Once upon a time.... Dual mobility: history.

Abstract:

INTRODUCTION:Since 1962, the low friction arthroplasty developed by Sir John Charnley has given us very good long terms results at more than 40 years follow up, but dislocation remains a major complication. The dislocation rate is a permanent risk during the life of the patient and the prosthesis, defined by J. Caton and D. Berry in 2004 as a cumulative risk. History and concept development: The concept of dual mobility was thought up by G. Bousquet, A. Rambert and J. Rieu in the 1970s (1974-1979). The first one in 1979 was called NOVAE and combined two articulations: one large and one smaller by a recruitement phenomenon increasing the jumps distance and so decreasing dislocation forces. In 2003, D. Noyer published the first paper about the «third articulation»: a true metal/PE bearing. Since 1996, twenty years after the first patent, many dual mobility cups have been developed with various fixation ways and various designs. CONCLUSION:Today with the same principles there are many differences for the «third generation» with excellent results at more than ten years FU with less than 1% to 2% dislocation rate in primary, revision, recurrent THA dislocation and THA after femoral neck fractures.

journal_name

Int Orthop

authors

Noyer D,Caton JH

doi

10.1007/s00264-016-3361-6

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

611-618

issue

3

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-016-3361-6

journal_volume

41

pub_type

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