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Cementation of a dual mobility cup into an existing well-fixed metal shell: A reliable option to manage wear-related recurrent dislocation in patients with high surgical risk

Journal of Arthroplasty May 30, 2020

Wegrzyn J, Saugy CA, Guyen O, et al. - The present study was undertaken to investigate the outcome of a “double-socket” technique conducted with a cemented dual mobility cup in revision total hip arthroplasty (THA) for late instability. Researchers conducted 28 revision THAs (28 patients) for wear-related recurrent dislocation using a “double-socket” technique with a cemented dual mobility cup and retrospectively reviewed. Twelve patients (43%) were ASA II and 16 patients (57%) were ASA III before revision, according to the American Society of Anesthesiologists (ASA) physical status classification. The data showed that the “double-socket” procedure with a dual mobility cup cemented into an existing well-fixed and well-positioned metal shell ensured a straightforward and blood-sparing revision technique that was efficient to restore stability and serve a secure acetabular construct in frail patients with high surgical risk and/or older than their natural life expectancy.

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