Basic Science Considerations in Primary Total Hip Replacement Arthroplasty

Overview

Journal Open Orthop J

Publisher Bentham Open

Specialty Orthopedics

Date 2010 Jun 29

PMID 20582240

Citations 13

Authors

Saqeb B Mirza

Douglas G Dunlop

Sukhmeet S Panesar

Syed G Naqvi

Shafat Gangoo

Saif Salih

Affiliations

Soon will be listed here.

Abstract

Total Hip Replacement is one of the most common operations performed in the developed world today. An increasingly ageing population means that the numbers of people undergoing this operation is set to rise. There are a numerous number of prosthesis on the market and it is often difficult to choose between them. It is therefore necessary to have a good understanding of the basic scientific principles in Total Hip Replacement and the evidence base underpinning them. This paper reviews the relevant anatomical and biomechanical principles in THA. It goes on to elaborate on the structural properties of materials used in modern implants and looks at the evidence base for different types of fixation including cemented and uncemented components. Modern bearing surfaces are discussed in addition to the scientific basis of various surface engineering modifications in THA prostheses. The basic science considerations in component alignment and abductor tension are also discussed. A brief discussion on modular and custom designs of THR is also included. This article reviews basic science concepts and the rationale underpinning the use of the femoral and acetabular component in total hip replacement.

Citing Articles

Personalized Stem Length Optimization in Hip Replacement: A Microscopic Perspective on Bone-Implant Interaction.

Kim S, Choi J, Kim J Bioengineering (Basel). 2024; 11(11).

PMID: 39593734 PMC: 11591107. DOI: 10.3390/bioengineering11111074.

Radiological Comparison of Canal Fill between Collared and Non-Collared Femoral Stems: A Two-Year Follow-Up after Total Hip Arthroplasty.

Ashkenazi I, Benady A, Ben Zaken S, Factor S, Abadi M, Shichman I J Imaging. 2024; 10(5).

PMID: 38786553 PMC: 11121886. DOI: 10.3390/jimaging10050099.

The Impact of Varying Femoral Head Length on Hip External Rotation During Posterior-approach Total Hip Arthroplasty.

Jang S, Jones C, Shanaghan K, Mayman D, Gonzalez Della Valle A, Sculco P Arthroplast Today. 2023; 19:101072.

PMID: 36624748 PMC: 9823119. DOI: 10.1016/j.artd.2022.101072.

Biomechanical evaluation of a new femoral stem design for total hip replacement in a canine model.

de Faria L, Minto B, Shimano A, Macedo A, Diogo L, Dreibi R Acta Cir Bras. 2021; 36(5):e360506.

PMID: 34161433 PMC: 8221799. DOI: 10.1590/ACB360506.

Incidence of Heterotopic Ossification in Direct Anterior Approach to Total Hip Arthroplasty with use of Aspirin as Thromboembolic Prophylaxis.

Knapp P, Doehrmann R, Yokhana S, Rizvi S, Boura J, Knesek D Spartan Med Res J. 2021; 5(1):12263.

PMID: 33655176 PMC: 7746132.

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