Acetabular destruction can significantly increase the difficulty of performing hip replacement and is, therefore, a much more important consideration than femoral head necrosis. In this study acetabular migration was used as a measure of acetabular destruction. Fifty-eight patients undergoing total hip replacement at the Princess Elizabeth Orthopaedic Hospital for primary osteoarthritis were st...

We have undertaken a prospective, randomised study to compare conservation of acetabular bone after total hip replacement and resurfacing arthroplasty of the hip. We randomly assigned 210 hips to one of the two treatment groups. Uncemented, press-fit acetabular components were used for both. No significant difference was found in the mean diameter of acetabular implant inserted in the groups (5...

Thromboprophylaxis after elective orthopaedic surgery remains controversial. Recent guidelines from the National Institute for Clinical Excellence (NICE) have suggested that low molecular weight heparin should be given to all patients undergoing total hip replacement. The British Orthopaedic Association is currently debating this guideline with NICE, as it is not clear whether published evidenc...