Advances in hip arthroplasty surgery: what is justified?

[摘要] Total hip arthroplasty (THA) has been described as “the operation of the 20th century” for the high satisfaction of the patients and the improvement of the quality of life following surgery.1 More than 1 million THAs are performed worldwide per year. The clinical outcome and the implant functioning are excellent over time with greater than 95% survivorship at ten years as reported by data from National registries2 and more than 80% of the prostheses survive at 25 years follow-up.3 The number of implants is projected to increase by 174% in the United States by 2030,4 but the rise is much higher in emerging countries so that the worldwide number is projected to double within the next two decades.

[学科分类] 神经科学

[关键词] hip;total hip arthroplasty;hip replacement;bearings;approaches;techniques;patient satisfaction;clinical outcomes