Historical overview of hip arthroplasty: From humble beginnings to a high-tech future

N, Bota; Nistor, Dan Viorel; Caterev, Sergiu; Todor, Adrian

doi:10.4081/or.2021.8773

Cited by 22 publications

(21 citation statements)

References 26 publications

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“…In general, however, total hip replacement has been a very successful procedure for the overwhelming majority of patients without the utilization of facilitating technology [ 2 ]. In addition, patients with altered spinopelvic alignment or anatomic variations only account for a small proportion of patients undergoing primary total hip replacement and, therefore, the routine use of facilitating technology might not be cost effective for all patients [ 66 , 75 ].…”

Section: Discussionmentioning

confidence: 99%

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Achieving Precise Cup Positioning in Direct Anterior Total Hip Arthroplasty: A Narrative Review

Streck

Boettner

2023

Medicina

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Malpositioned implants in total hip arthroplasty are associated with impingement, increased wear, and dislocations, thus precise cup positioning is crucial. However, significant deviations between targeted and actually achieved cup positions have been found even in patients operated by experienced surgeons. When aiming for higher accuracy, various methods based on freehand positioning lead by anatomic landmarks, C-arm fluoroscopy, imageless navigation, or robotic-assisted-surgery have been described. There is a constant development of new products aiming to simplify and improve intraoperative guidance. Both the literature and expert opinions on this topic are often quite controversial. This article aims to give an overview of the different methods and systems with their specific advantages and potential pitfalls while also taking a look into the future of cup positioning in anterior hip replacements.

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Section: Discussionmentioning

confidence: 99%

“…Total hip arthroplasty (THA) has been called the most successful surgery of the century, with reported patient satisfaction rates of over 90% [ 1 , 2 ]. To achieve good results, proper implant positioning is essential.…”

Section: Introductionmentioning

confidence: 99%

Achieving Precise Cup Positioning in Direct Anterior Total Hip Arthroplasty: A Narrative Review

Streck

Boettner

2023

Medicina

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“…Furthermore, PROMs are important values that can help surgeons further understand the signi cance of preoperative diagnoses and how they can in uence the course of the postoperative period. Historically, early outcomes of THA relied on morbidity, mortality, and implant survival but due to improvements in postoperative care, the focus has shifted to now emphasize patient satisfaction, functional e cacy, and pain level [30,31].…”

Section: Discussionmentioning

confidence: 99%

Outcomes Following Total Hip Arthroplasty for Hip Dysplasia in Older Adults. Are They Comparable to Those with Osteoarthritis?

Sevilla,

Lopez,

Allala

et al. 2023

Preprint

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Background: Total hip arthroplasty (THA) for the treatment of hip dysplasia, which disproportionately impacts the younger population, has been shown to be an effective intervention to restore functionality and improve quality of life. However, it is unclear whether these outcomes can be just as beneficial in treating hip dysplasia when it presents in older patients. Therefore, we sought to investigate and compare the pre-and postoperative outcomes of THA for hip dysplasia in older adults to those with end-stage osteoarthritis (OA). Methods: A prospectively collected database from a single institution was queried from September 1st, 2016 to October 31st, 2021 to identify 323 unilateral THA patients age 50 years or older and separated into 2 groups given a primary diagnosis of hip dysplasia (n = 90 patients) or osteoarthritis (n = 233 patients). Preoperative and minimum 1-year postoperative outcomes were then compared using the Hip Outcome Score (HOS), Hip Disability and Osteoarthritis Outcome Score (HOOS), University of California-Los Angeles (UCLA) activity score, Pain Catastrophizing Score (PCS), and the Depression Anxiety Stress Scale (DASS). Results: The outcomes between the groups showed no significant differences in their pre-and postoperative HOOS (P = 0.22 and P = 0.63 respectively), DASS Anxiety (P = 0.81 and P = 0.29 respectively), and the DASS Stress Score (P = 0.17 and P = 0.28 respectively). Patients with hip dysplasia reported significantly better preoperative (10.1 vs 12.9, P <0.001) and postoperative (5.7 vs 7.2, P = 0.01) DASS Depression Scores but scored significantly lower in the pre-operative HOS (35.4 vs 42.2, P <0.05). Outcomes for the UCLA activity score uncovered that patients with hip dysplasia scored significantly higher preoperatively (4.8 vs 4.2, P = 0.02), but no significant difference was seen postoperatively (4.6 vs 5.0, P = 0.11). The PCS noted no significant differences preoperatively (23.2 vs 21.0, P = 0.12). However, the hip dysplasia group has significantly better postoperative scores (6.6 vs 10.0, P = 0.02). Conclusion: Our investigation demonstrates THA as an excellent surgical option for treating hip dysplasia when presenting in older adults and can yield comparable outcomes as those noted in THA performed for OA in older adults.

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“…An effective method to manage hip osteoarthritis has been total hip arthroplasty (THA). THA, one of the most reproducible and frequently performed orthopedic surgical procedures, also provides effective treatment for disorders such as femoral neck fracture, femoral head necrosis, and acetabular dysplasia [ 1 , 2 ]. This operation has increasingly gained popularity amongst surgeons, because it relieves pain effectively and is associated with early mobilization and improved life quality among patients [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

The Supercapsular Percutaneously Assisted Total Hip (SuperPATH) Approach Revisited: Technique Improvements after the Perioperative Experience of 344 Cases

Flevas

Tsakotos

Benakis

et al. 2022

Life

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The SuperPATH approach is a direct superior portal-assisted approach for total hip arthroplasty (THA) that utilizes the interval between the gluteus minimus and the piriformis to access the hip capsule. Patients and Methods: SuperPATH arthroplasty was performed by a single surgeon between December of 2016 and December of 2021 in 344 cases. The technique described by Chow was performed in all cases. The average length of stay was 1.3 days, and all patients were discharged for home. All patients were mobilized on the day of the operation. Six cases presented complications: four intraoperative femur fractures and two peroneal nerve palsies. No infection and no hip dislocation were noticed in any case. Modifications: We recommend that the patient be placed as far from the surgeon as possible as well as the use of a sterilized standard linen pack to elevate the foot and internally rotate the hip. In addition, regarding instrumentation, we recommend the use of a 4.5 mm drill for the first guidance femur drilling and a standard corkscrew for femoral head removal. Finally, we propose a different reduction technique using a hook. The use of the SuperPATH approach allows for maximal tissue sparing through preservation of external rotators and minimizing stretching of the gluteus medius. There is no range of motion restrictions postoperatively and patients can achieve a high level of function with a very low dislocation risk and reduced inpatient stay. Furthermore, an incision extension is possible if needed in complex cases. For surgeons familiar with the standard posterolateral approach, the SuperPATH approach is a reliable and safe method with promising results for the patient. In order to improve the surgical effect and facilitate some steps in the procedure, we share our experience and recommend some modifications.

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Historical overview of hip arthroplasty: From humble beginnings to a high-tech future

Cited by 22 publications

References 26 publications

Achieving Precise Cup Positioning in Direct Anterior Total Hip Arthroplasty: A Narrative Review

Achieving Precise Cup Positioning in Direct Anterior Total Hip Arthroplasty: A Narrative Review

Outcomes Following Total Hip Arthroplasty for Hip Dysplasia in Older Adults. Are They Comparable to Those with Osteoarthritis?

The Supercapsular Percutaneously Assisted Total Hip (SuperPATH) Approach Revisited: Technique Improvements after the Perioperative Experience of 344 Cases

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