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Related Experiment Video

Updated: Jun 11, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

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Basic science considerations in primary total hip replacement arthroplasty.

Saqeb B Mirza1, Douglas G Dunlop, Sukhmeet S Panesar

  • 1Trauma and Orthopaedics, Southampton University Hospitals NHS Trust, UK.

The Open Orthopaedics Journal
|June 29, 2010
PubMed
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Total Hip Replacement (THR) is a common surgery. This review covers the essential science, biomechanics, materials, and fixation methods for THR implants, aiding in understanding and component selection.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Materials Science

Background:

  • Total Hip Replacement (THR) is a prevalent surgical procedure, with rising numbers due to an aging population.
  • A wide array of prostheses exist, necessitating a clear understanding of the underlying scientific principles for informed selection.
  • Evidence-based knowledge of THR components and fixation is crucial for optimal patient outcomes.

Purpose of the Study:

  • To review the fundamental anatomical and biomechanical principles relevant to Total Hip Arthroplasty (THA).
  • To elaborate on the structural properties of materials used in modern hip implants.
  • To examine the evidence base for cemented versus uncemented fixation methods in THA.

Main Methods:

  • Review of anatomical and biomechanical principles in THA.
Keywords:
Hip replacementarthroplasty.

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Last Updated: Jun 11, 2026

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Published on: February 27, 2018

  • Analysis of structural properties of implant materials.
  • Evaluation of evidence for cemented and uncemented fixation.
  • Discussion of bearing surfaces, surface engineering, component alignment, and abductor tension.
  • Inclusion of modular and custom THR designs.

    • Main Results:

    • The paper provides a comprehensive overview of the scientific basis for THR.
    • It details material properties, fixation techniques, and bearing surface technologies.
    • Key considerations for component alignment and abductor tension are discussed.

    Conclusions:

    • A thorough understanding of basic science concepts is essential for the effective use of femoral and acetabular components in THR.
    • This review synthesizes critical scientific information to guide the selection and application of THR prostheses.
    • The evidence base for various THR components and techniques is presented to support clinical decision-making.