Reprint of " Hip arthroplasty"

Robert Pivec, Aaron J. Johnson, Simon C. Mears, Michael A. Mont

Research output: Contribution to journalArticle

Abstract

Total hip arthroplasty is a cost-effective surgical procedure undertaken to relieve pain and restore function to the arthritic hip joint. More than 1 million arthroplasties are done every year worldwide, and this number is projected to double within the next two decades. Symptomatic osteoarthritis is the indication for surgery in more than 90% of patients, and its incidence is increasing because of an ageing population and the obesity epidemic. Excellent functional outcomes are reported; however, careful patient selection is needed to achieve best possible results. The present economic situation in many developed countries will place increased pressure on containment of costs. Future demand for hip arthroplasty, especially in patients younger than 65. years, emphasises the need for objective outcome measures and joint registries that can track lifetime implant survivorship. New generations of bearing surfaces such as metal-on-metal, ceramic-on-ceramic, and metal-on-ceramic, and techniques such as resurfacing arthroplasty have the potential to improve outcomes and survivorship, but findings from prospective trials are needed to show efficacy. With the recall of some metal-on-metal bearings, new bearing surfaces have to be monitored carefully before they can be assumed to be better than traditional bearings.

Original languageEnglish (US)
Pages (from-to)65-78
Number of pages14
JournalInternational Journal of Orthopaedic and Trauma Nursing
Volume17
Issue number2
DOIs
StatePublished - May 2013

Fingerprint

Arthroplasty
Hip
Metals
Ceramics
Survival Rate
Cost Control
Hip Joint
Developed Countries
Osteoarthritis
Patient Selection
Arthritis
Registries
Obesity
Joints
Economics
Outcome Assessment (Health Care)
Pressure
Costs and Cost Analysis
Pain
Incidence

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Advanced and Specialized Nursing

Cite this

Reprint of " Hip arthroplasty". / Pivec, Robert; Johnson, Aaron J.; Mears, Simon C.; Mont, Michael A.

In: International Journal of Orthopaedic and Trauma Nursing, Vol. 17, No. 2, 05.2013, p. 65-78.

Research output: Contribution to journalArticle

Pivec, Robert ; Johnson, Aaron J. ; Mears, Simon C. ; Mont, Michael A. / Reprint of " Hip arthroplasty". In: International Journal of Orthopaedic and Trauma Nursing. 2013 ; Vol. 17, No. 2. pp. 65-78.
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