Total Hip Arthroplasty – over 100 years of operative history
TLDR
A review of the progression of the operation from its origins, together with highlighting the materials and techniques that have contributed to its development, describes current areas of research being undertaken to further advance techniques and improve outcomes.Abstract:
Total hip arthroplasty (THA) has completely revolutionized the nature in which the arthritic hip is treated, and is considered to be one of the most successful orthopaedic interventions of its generation. With over 100 years of operative history, this review examines the progression of the operation from its origins, together with highlighting the materials and techniques that have contributed to its development. Knowledge of its history contributes to a greater understanding of THA, such as the reasons behind selection of prosthetic materials in certain patient groups, while demonstrating the importance of critically analyzing research to continually determine best operative practice. Finally, we describe current areas of research being undertaken to further advance techniques and improve outcomes.read more
Citations
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Journal ArticleDOI
Materials for Hip Prostheses: A Review of Wear and Loading Considerations
TL;DR: In this review, the specific characteristics required for biomaterials used in hip joint arthroplasty are analyzed, i.e., being biocompatible, resisting heavy stress, opposing low frictional forces to sliding and having a low wear rate.
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Biological response to prosthetic debris
Diana Bitar,Javad Parvizi +1 more
TL;DR: Comprehensive understanding of the intricate process of osteolysis is of utmost importance for future development of therapeutic modalities that may delay or prevent the disease progression.
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Metal-on-Metal Hip Arthroplasty: A Review of Adverse Reactions and Patient Management.
TL;DR: This review article examines the latest literature on the topic of adverse reactions to metal debris and summarises the most up-to-date guidelines on patient management.
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Open-cellular metal implant design and fabrication for biomechanical compatibility with bone using electron beam melting ☆
TL;DR: This review outlines strategies, which include enhanced osseointegration and vascularization prospects, and provides some evidence for, and examples of, clinical trials representative of millions of implant surgeries world-wide.
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The Association Between Operative Time and Short-Term Complications in Total Hip Arthroplasty: An Analysis of 89,802 Surgeries.
Peter Surace,Assem A Sultan,Jaiben George,Linsen T. Samuel,Anton Khlopas,Robert M. Molloy,Kim L. Stearns,Michael A. Mont +7 more
TL;DR: An optimal time of approximately 80 minutes is suggested, as a goal for surgeons, that may be associated with less risk of complications following THA, and strong correlation between increased operative time and perioperative complications is suggested.
References
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The operation of the century: total hip replacement
TL;DR: Universal economic constraints in healthcare services dictate that further developments in total hip replacement will be governed by their cost-effectiveness, and computer-assisted surgery will contribute to reproducible and accurate placement of implants.
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The Norwegian Arthroplasty Register: 11 years and 73,000 arthroplasties.
Leif Ivar Havelin,Lars B. Engesæter,Birgitte Espehaug,Ove Furnes,Stein Atle Lie,Stein Emil Vollset +5 more
TL;DR: Compared the results of primary cemented and uncemented hip pros theses in patients less than 60 years of age, with 0-11 years' follow-up, it is found that cemented cups had better survival than uncements porous-coated cups, mainly because of higher rates of revision from wear and osteolysis among the latter.
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In vivo wear of 3 types of metal on metal hip prostheses during 2 decades of use
Harry A. McKellop,Sanghyun Park,Roberto Chiesa,Peter F. Doorn,Bin Lu,Patricia Normand,Peter Grigoris,Harlan C. Amstutz +7 more
TL;DR: Metal on metal hip replacements, including McKee-Farrar, Müller, and Ring, that were retrieved from patients after as many as 25 years showed early wear included substantial third body abrasion, possibly from particles generated while scratches from the original polishing were being eradicated and from dislodged surface carbides.
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Minimally invasive total hip arthroplasty development, early results, and a critical analysis
Daniel J. Berry,Richard A. Berger,John J. Callaghan,Lawrence D. Dorr,Paul J. Duwelius,Mark A. Hartzband,Jay R. Lieberman,Dana C. Mears +7 more
TL;DR: Advocates view minimally invasive total hip arthroplasty as a logical extension of less invasive methods that have revolutionized other fields, such as arthroscopy, laparoscopic cholecystectomy, and cardiac surgery, just to name a few.