Dual-Mobility Cups in Primary Total Hip Arthroplasty

Petri Bellova; Jens Goronzy; Roman Riedel; Tim Grothe; Albrecht Hartmann; Klaus-Peter Günther

doi:10.1055/a-1527-7758

Zeitschrift für Orthopädie und Unfallchirurgie, Table of Contents

Z Orthop Unfall 2023; 161(01): 74-84
DOI: 10.1055/a-1527-7758

Review/Übersicht

Tripolare Pfannen in der Primärhüftendoprothetik

Article in several languages: English | deutsch

Petri Bellova

Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, Dresden, Germany

,

Jens Goronzy

Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, Dresden, Germany

,

Roman Riedel

Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, Dresden, Germany

,

Tim Grothe

Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, Dresden, Germany

,

Albrecht Hartmann

Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, Dresden, Germany

,

Klaus-Peter Günther

Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, Dresden, Germany

› Author Affiliations

Abstract

Zusammenfassung

Tripolare Pfannen bzw. Dual-Mobility-Pfannen (dual mobility cups, DMCs) wurden bereits vor über 40 Jahren in Frankreich eingeführt und erfahren nun auch in Deutschland zunehmende Anwendung – nicht nur in der Revisionsendoprothetik, sondern auch in der Primärendoprothetik. Durch das simulierte Großkopfprinzip mit doppelter Artikulation sollen DMCs einen hohen Bewegungsumfang im Hüftgelenk mit reduzierter Luxationsgefahr gewährleisten. Inzwischen zeigen zahlreiche Studien geringe Dislokationsraten sowie hohe Überlebensraten im mittelfristigen Follow-up. Es gibt allerdings noch relativ wenige Langzeitdaten, insbesondere zum Einsatz in der Primärendoprothetik und der Stellenwert von Material- bzw. Designvarianten ist bislang noch unklar. Aus diesem Grund werden DMCs in der Primärendoprothetik aktuell vor allem bei Patient*innen mit erhöhtem Instabilitätsrisiko propagiert. Dazu gehören insbesondere eine Insuffizienz der pelvitrochantären Muskulatur, die eingeschränkte spinopelvine Mobilität, neuromuskuläre Erkrankungen oder Adipositas permagna sowie der Einsatz in der Frakturendoprothetik. Basierend auf einer Literaturübersicht zu diesen Indikationen wird der aktuelle Diskussionsstand zusammengefasst.

Schlüsselwörter

Dual Mobility - tripolare Pfannen - Hüftendoprothetik - Luxation - Instabilität

Full Text

References

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