G. Component dissociation after closed reduction of dual mobility sockets - a report of three cases. Hip Int 2011; 21 (02) 263-266
• 17 Schirmers J, Horazdovsky R, Marston S. Early intraprosthetic dislocation of dual-mobility total hip arthroplasty implant following attempted closed reduction: a case report. Reconstr Rev 2015; 5: 47
• 18 Ward JP, McCardel BR, Hallstrom BR. Complete dissociation of the polyethylene component in a newly available dual-mobility bearing used in total hip arthroplasty: a case report. JBJS Case Connect 2013; 3 (03) (Suppl. 09) e941-e944
• 19 Cvetanovich GL, Fillingham YA, Della Valle CJ, Sporer SM. Intraprosthetic dislocation of dual-mobility bearings associated with closed reduction. JBJS Case Connect 2015; 5: e26
• 20 Banzhof JA, Robbins CE, Ven Av, Talmo CT, Bono JV. Femoral head dislodgement complicating use of a dual mobility prosthesis for recurrent instability. J Arthroplasty 2013; 28 (03) 543.e1-543.e3
• 21 McPherson E, Sherif S. In vivo dissociation of a dual articulation bearing in revision THA: case report. Reconstr Rev 2012; 2: 72
• 22 Loubignac F, Felts E, Allal R. Early intraprosthetic dislocation of a total hip replacement with dual mobility socket: clinical presentation and update review. Eur J Orthop Surg Traumatol 2012; 22 (Suppl. 01) 85-87
• 23 Ko LM, Hozack WJ. The dual mobility cup: what problems does it solve?. Bone Joint J 2016; 98-B (1, Suppl A): 60-63
• 24 Loubignac F, Boissier F. [Cup dissociation after reduction of a dislocated hip hemiarthroplasty]. Rev Chir Orthop Repar Appar Mot 1997; 83 (05) 469-472
• 25 Georgiou G, Siapkara A, Dimitrakopoulou A, Provelengios S, Dounis E. Dissociation of bipolar hemiarthroplasty of the hip after dislocation. A report of five different cases and review of literature. Injury 2006; 37 (02) 162-168
• 26 Stryker Orthopaedics. MDMX3 Modular Dual Mobility Acetabular System Surgical Technique for US and Canada. Stryker Corporation. 2013; Literature Number LSP73 Rev. 3. https://www.strykermeded.com/media/1286/mdm-x3-surgical-technique.pdf . Accessed January 28, 2018
• 27 Biomet Orthopedics. G7 Dual Mobility Construct Surgical Technique. Zimmer Biomet. 2015; 004.2-GLBL-en-REV1115. http://www.biomet.com/wps/wcm/connect/internet/5b66859f-fdf6-4c82-9ce8-4446a188fb6e/0004.3-GLBL-en+G7+Dual+Mobility+SurgTech.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=5b66859f-fdf6-4c82-9ce8-4446a188fb6e . Accessed January 28, 2018