Comparing dual-mobility and unipolar cups in hip replacement surgery
Official title: Effectiveness of Dual-mobility Cups for Preventing Dislocation After Primary Total Hip Arthroplasty by a Posterolateral Approach and Their Cost-effectiveness Compared to Unipolar Cups in Elderly Patients.
Run by JointResearch · NCT04031820 · Data updated 2026-11-12
This study is testing whether using dual-mobility hip cups instead of unipolar cups can lower the chances of hip dislocation in patients aged 70 and older after hip replacement surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 70 Years and up |
| Sex | All |
| Enrollment | 1100 (estimated) |
| Sponsor | JointResearch Academic / other |
| Locations | 1 site (Amsterdam) |
| Status | Recruiting |
| Started | January 1, 2019 |
| Main results expected | May 1, 2026 |
| Study ends | May 1, 2027 |
| Registry record updated | February 28, 2025 |
| Trial ID | NCT04031820 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients aged 70 and older who are eligible for elective primary total hip arthroplasty with a cemented cup.
✕Probably not a fit
Patients with cognitive impairments, such as dementia or mental retardation, and those unable to complete patient-reported outcome measures may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates the difference in hip dislocation rates following primary total hip arthroplasty (THA) using dual-mobility (DM) cups versus unipolar cups in patients aged 70 and older. It is a prospective, multi-center, single-blinded randomized controlled trial nested within the Dutch Arthroplasty Register. The primary focus is to assess dislocation rates one year post-surgery, while secondary objectives include evaluating revision rates and cost-effectiveness of the two cup types. The study aims to provide high-quality evidence regarding the effectiveness of DM cups, which have been used in specific patient populations but lack comprehensive evaluation.
Why it matters
Potential benefit: If successful, this study could lead to improved stability and reduced dislocation rates in elderly patients undergoing hip replacement surgery.
How similar studies have gone: While dual-mobility cups have been used in specific cases, high-quality evidence from similar studies regarding their effectiveness is limited, making this approach relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients who are eligible for elective primary THA with a cemented cup, with a 32mm or 36 mm liner, for any indication. * THA using posterolateral surgical approach. * Patients ≥ 70 years old * Adequate comprehension of written and spoken Dutch Exclusion Criteria * Patients unable to complete PROMs * Patients with dementia, epilepsy\*, spasticity\*, mental retardation or alcoholism. (If dementia or mental retardation is not already mentioned in the medical chart, this can be determined by doctors opinion.) * Patients not eligible for either a unipolar or a DM cup * These patients will be asked to participate in the non-randomized dual mobility observational cohort.
Where it's running
-
Olvg
Amsterdam, Netherlands Recruiting
Study contacts
- Principal investigator: Rudolf Poolman, MD, PhD — OLVG, Amsterdam, the Netherlands
- Study coordinator: Loes van Beers, MSc
- Email: l.w.a.h.vanbeers@olvg.nl
- Phone: +31205993653
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.