title: Total hip arthroplasty using direct anterior approach and dual mobility cup: safe and efficient strategy against post-operative dislocation.
abstract: We hypothesize that a dual mobility cup can be safely used via the direct anterior approach, without increasing the risk of complications or incorrect positioning.
  
  
  
  This retrospective study compared 201 primary total hip arthroplasties using a dual mobility cup performed via direct anterior approach without a traction table, to 101 arthroplasties performed via posterolateral approach. Implant positioning, function scores, and early complications were recorded.
  
  
  
  Implant positioning was appropriate in both groups, with a higher cup anteversion in direct anterior approach. The complications rates were similar in both groups, with no dislocation or infection.
  
  
  
  The direct anterior approach without traction table associated with a dual mobility cup does not increase the risk of complications or non-optimal positioning of implants. This strategy is interesting for patients with high risk of post-operative dislocation.
authors.affiliation: Albert Trillat Center, Lyon North University Hospital, Lyon, France.
authors.forename: Cécile
authors.initials: C
authors.lastname: Batailler
authors.affiliation: Western Hospital, Melbourne, Australia.
authors.forename: Camdon
authors.initials: C
authors.lastname: Fary
authors.affiliation: Public Health Center, Grenoble University Hospital, Grenoble, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Batailler
authors.affiliation: Albert Trillat Center, Lyon North University Hospital, Lyon, France.
authors.forename: Elvire
authors.initials: E
authors.lastname: Servien
authors.affiliation: Albert Trillat Center, Lyon North University Hospital, Lyon, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Neyret
authors.affiliation: Albert Trillat Center, Lyon North University Hospital, Lyon, France. Sebastien.lustig@gmail.com.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Lustig
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006617:Hip Dislocation / Q000453:epidemiology / Q000209:etiology; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011184:Postoperative Period; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Direct anterior approach; Dislocation; Dual mobility cup; Implants positioning; Total hip arthroplasty