Over 3.1 million primary total hip arthroplasties (THA) have been performed in Europe since the mid-20th century.
Estimations based on current trends in the UK indicate a significant increase in primary THA,
Acetabular component orientation and position are important factors in the short- and long-term outcomes of total hip arthroplasty (THA). Therefore, it is crucial that the surgeon has accurate and precise control over the
Although total hip arthroplasty (THA) has provided good results for over forty years, the choice of the optimal bearing surface still remains controversial. Tribology is defined as “the branch of science and technology that deals
I C HeyligersDepartment of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen-Heerlen, the Netherlands School of Health Professions Education (SHE), Maastricht University, Maastricht, the Netherlands
M G M SchotanusDepartment of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Sittard-Geleen-Heerlen, the Netherlands School of Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands
Exposure to metal ions after hip arthroplasty surgery is a widely reported phenomenon. Multiple studies have shown that an increase in metal ions can result in local soft tissue reactions described as an adverse reaction to metal
due to a microvascular occlusion related to a disturbance of red cell architecture and haemoglobin S polymerization. Reduced deformability in deoxygenated patients leads to an increased risk of coagulation in small vessels. The incidence of hip
higher risk of migration, due to their less effective anchoring in bones ( 17 ).
Nevertheless, the main controversy concerns the prophylactic fixation of the unaffected normal-appearing hip ( 18 , 19 , 20 , 21 , 22 ).
In fact, children presenting
Nowadays, there is a higher incidence of younger and more active patients undergoing total hip arthroplasty (THA). In the Netherlands, between 17% and 19% of the patients receiving total hip arthroplasty are younger than 60 years
Total joint arthroplasty is considered as the definitive treatment for pain and disability ensuing primarily from end-stage osteoarthritis of the hip and the knee ( 1 ). Both total hip arthroplasty (THA) and total
Total hip arthroplasty (THA) is one of the most successful and common surgical procedures, with a total of 98,211 THAs performed in England and Wales in 2015.
Current trends show a universal rise in the demand for THA; in
Total hip arthroplasty (THA) is one of the most commonly performed operations worldwide. Demand for THA is set to increase over the next decade with a 174% increase in the USA estimated by 2030,
1 , 2
largely due to longer