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Updated: Feb 7, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Walk patients through total hip arthroplasty
1Sharon E. Hohler recently retired as team coordinator, Orthopaedics, at Saint Francis Healthcare System in Cape Girardeau, Mo., where she currently works as a PRN clinical nurse.
Total hip arthroplasty (THA) effectively treats osteoarthritis hip pain, improving patient mobility and quality of life. This review covers THA indications, alternatives, and nursing care, illustrated by a patient case study.
Area of Science:
- Orthopedic Surgery
- Rheumatology
- Geriatric Medicine
Background:
- Osteoarthritis is a leading cause of hip pain, significantly impacting patient quality of life.
- Total hip arthroplasty (THA) offers a solution for severe hip pain and functional limitation.
- Conservative treatments may not suffice for advanced osteoarthritis.
Purpose of the Study:
- To review the indications and contraindications for Total hip arthroplasty (THA) in osteoarthritis patients.
- To discuss alternative treatment options for arthritic hip pain.
- To outline essential nursing care considerations for patients undergoing THA.
Main Methods:
- Literature review of current treatment guidelines and evidence.
- Case study illustration of a patient undergoing THA for osteoarthritis.
- Synthesis of information on surgical indications, conservative management, and post-operative care.
Main Results:
- THA is indicated for debilitating hip pain due to osteoarthritis unresponsive to conservative measures.
- Contraindications include severe comorbidities and active infection.
- Comprehensive pre- and post-operative nursing care is crucial for optimal outcomes.
Conclusions:
- Total hip arthroplasty is a highly effective intervention for end-stage hip osteoarthritis.
- Careful patient selection and robust nursing support are key to successful THA outcomes.
- THA significantly improves pain, mobility, and quality of life in eligible patients.
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