Dual-Mobility Articulations for Patients at High Risk for Dislocation.
The purpose of this study was to evaluate the performance of dual-mobility articulations in patients at high risk for dislocation after revision total hip arthroplasty.



We reviewed the results of 36 consecutive revision total hip arthroplasties performed on patients considered high risk for instability. Indications for inclusion included abductor insufficiency, recurrent instability, failure of constrained liner, or inadequate intraoperative stability when trialing.



At a minimum of 2 years, there were 4 (11.1%) repeat revisions including both dual-mobility liners that were cemented into an acetabular shell and 2 for deep infection treated with a 2-stage exchange. There was one dislocation that was successfully closed reduced but no revisions for recurrent instability. The mean Harris hip score improved from 45 to 90 points (P < .001).



Dual-mobility articulations are associated with a low rate of failure with no revisions for instability in this challenging group of patients.
Department of Orthopaedic Surgery, The Ohio State University, Columbus, Ohio.
Darren R
DR
Plummer
Optim Orthopedics, Savannah, Georgia.
Jonathan M
JM
Christy
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois; Department of Orthopaedic Surgery, Central DuPage Hospital, Winfield, Illinois.
Scott M
SM
Sporer
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois; Department of Orthopaedic Surgery, Central DuPage Hospital, Winfield, Illinois.
Wayne G
WG
Paprosky
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
Craig J
CJ
Della Valle
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D005260:Female; D006617:Hip Dislocation / Q000209:etiology; D006622:Hip Prosthesis; D006801:Humans; D004204:Joint Dislocations; D007596:Joints / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation / Q000295:instrumentation*; D012189:Retrospective Studies; D016896:Treatment Outcome
dislocation; dual mobility; high risk; instability; revision; total hip arthroplasty