Present status of total hip replacement.

Present status of total hip replacement.

Total Hip Replacement Arthroplasty – Past, Present and Future

Since the introduction of total hip replacement arthroplasty in the United Stated in the early 1970s, this has become one of the most frequently performed and successful procedures available to the orthopaedic surgeon. It has revolutionized the treatment of patients with disorders of the hip. Excellent function can be achieved in over 95% of patients with minimal risk of complications. As a res...

Cementless total hip replacement: past, present, and future

Cementless total hip replacement (THR) is rapidly being accepted as the surgery for arthritic diseases of the hip joint. The bone-ingrowth rate in porous-type cementless implants was about 90% over 10 years after surgery, showing that biological fixation of cementless THR was well maintained on both the stem and cup sides. As for the stress shielding of the femur operated using a distal fixatio...

Socioeconomic status affects the early outcome of total hip replacement.

This prospective study assessed the effect of social deprivation on the Oxford hip score at one year after total hip replacement. An analysis of 1312 patients undergoing 1359 primary total hip replacements for symptomatic osteoarthritis was performed over a 35-month period. Social deprivation was assessed using the Carstairs index. Those patients who were most deprived underwent surgery at an e...

Reconstruction of the Acetabulum in Developmental Dysplasia of the Hip in Total Hip Replacement

Developmental dysplasia of the hip (DDH) or congenital hip dysplasia (CDH) is the most prevalent developmental childhood hip disorder. It includes a wide spectrum of hip abnormalities ranging from dysplasia to subluxation and complete dislocation of the hip joint. The natural history of neglected DDH in adults is highly variable. The mean age of onset of symptoms is 34.5 years for dysplastic DD...