SICOT-J最新文献

{"title":"Evaluation of meniscal injury on magnetic resonance imaging and knee arthroscopy in patient with anterior cruciate ligament tear.","authors":"Toan Thanh Vo, Duc Thien Nguyen, Nguyen Anh Dinh Le, Ky Hien Van Nguyen, Hiep Khanh Vuu, Tu Anh Le, Nguyen Ba Le Phan","doi":"10.1051/sicotj/2024051","DOIUrl":"10.1051/sicotj/2024051","url":null,"abstract":"<p><strong>Introduction: </strong>Meniscal injuries often occur in association with anterior cruciate ligament (ACL) injury. Failure to detect meniscal tears in patients with ACL injuries can lead to more complex tears and make them more difficult to repair.</p><p><strong>Objective: </strong>To determine the degree of correlation between magnetic resonance imaging (MRI) and knee arthroscopy in diagnosing meniscal injuries in patients with ACL tears.</p><p><strong>Methods: </strong>A prospective descriptive study was conducted on 185 patients diagnosed with ACL tears through knee arthroscopy at Thong Nhat Hospital from April 2023 to April 2024.</p><p><strong>Results: </strong>The accuracy of MRI and its correlation with arthroscopy in detecting meniscal injuries is 69.2%, indicating a low degree of agreement between MRI and arthroscopy results. Diagnosis of meniscal injury location has an accuracy of 57.1%, indicating a minimal to low degree of agreement between MRI and arthroscopy results. Diagnosis of the injury region: Accuracy over 85%, with Kappa coefficients ranging from 0.3 to 0.59, p < 0.001. Diagnosis of the morphology of meniscal injuries: Accuracy over 89%, with Kappa coefficients ranging from 0.26 to 0.66, p < 0.001.</p><p><strong>Conclusion: </strong>There is a minimal to moderate correlation between MRI and arthroscopy in detecting, and diagnosing the location, region, and morphology of meniscal injuries in patients with ACL tears. Therefore, caution is advised when diagnosing meniscal injuries based solely on MRI findings in patients with ACL tears.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"56"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term functional outcomes of robotic-assisted TKA are better with functional alignment compared to adjusted mechanical alignment.","authors":"Michaud Jeffrey, Philippe Marchand, Pascal Kouyoumdjian, Remy Coulomb","doi":"10.1051/sicotj/2024002","DOIUrl":"10.1051/sicotj/2024002","url":null,"abstract":"<p><strong>Introduction: </strong>Ligament balancing is essential to the functional outcome of total knee arthroplasty (TKA). The optimal method of alignment remains a controversial issue. The primary objective was to compare the clinical outcomes of TKA between functional and adjusted mechanical alignment techniques. The secondary objectives were to compare bone resection, robotic alignment, and radiological assessment.</p><p><strong>Materials and methods: </strong>This was a retrospective case-control series comparing TKA performed with functional alignment (FA) and adjusted mechanical alignment (aMA). Sixty-four FA subjects were matched with 64 aMA controls. These two groups were matched for age, gender, body mass index (BMI), surgeon, and type of frontal deformity. Both surgical procedures were performed using the MAKO^® haptic robotic system. Functional scores (Forgotten Joint Score (FJS), Knee Society Score (KSS), and Oxford Knee Score (OKS)) were measured at the final postoperative follow-up. A radiographic evaluation was performed at the same time.</p><p><strong>Results: </strong>Mean FJS were respectively 63.4 ± 25.1 [0-100] and 51.2 ± 31.8 [0-100] in FA versus aMA group (p = 0.034). Mean OKS were respectively 40.8 ± 6.3 [21-48] and 34.9 ± 11.8 [3-48] in FA versus aMA group (p = 0.027). Mean KSS were respectively 184.9 ± 17.0 [126-200] and 175.6 ± 23.1 [102-200] in FA versus aMA group (p = 0.02). The main residual symptom was \"none\" for 73.0% versus 57.8%, \"instability\" for 6.4% versus 21.9%, \"Pain\" for 19.1% versus 12.5%, and \"effusion\" for 1.6% and 7.8% respectively for FA and aMA group (p = 0.016). There were 4 complications in the FA group versus 5 in the aMA group (p > 0.999). Mean postoperative hip-knee-ankle (HKA) robotic assessment were respectively 177.3° ± 2.0 [172-180] and 178.2° ± 2.0 [173-180] for FA and aMA group (p = 0.018). The median difference between HKA robotic and HKA radiological was -3.0° (IQR = 3.0; p < 0.001).</p><p><strong>Conclusion: </strong>With greater residual deformity and without release, functional alignment showed a statistically significantly better short-term clinical outcome than adjusted mechanical alignment. This difference may not be clinically significant.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"2"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10798231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139490934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delayed presentation of lower cervical facet dislocations: What to learn from past reports?","authors":"Laurent Nkurikiyumukiza, Alex Mathias Buteera, Mohammad Mostafa El-Sharkawi","doi":"10.1051/sicotj/2023036","DOIUrl":"10.1051/sicotj/2023036","url":null,"abstract":"<p><p>Delayed presentation of lower cervical facet dislocations is uncommon, and there is no standardized way to approach these neglected injuries. The literature on neglected lower cervical facet dislocations is limited to case reports and few retrospective studies. This justifies the need for a comprehensive review of this condition. Our purpose was to elaborate a review on the epidemiology, clinical and radiological presentation, and treatment techniques and approach to these neglected injuries. Middle-aged adults from 30 to 50 represent 73.8% of reported cases, and most of them are males (72.0%). The most affected level is C5-C6 (43.0%). While most delays are due to missed injuries (52.1%) and ineffective non-operative treatment (36.2%), the other reason for delay is negligence in seeking medical care (11.7%). Patients present with variable degrees of neurological deficit, persistent neck pain, and neck stiffness. Reported approaches and techniques to reduce and stabilize these injuries are highly variable and depend on the surgeon's judgment, experience, and preference. Fibrotic tissues and bony fusion around the dislocated facet joint contribute to the reduction challenge, and 77.0% of closed reduction attempts fail. Anterior and posterior approaches to the cervical spine are used selectively or in combination for surgical release, reduction, and stabilization. Despite the lack of standardized treatment guidelines and different approaches, most of the authors reported improvement in pain, balance, and neurology post-surgery. Starting with the posterior surgical approach aims to achieve reduction compared to the anterior approach which largely aims at spinal decompression. Given the existing controversies, the need for quality prospective studies to determine the best treatment approach for lower cervical facet dislocations presenting with delay is evident.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"4"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10798230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to: \"What is the best fixation method in medial patellofemoral ligament reconstruction? A biomechanical comparison of common methods for femoral graft attachment\".","authors":"Léonard Vezole, Stanislas Gunst, Laure-Lise Gras, Jobe Shatrov, Özgür Mert Bakan, Sébastien Lustig, Elvire Servien","doi":"10.1051/sicotj/2024015","DOIUrl":"10.1051/sicotj/2024015","url":null,"abstract":"","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"18"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11141514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The linked nail/plate construct for the management of distal femur fractures in the elderly.","authors":"Georgios Saraglis, Anwar Khan, Amit Sharma, Sagar Pyakurel, Sayed Fazal Elahi Rabbani, Mohamed Shawky Abdelhamid Arafa","doi":"10.1051/sicotj/2024016","DOIUrl":"10.1051/sicotj/2024016","url":null,"abstract":"<p><strong>Background: </strong>Distal femoral fractures represent a challenging injury, with many different factors such as the method of fixation, complexity of fracture pattern, and patient co-morbidities affecting the outcome. Lots of surgical treatment options have been described, but recently double construct fixation, using a nail/plate combination, has received lots of attention, a technique that leads to faster weight-bearing, low risk of metalwork failure, and non-union. The purpose of this study was to investigate the effectiveness of the linked nail/plate construct in the management of complex distal femur fractures and to investigate if the above technique leads to faster recovery and earlier radiographic union.</p><p><strong>Materials and methods: </strong>In total 15 cases were included in the study, that underwent a combined nail/plate construct for a distal femur fracture between January 2021 and December 2022. Only cases with a linked nail/plate construct were included, with a minimum follow-up of 1 year. Open femur fractures, single implant fixation cases, and revision procedures were excluded.</p><p><strong>Results: </strong>In this cohort study, 11 cases were periprosthetic distal femur features, and 4 cases were distal femur fractures around a native knee joint. The mean age group was 74 years, 86.6% of the patients had a BMI > 25 and the mean time to fracture union was 24 weeks (range from 20 to 26 weeks). All cases healed uneventfully and the complication rate was 6.6%, including 1 case of superficial infection which resolved completely with oral antibiotics.</p><p><strong>Conclusion: </strong>The increasing age population, the complexity of distal femoral fractures along with the increasing physiological demands of the elderly population, drive the need for double fixation constructs that allow early mobilization and enhance fracture stability. In our study, the linked nail/plate construct seems to provide adequate stability and excellent union rates (100%) with no associated increased risk of complications.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"20"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11141519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total hip arthroplasty with subtrochanteric femoral shortening osteotomy using a monoblock cylindrical cementless stem for severe developmental hip dysplasia (Crowe type III, IV).","authors":"Akio Kanda, Osamu Obayashi, Atsuhiko Mogami, Itaru Morohashi, Muneaki Ishijima","doi":"10.1051/sicotj/2024032","DOIUrl":"10.1051/sicotj/2024032","url":null,"abstract":"<p><strong>Background: </strong>Treatment of patients with Crowe type III and IV dislocated hips is challenging because of the hip deformity in these patients. In addition to the usual total hip replacement, shortening and reduction of the femur are often required. We herein report on our surgical technique using a monoblock cylindrical cementless stem and a direct lateral approach.</p><p><strong>Methods: </strong>This study included patients with a diagnosis of severe developmental dysplasia of the hip (Crowe types III and IV) who underwent primary total hip arthroplasty at our hospital from August 2019 to January 2022. Eleven hips of seven patients were treated. All patients underwent horizontal osteotomy using a monoblock cylindrical cementless stem and a direct lateral approach. Complications such as dislocation, infection, and implant dropout were evaluated. In addition, the clinical assessment included the hip range of motion at the last observation and hip function based on the Japanese Orthopaedic Association (JOA) hip score and the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ).</p><p><strong>Results: </strong>The average operation time was 224 min (range, 194-296 min), and the average bleeding amount was 396.1 g (range, 20-1010 g). The main complications were acetabular implant dislocation, postoperative dislocation, intraoperative arterial injury, intraoperative proximal femoral fracture, subsidence of femoral implant. and postoperative pulmonary infarction, which occurred in one patient each.</p><p><strong>Conclusion: </strong>Total hip arthroplasty for Crowe type III and IV hips is associated with various surgical technical difficulties because of its anatomical characteristics. While patients with severe osteoporosis are contraindicated, the use of a cylindrical monoblock cementless stem and the direct lateral approach makes it possible to simplify the procedure for shortening the femur and increase the indications for surgery.</p><p><strong>Level of evidence: </strong>Therapeutic Level Ⅳ.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"34"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional outcomes of three-corner fusion without triquetrum excision versus conventional four-corner fusion in scaphoid non-union advanced collapse G II and III in active patients: a prospective randomized control trial.","authors":"Khaled Nabil Youssef, Amr Nabil, Ahmed Naeem Atiya, Mohammed Mostafa El-Mahy","doi":"10.1051/sicotj/2024052","DOIUrl":"10.1051/sicotj/2024052","url":null,"abstract":"<p><strong>Introduction: </strong>Four-corner fusion has long been the preferred treatment for stages II and III of scaphoid nonunion advanced collapse with intact radiolunate articulation. Three corner fusions were then proposed as a more limited procedure with improved ulnar deviation through triquetrum excision. However, we believe triquetrum preservation would decrease the radiolunate contact pressure without affecting the ulnar deviation range.</p><p><strong>Methods: </strong>This prospective randomized study was performed between March 2019 and May 2021 and involved a total of 34 patients who underwent four corner fusions or three corner fusions without triquetrum excision for SNAC grade II and III. The average follow-up period was 2 years. Follow-up included radiological and clinical evaluation (range of motion, grip strength, visual analogue scale, and modified Mayo wrist scores).</p><p><strong>Results: </strong>There were no significant differences between the two groups as regards the postoperative range of motion, grip strength, visual analogue scale, modified Mayo wrist scorers, and complication rate. However, the three-corner fusion group had less mean operative time compared to the four-corner fusion (mean ± SD; 77.6 ± 16.9, 103.8 ± 10.2 min - P < 0.001) respectively.</p><p><strong>Conclusion: </strong>The authors concluded that three-corner fusion without triquetrum excision offered a comparable functional outcome and complication rate to four-corner fusion with less operative time in the three-corner fusion group.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"55"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peer-reviewed publications in orthopaedic surgery from lower income countries: A comparative analysis.","authors":"Sanjeev Sabharwal, Andrea Leung, Patricia Rodarte, Gurbinder Singh, Joel Johansen Bwemelo, Annelise S Taylor, Josephine Tan, Richard Trott","doi":"10.1051/sicotj/2023039","DOIUrl":"10.1051/sicotj/2023039","url":null,"abstract":"<p><strong>Introduction: </strong>Musculoskeletal (MSK) disease is a substantial global burden, especially in lower income countries. However, limited research has been published on MSK health by scholars from these countries. We aimed to study the distribution of authorships, including trends in peer-reviewed orthopaedic publications based on each author's affiliated institution's country income status.</p><p><strong>Methods: </strong>Based on a bibliometric search, 119 orthopaedic-related journals were identified using the Journal Citation Reports database. Details of all scientific articles published in these journals between 2012 and 2021 were used to study trends and association between each of the author's affiliated institution's country income status, using the World Bank Classification.</p><p><strong>Results: </strong>Of the 133,718 unique articles, 87.6% had at least one author affiliation from a high-income country (HIC), 7.0% from an upper-middle income country (UMIC), 5.2% from a lower-middle income country (LMIC), and 0.2% from a low-income country (LIC). Overall, these articles were cited 1,825,365 times, with 92.5% of citations from HIC-affiliated authors and < 0.1% from LIC-affiliated authors. Over the 10-year study period, HIC-affiliated articles demonstrated the largest increase in the number of publications (9107-14,619), compared to UMIC-affiliated (495-1214), LMIC-affiliated (406-874), and LIC-affiliated articles (4-28).</p><p><strong>Conclusions: </strong>There are large and persistent disparities in orthopaedic research publications based on the country income status of the author's affiliated institution, especially in the higher impact orthopaedic journals. Efforts should be made to increase opportunities for scholars from LICs and LMICs to publish their research in high-impact orthopaedic journals.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"6"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10836199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of a hydroxyapatite ceramic-coated femoral stem in primary total hip arthroplasty: a report of excellent survivorship from a single United Kingdom centre.","authors":"Karim M Abdelghafour, Sherif A Khaled, Khaled F M Abdel-Kader, Hazem A Azeem, Nirav N Shah","doi":"10.1051/sicotj/2024026","DOIUrl":"10.1051/sicotj/2024026","url":null,"abstract":"<p><strong>Background: </strong>Hydroxyapatite (HA) coated femoral stems were introduced to enhance the biological fixation at the implant-bone interface, aiming to increase the longevity and survival of the prostheses. We aimed to assess the long-term outcomes of an HA ceramic (HAC) coated stem in primary total hip arthroplasty (THA), assess the stem survival, and clinically evaluate the patients using patient-reported outcome measures (PROMs) and radiological evaluation of stem osseointegration.</p><p><strong>Patients and methods: </strong>This was a prospective evaluation of a retrospective cohort of 385 patients (442 hips) who underwent primary THA between June 2008 and December 2018. The mean age was 63.83 years (range, 30-82 years). During the follow-up duration, 23 patients died, and 36 patients (38 hips) were lost to follow-up. Prospective data collected for 326 patients (381 hips) was used to evaluate stem survival with the Kaplan-Meier method using aseptic loosening or any revision as the endpoint. Clinical evaluation was done using the EuroQol five-dimension (EQ-5D) scoring system and PROMs using the Oxford Hip Score (OHS) and Merle D'Aubigne Postel (MDP) score. Radiological assessments were performed using the Engh radiological criteria for stem osteointegration.</p><p><strong>Results: </strong>The mean follow-up duration was 9.39 years (range, 4-14.5 years). The survival of the HAC-coated femoral stem was 100% (95% confidence interval [CI], 96.7-100%) at 14 years with aseptic loosening as the endpoint, and 98.9% (CI, 96.7-100%) at 14 years with stem revision for any reason as the endpoint. The mean OHS was 44.5 (range, 30-48), and the mean MDP score was 15.87 (range, 10-18). Radiological evaluations showed full osseointegration of all stems.</p><p><strong>Conclusion: </strong>This HAC-coated femoral stem has shown excellent survivorship, functional outcomes, and full osseointegration at the final follow-up.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"28"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11325862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Excellent survival of second-generation uncemented dual mobility cups compared with first-generation cups at a minimum of 10 years follow-up in primary total hip arthroplasty.","authors":"Antoine Duhil, Gérald Delfosse, Elvire Servien, Cécile Batailler, Sébastien Lustig","doi":"10.1051/sicotj/2024024","DOIUrl":"10.1051/sicotj/2024024","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to compare the revision rate and long-term survival between two generations of uncemented dual mobility cup (DMC) from the same manufacturer in primary total hip arthroplasty (THA) at a minimum follow-up of 10 years.</p><p><strong>Methods: </strong>This retrospective monocentric study included all THA performed with an uncemented DMC from the same company. The cohort included 150 patients with 22 first-generation DMC and 128 second-generation DMC. The coating of the second generation was a double-coating Plasma spray of Titanium and Hydroxyapatite (HAP), compared to the coating of alumina and HAP for the first generation. The mean follow-up was 14.2 ± 1.2 years. The mean age was 76.0 ± 10.1 years. The Harris hip score (HHS), complications, and revisions were collected at the last follow-up. Ten- and fifteen-year Kaplan-Meier survival was calculated.</p><p><strong>Results: </strong>At the last follow-up, the mean HHS was 83.2 ± 9.1. There were two acetabular loosenings with the old coating (9.1%) and one case with the new one (0.78%) (p = 0.056). There was one extra-prosthetic dislocation (0.67%) and one postoperative infection (0.67%). Survival without acetabular revision at 10 and 15 years was 90.9% for the 1st generation and 99.2% for the 2nd generation (p = 0.009).</p><p><strong>Conclusion: </strong>Survival without acetabular revision was significantly higher at 10 and 15 years of follow-up with the second generation of DMC with plasma-sprayed titanium and HAP coating compared to the first generation of DMC coat. The dislocation was uncommon, thanks to the dual mobility concept. This second generation of uncemented DMC can be safely used in primary THA.</p>","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":"10 ","pages":"32"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11352272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}