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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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[Total hip replacement: between normal rehabilitation and complication].

Marc Attinger1, Klaus Siebenrock1

  • 1Universitätsklinik für Orthopädische Chirurgie und Traumatologie, Universitätsspital Bern, Inselspital, Bern.

Praxis
|December 3, 2014
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Summary

Total hip replacement effectively treats hip osteoarthritis, with an 85% 20-year survival rate. Rising demand and potential complications necessitate careful patient workup and specialist consultation.

Keywords:
HüftgelenkersatzKomplikationenRehabilitationarthroplastie totale de hanchecomplicationsrehabilitationtotal hip arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Context:

  • Osteoarthritis of the hip is a prevalent condition requiring surgical intervention.
  • Switzerland anticipates a significant rise in total hip replacement (THR) demand due to demographic shifts.
  • Current THR prostheses demonstrate an approximate 85% survival rate at 20 years.

Purpose:

  • To review the current state of total hip replacement surgery.
  • To highlight advancements in prosthesis design and surgical approaches.
  • To outline potential complications and management strategies for painful THR.

Summary:

  • Total hip replacement is a successful treatment for hip osteoarthritis.
  • Innovations focus on enhanced biomechanics, bone preservation, and minimally invasive techniques.
  • Key complications include dislocation, loosening, infection, fracture, and limping, requiring prompt specialist assessment.

Impact:

  • Informs patients and clinicians about the efficacy and risks of THR.
  • Guides future research and development in hip implant technology.
  • Emphasizes the importance of early diagnosis and intervention for treatment failure.