Dual mobility: A choice for primary total hip arthroplasty?

Dual-mobility sockets were introduced in the United States in 2010. The smaller inside diameter head offered the potential advantage of lower wear and the larger outside diameter head offered the potential advantage of improved stability. Initially, indications were advocated for patients with increased instability risk. However, with larger diameter metal-on-metal articulations falling out of favor, the indications for dual-mobility components are expanding. The author has used this design in over 400 primary THAs with only one dislocation. One loose cup was revised. Dislocation of the smaller femoral head from the larger polyethylene head remains a theoretical risk with DM designs.