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July 30, 2025Journal of Clinical MedicineOpen Access

Are There Benefits of Total Hip Arthroplasty with Dual-Mobility Cups Compared to Bipolar Hemiarthroplasty for Femoral Neck Fractures in the Geriatric Population? A Systematic Review and Meta-Analysis of Comparative Studies

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Authors

DGDimitrios GrammatikopoulosVPVasileios F PegiosSTStavros Tsotsolis

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Overview

Systematic review demonstrates that dual-mobility cups improve functional recovery and reduce complications in geriatric hip fracture patients, suggesting their advantage over bipolar hemiarthroplasty.

Key Points

  • Patients with dual-mobility cups showed a higher postoperative Harris Hip Score of 4.55, indicating better functional recovery.
  • Dislocation risk was significantly lower in the dual-mobility group with an odds ratio of 2.77, implying improved stability.
  • The dual-mobility approach had a reduced revision rate (OR 2.36) and lower mortality risk (OR 1.94), enhancing patient safety.
  • Despite benefits, dual-mobility resulted in longer operative times and increased blood loss, requiring further investigation on cost-effectiveness.

Cite This Study

Grammatikopoulos et al. (2025) studied this question.

synapsesocial.com/papers/689a0945e6551bb0af8cedf3https://doi.org/10.3390/jcm14145076
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical efficacy of THA with dual mobility cup vs. hemiarthroplasty in elderly patients with femoral neck fracture: a retrospective study2025 · 5 citations
  2. 2Outcomes Comparison in the Management of Displaced Femoral Neck Fractures among Elderly Patients: Total Hip Arthroplasty versus Bipolar Hemiarthroplasty2024 · 1 citations
  3. 3Primary Total Hip Arthroplasty Versus Bipolar Hemiarthroplasty for Fracture Neck of Femur in Geriatric Patients: Comparative Functional Outcomes Study2024
  4. 4Dual mobility total hip arthroplasty <i>vs</i> . bipolar hemiarthroplasty in treating patients with displaced femoral neck fractures: a systematic review and meta-analysis2026
  5. 5Comparing total hip arthroplasty and hemiarthroplasty for the treatment of displaced femoral neck fracture in the active elderly over 75 years old: a systematic review and meta-analysis of randomised control trials2019 · 1 citations