Ultrasound Imaging of Dual Mobility Cup (USDMC)

Civil Hospices of Lyon

Status

Unknown

Conditions

Dual Mobility Cups

Treatments

Other: Ultrasound acquisitions to define liner position during movements

Study type

Interventional

Funder types

Other

Identifiers

NCT05177224

69HCL21_0884

Details and patient eligibility

About

The concept of dual mobility cup (DMC), developed in the 1970s by Gilles Bousquet, allows a greater motion and a better stability of the implants, reducing the prosthetic dislocations frequency in at-risk populations. This type of prosthesis has a small-diameter head that ensures a low wear rate and a large-diameter head, with a polyethylene liner, to increase prosthetic stability. This prosthesis has survival rates comparable to those found with conventional prostheses. However, actually, its in vivo behaviour has not yet been established, leading orthopaedic surgeons to keep this concept for patients with a high risk of dislocation (elderly subjects, neurological pathologies, spinal pathologies, falls, etc.). To date, no in vivo studies have been carried out - non-invasively and dynamically - to understand the biomechanical behaviour and the stability properties of the dual mobility cup implanted in patients.

The objective of this study is to visualize and quantify the in vivo movement of the polyethylene liner using 3D ultrasound imaging. The second objective is to obtain in vivo data (using the motion analysis system and the force platform) allowing the use of a musculoskeletal model to improve the understanding of the prosthetic dislocation phenomenon.

Participants will carry out daily life activities (walk, chair up, etc.). During this study, liner ultrasound acquisitions and motion analysis of the lower limb will be performed, thanks to a movement analysis system composed of cameras coupled to a force platform.

Hip kinematics will be obtained from the motion analysis data and will be based on the model of Leardini et al. 2007. The position of the liner and liner plane will be determined using 3D ultrasound data. The abduction and anteversion motion of the liner plane will be measured relative to the pelvic landmark.

Enrollment

15 estimated patients

Sex

All

Ages

50+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Patient having signed a free and informed consent
Being affiliated or benefiting from a social security system
Having dual mobility cup for at least 1 year
Outside of a period of exclusion from the national file of persons undergoing biomedical research
Age greater than or equal to 50 years
Of a cognitive level compatible with oral communication, the respect of instructions and the understanding of the gestures carried out

Exclusion criteria

Persons who are not physically able to perform tests
Persons currently participating in another research project with an exclusion period
Persons of full age under legal protection or unable to express their consent
Pregnant or breast-feeding women (Article L1121-5 of the Public Health Code (CSP))
Persons deprived of their liberty by a judicial or administrative decision, persons under psychiatric care and persons admitted to a health or social institution for purposes other than research