V.A. TOKAR¹, V.V. NOVOMLINSKY¹, VL.V. NOVOMLINSKY¹, A.V. TOKAR²

 ¹Сlinical Hospital «RZhD-Meditsina», Voronezh

²Alekseevskaya Central District Hospital, Belgorod oblast

 Contact details:

Tokar V.A. — PhD (medicine), Head of the Center for Traumatology and Orthopedics, Head of the Traumatology and Orthopedics Department, Chief Freelance Traumatologist and Orthopedist of the South-Eastern Directorate of Health

Address: 2 pereulok Zdorovya, Voronezh, Russian Federation, 394055, tel.: +7-910-342-52-67

Due to the increase in the number of total hip arthroplasty operations throughout the world, the prevention of such complication as the endoprosthesis head dislocation is of paramount importance. The aim of this work is to familiarize specialists with the capabilities and the first experience of using the system with double mobility of the acetabular component as the most modern solution for the prevention of the endoprosthesis head dislocation during primary or revision arthroplasty of the hip joint. Based on the literature data, an analysis of the causes of the endoprosthesis head dislocation during hip arthroplasty is presented. The historical aspects and the first results of using the system with double mobility abroad are considered. The article presents the authors’ positive clinical experience of using this system in 22 patients with an increased risk of the endoprosthesis head dislocation.

Key words: hip arthroplasty, double mobility of the acetabular component, dislocation of the endoprosthesis head, revision arthroplasty, complicated cases of arthroplasty.

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