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Antinolfi P, Pace V, Placella G, Bettinelli G, Salini V. 166 Dual Mobility for Total Hip Arthroplasty Revision Surgery: A Systematic Review and Metanalysis. Br J Surg 2021. [DOI: 10.1093/bjs/znab135.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Dual Mobility (DM) implants provide greater stability especially in Revision Total Hip Arthroplasty (R-THA) when compared to primary THA. Aim: to identify the current evidence regarding outcomes of DM in R-THA when compared to fixed-bearing (FB) implants.
Review in accordance with PRISMA guidelines. Structured electronic searches. Primary outcome measure: dislocation rate following R-THA. Secondary outcome measures: implant survival, aseptic loosening, infection rate. Studies' methodology quality assessed using MINORS criteria.
All articles published from 2016 to December 2019 included. 1777 R-THAs were reported (49.9% with DM acetabular component, 50.1% with FB component). Sample size: 67-426 patients. Mean age: 57-73. Mean follow-up period: 12-60 months. Significant risk ratio of 1.08 [1.05, 1.12] (95% CI, I2 = 37%, P < 0.00001) with statistically significant difference between the two groups in favour of DM implant. Statistically significant difference in favour of DM group with respect to dislocation rate (risk ratio 0.22, 95% CI; P < 0.00001) and aseptic loosening (risk ratio 0.51, 95% CI; P < 0.05). No statistical difference between the groups on risk ratio for infection 0.94 (95% CI; P = 0.85).
DM implants are beneficial in R-THA when compared to FB implants. However, one needs to balance the benefits of using DM implant considering the patient’s clinical conditions and the costs involved.
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Affiliation(s)
| | - V Pace
- The Royal National Orthopaedic Hospital, Stanmore, London, United Kingdom
- University of Perugia, Perugia, Italy
| | - G Placella
- IRCCS (San Raffaele Hospital), Milan, Italy
| | | | - V Salini
- IRCCS (San Raffaele Hospital), Milan, Italy
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Bettinelli G. [Tomographic aspects of mediastinal invasion of bronchial carcinoma]. Ann Radiol Diagn (Bologna) 1969; 42:43-60. [PMID: 5406591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Landini A, Bettinelli G. [Radiologic and diagnostic considerations on the changes in the ileo-cecal region]. Minerva Radiol 1969; 14:20-34. [PMID: 5404923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Bettinelli G, Macchi L. [Diaphragmatic rupture in closed thoracic injuries. Radiologic study]. Minerva Radiol 1968; 13:519-25. [PMID: 5734804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Bettinelli G. [Primary and secondary changes of the ileo-cecal valve]. Minerva Gastroenterol 1968; 14:71-83. [PMID: 5705346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Bettinelli G, Cosmacini G. [On the radiological aspects of fistulas of the colon studied with opaque enemas]. Quad Radiol 1967; 32:473-89. [PMID: 5599404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Cosmacini G, Bettinelli G. [Observations on the differential radiological diagnosis of non-tuberculous segmental stenosis of the small intestine]. Nunt Radiol 1966; 32:1549-65. [PMID: 4874504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Bettinelli G, Cosmacini G. [Cryptogenetic ulcerative colitis. Nosographic considerations and radiological aspects]. Minerva Med 1966; 57:3836-9. [PMID: 5957796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Macchi L, Bettinelli G. [Radiologic diagnosis of rupture of the diaphragm. Observations on 12 cases]. Radiol Med 1966; 52:401-24. [PMID: 5181573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Bettinelli G, Cosmacini G. [Observations on the differential radiologic diagnosis of vegetative ileo-cecal diseases]. Arch Ital Mal Appar Dig 1966; 33:295-306. [PMID: 5973692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Cosmacini G, Bettinelli G. [Radiological aspects of the ileocecal valve in phlogistic and newplastic affections of the small and large intestine]. Nunt Radiol 1966; 32:147-59. [PMID: 5956827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Cosmacini G, Bettinelli G. [The radiologic syndrome of "tumefaction" of the ileo-cecal valve]. Nunt Radiol 1966; 32:45-55. [PMID: 5955065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Bettinelli G, Landini A. [Anomalous communications between the biliary tract and digestive tract: (observations on 32 cases studied radiologically)]. Osp Maggiore 1965; 60:839-61. [PMID: 5850043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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