What’s New in Hip Replacement

Ninomiya, James T.; Dean, John C.; Incavo, Stephen J.

doi:10.2106/jbjs.16.00702

Cited by 13 publications

(9 citation statements)

References 63 publications

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“…Compared with the past, the focus of attention recently with advances has been more on the reduction of complications, minimisation of the costs and improvement of the patients satisfaction during the surgical journey. 9 …”

Section: Introductionmentioning

confidence: 99%

Advances in hip arthroplasty surgery: what is justified?

Zagra

2017

EFORT Open Reviews

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Total hip arthroplasty (THA) surgery has shown dramatic changes in terms of increased number of procedures and of technical development in recent years. It has been described as “the operation of the 20th century” for the excellent results, the high satisfaction of the patients and the improvement of the quality of life.A lot of variations have been introduced over the last few decades in THA especially in terms of indications (both in younger and older patients), techniques and devices (approaches, tissue preservation, biomaterials and industrial finishing), per-operative management (blood loss and pain control) and post-operative protocols (the so called “fast track” surgery). Looking at all these advances the emerging question is: have all of them been justified both in terms of improvement of the results for the patients and of the cost/benefit ratio from an economical point of view?The purpose of this paper is to critically analyse the advantages and the disadvantages of the theoretically proposed “advances in hip arthroplasty” and attempt to understand which are justified of such “advances” nowadays, based on the international and the European perspective with a focus on the author’s personal clinical experience.Cite this article: EFORT Open Rev 2017;2. DOI: 10.1302/2058-5241.2.170008. Originally published online at www.efortopenreviews.org

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Section: Introductionmentioning

confidence: 99%

Advances in hip arthroplasty surgery: what is justified?

Zagra

2017

EFORT Open Reviews

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“…However, it was a technically complex primary THA complicated by acetabular component migration and dislocation resulting from suboptimal alignment and inadequate fixation [5]. To our knowledge, there has been limited research performed on the effect of component position on readmission rate, although suboptimal component position has been linked to instability after THA and eventual reoperation [12,42,62]. When dislocation does occur owing to component position, hospital readmission may not occur; many instances of primary dislocation are reduced in the emergency department without formal admission.…”

Section: Discussionmentioning

confidence: 99%

Are Readmissions After THA Preventable?

Weinberg

Kraay

Fitzgerald

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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“…24 Although anterior and anterolateral approaches were historically thought to be associated with a lower risk of dislocation, new data on surgeries with advanced techniques and modern implants suggest no compelling advantage of each approach over others in terms of outcomes and risk of dislocation. 3,25,26 Most dislocations occur in the early postoperative state when weight bearing is initiated. They are caused by a weakened joint capsule as well as immaturity of the pseudocapsule and occur in the direction of the surgical approach.…”

Section: Instability and Dislocationsmentioning

confidence: 99%

“…Implant characteristics such as cement fixation, bearing surfaces, and implant modularity largely influence the outcomes of THA as well. [2][3][4] Modes of failure of THA can be classified into four broad categories: osseous abnormalities, implant failure, instability and dislocation, implant-associated synovitis, and soft tissue abnormalities (►Table 1).…”

mentioning

confidence: 99%

Advanced MR Imaging after Total Hip Arthroplasty: The Clinical Impact

Khodarahmi

Fritz

2017

Semin Musculoskelet Radiol

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Recent metal artifact reduction techniques in magnetic resonance imaging (MRI) have sparked a new aera in visualization of the peri-implant region and assessment of failing orthopaedic hardware. Modes of failure after total hip arthroplasty can be classified into four broad categories: osseous abnormalities, implant instability and dislocation, implant-associated synovitis, and soft tissue abnormalities. Although MRI is complementary to plain radiography and computed tomography to diagnose the first two categories, it is paramount to investigate the complications related to the synovium and soft tissues. We review the most common modes of failure of hip implants and the MRI characteristics of various causes of pain and dysfunction after hip arthroplasty including osseous stress reaction and fracture, implant loosening, implant instability, polyethylene wear–induced synovitis, adverse reaction to metal debris, infection, hematoma, recurrent hemarthrosis, heterotopic ossification, muscle, tendon, and nerve abnormalities, and periprosthetic neoplasms.

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What’s New in Hip Replacement

Cited by 13 publications

References 63 publications

Advances in hip arthroplasty surgery: what is justified?

Advances in hip arthroplasty surgery: what is justified?

Are Readmissions After THA Preventable?

Advanced MR Imaging after Total Hip Arthroplasty: The Clinical Impact

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