Total Hip Arthroplasty: Areview of Advances, Advantages and Limitations

Overview

Journal Int J Clin Exp Med

Specialty General Medicine

Date 2015 Mar 19

PMID 25784971

Citations 32

Authors

Xin-Wei Liu

Ying Zi

Liang-Bi Xiang

Yu Wang

Affiliations

Soon will be listed here.

Abstract

The therapeutic outcomes of Osteoarthritis (OA) has been unsatisfactory and often surgeries such as total hip arthroplasty (THA) is required. THA is an effective treatment for patients with end-stage arthritic hip conditions. Cemented THA has been the treatment of choice for elderly patients with OA. An improvement in Timed "Up and Go" (TUG) before surgery might contribute to a decrease in the occurrence of DVT after THA, though post-thrombotic syndrome (PTS), a chronic condition in the lower extremity does not appear to be a major complication after DVT in patients undergoing THA. For OA, four domains to be evaluated: pain, physical function, joint imaging, and patient global assessment. Thus, THA can be cost saving or, at least cost- effective in improving quality-adjusted life expectancy. The purpose of this review is to discuss the recent advances as well as advantages and limitations of THA.

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References

Shakoor N, Hurwitz D, Block J, Shott S, Case J . Asymmetric knee loading in advanced unilateral hip osteoarthritis. Arthritis Rheum. 2003; 48(6):1556-61. DOI: 10.1002/art.11034. View

Tarity T, Herz A, Parvizi J, Rothman R . Ninety-day mortality after hip arthroplasty: a comparison between unilateral and simultaneous bilateral procedures. J Arthroplasty. 2006; 21(6 Suppl 2):60-4. DOI: 10.1016/j.arth.2006.05.016. View

Fitzgerald S, McAndrew C, Kraay M, Goldberg V . Incidence of postthrombotic syndrome in patients undergoing primary total hip arthroplasty for osteoarthritis. Clin Orthop Relat Res. 2010; 469(2):530-4. PMC: 3018224. DOI: 10.1007/s11999-010-1572-5. View

Bernardi E, Prandoni P . The post-thrombotic syndrome. Curr Opin Pulm Med. 2000; 6(4):335-42. DOI: 10.1097/00063198-200007000-00015. View

Hartofilakidis G, Karachalios T, Karachalios G . The 20-year outcome of the charnley arthroplasty in younger and older patients. Clin Orthop Relat Res. 2005; (434):177-82. DOI: 10.1097/01.blo.0000155012.23703.54. View

Bizot P, Hannouche D, Nizard R, Witvoet J, Sedel L . Hybrid alumina total hip arthroplasty using a press-fit metal-backed socket in patients younger than 55 years. A six- to 11-year evaluation. J Bone Joint Surg Br. 2004; 86(2):190-4. DOI: 10.1302/0301-620x.86b2.14026. View

Zahiri C, Schmalzried T, Szuszczewicz E, Amstutz H . Assessing activity in joint replacement patients. J Arthroplasty. 1999; 13(8):890-5. DOI: 10.1016/s0883-5403(98)90195-4. View

DAntonio J, Capello W, Manley M, Geesink R . Hydroxyapatite femoral stems for total hip arthroplasty: 10- to 13-year followup. Clin Orthop Relat Res. 2002; (393):101-11. DOI: 10.1097/00003086-200112000-00012. View

Norman-Taylor F, Palmer C, Villar R . Quality-of-life improvement compared after hip and knee replacement. J Bone Joint Surg Br. 1996; 78(1):74-7. View

10.

Makela K, Eskelinen A, Pulkkinen P, Paavolainen P, Remes V . Cemented total hip replacement for primary osteoarthritis in patients aged 55 years or older: results of the 12 most common cemented implants followed for 25 years in the Finnish Arthroplasty Register. J Bone Joint Surg Br. 2008; 90(12):1562-9. DOI: 10.1302/0301-620X.90B12.21151. View

11.

Engh Jr C, Culpepper 2nd W, Engh C . Long-term results of use of the anatomic medullary locking prosthesis in total hip arthroplasty. J Bone Joint Surg Am. 1997; 79(2):177-84. View

12.

Kahn S . Measurement properties of the Villalta scale to define and classify the severity of the post-thrombotic syndrome. J Thromb Haemost. 2009; 7(5):884-8. DOI: 10.1111/j.1538-7836.2009.03339.x. View

13.

MARTEL W, Adler R, Chan K, Niklason L, Helvie M, Jonsson K . Overview: new methods in imaging osteoarthritis. J Rheumatol Suppl. 1991; 27:32-7. View

14.

Chang R, Pellisier J, Hazen G . A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip. JAMA. 1996; 275(11):858-65. View

15.

Boeree N, Bannister G . Cemented total hip arthroplasty in patients younger than 50 years of age. Ten- to 18-year results. Clin Orthop Relat Res. 1993; (287):153-9. View

16.

Hunt S, McKenna S, McEwen J, Williams J, Papp E . The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med A. 1981; 15(3 Pt 1):221-9. DOI: 10.1016/0271-7123(81)90005-5. View

17.

Reuben J, Meyers S, Cox D, Elliott M, Watson M, Shim S . Cost comparison between bilateral simultaneous, staged, and unilateral total joint arthroplasty. J Arthroplasty. 1998; 13(2):172-9. DOI: 10.1016/s0883-5403(98)90095-x. View

18.

Knutsson S, Engberg I . An evaluation of patients' quality of life before, 6 weeks and 6 months after total hip replacement surgery. J Adv Nurs. 1999; 30(6):1349-59. DOI: 10.1046/j.1365-2648.1999.01232.x. View

19.

Conrozier T, Jousseaume C, Mathieu P, Tron A, Caton J, Bejui J . Quantitative measurement of joint space narrowing progression in hip osteoarthritis: a longitudinal retrospective study of patients treated by total hip arthroplasty. Br J Rheumatol. 1998; 37(9):961-8. DOI: 10.1093/rheumatology/37.9.961. View

20.

Dorr L, Wan Z, Longjohn D, Dubois B, Murken R . Total hip arthroplasty with use of the Metasul metal-on-metal articulation. Four to seven-year results. J Bone Joint Surg Am. 2000; 82(6):789-98. DOI: 10.2106/00004623-200006000-00005. View