Total hipreplacement has been the definitive form of treatment for end-stage hip arthritis for several decades and offers significant benefit to these patients by alleviating their pain and improving their mobility. The goal of
Dislocation remains a major challenge following total hipreplacement (THR), occurring after 0.5% to 5% of primary and 5% to 30% of revision procedures.
1 – 4
Dual-mobility (DM) constructs are one option for patients deemed
Jorge Arias de la TorreDepartament de Salut, Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona, Spain CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain Instituto de Biomedicina (IBIOMED). Universidad de León, León, Spain
Anne LübbekeDivision of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Geneva, Switzerland Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
Metal-on-metal (MoM) bearings have been used since the early years of total hipreplacement (THR). Early historical MoM prostheses from the 1960s, 1970s and 1980s include the McKee Farrar hip and the Ring hip prostheses.
Rob G H H NelissenLandelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
PubMed, Google Scholar and Scopus databases with the following Medical Subject Headings: follow-up and total hipreplacement. Additional information was retrieved from most recent publicly available guidelines of orthopedic societies and regulatory
Total hipreplacement (THR) is a frequently performed surgical procedure and in England, Wales and Northern Ireland with more than 90,000 hipreplacements performed in 2019. 1 Metallic implants used in orthopaedic surgery are
Total hipreplacement (THR) consistently provides excellent pain relief and an improved quality of life for patients with severe arthritis.
Increasing numbers of THRs are being performed annually
but with this trend
Zeng LiDepartment of Orthopedics, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangdong, China Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China These authors contributed equally to the manuscript
Supplemental material is available online alongside this paper at https://doi.org/10.1302/2058-5241.6.200072
. Prognosis of total hipreplacement . Int J Risk Saf Med 1996 ; 8 : 27 – 45
Mark WilkinsonDepartment of Oncology and Metabolism, University of Sheffield, Beech Hill Road, Sheffield, United Kingdom National Joint Replacement for England, Wales, Northern Ireland, Isle of Man and the States of Guernsey (NJR)
over 30 orthopaedic registries and has performed multinational investigations of total hipreplacement bearing surfaces, prosthesis fixation and total knee replacement outcomes with respect to mobile and fixed bearings and stabilization. This initiative
a promising survivorship ( 1 ). CoCr alloys have been widely used in metal-on-metal (MoM) hipreplacements, femoral component of total knee replacements (TKR) as well as in the ball portion of shoulder replacements. For example, in mid-2000s