Advances in hip arthroplasty surgery: what is justified?

Luigi Zagra

Research output: Contribution to journalArticle

Abstract

Total hip arthroplasty (THA) surgery has shown dramatic changes in terms of increased number of procedures and of technical development in recent years. It has been described as "the operation of the 20thcentury" for the excellent results, the high satisfaction of the patients and the improvement of the quality of life.A lot of variations have been introduced over the last few decades in THA especially in terms of indications (both in younger and older patients), techniques and devices (approaches, tissue preservation, biomaterials and industrial finishing), per-operative management (blood loss and pain control) and post-operative protocols (the so called "fast track" surgery). Looking at all these advances the emerging question is: have all of them been justified both in terms of improvement of the results for the patients and of the cost/benefit ratio from an economical point of view?The purpose of this paper is to critically analyse the advantages and the disadvantages of the theoretically proposed "advances in hip arthroplasty" and attempt to understand which are justified of such "advances" nowadays, based on the international and the European perspective with a focus on the author's personal clinical experience. Cite this article:EFORT Open Rev2017;2. DOI: 10.1302/2058-5241.2.170008. Originally published online at www.efortopenreviews.org.

Original languageEnglish
Pages (from-to)171-178
Number of pages8
JournalEFORT Open Reviews
Volume2
Issue number5
DOIs
Publication statusPublished - May 2017

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Arthroplasty
Hip
Tissue Preservation
Internationality
Biocompatible Materials
Patient Satisfaction
Cost-Benefit Analysis
Quality of Life
Pain
Equipment and Supplies

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Advances in hip arthroplasty surgery : what is justified? / Zagra, Luigi.

In: EFORT Open Reviews, Vol. 2, No. 5, 05.2017, p. 171-178.

Research output: Contribution to journalArticle

Zagra, Luigi. / Advances in hip arthroplasty surgery : what is justified?. In: EFORT Open Reviews. 2017 ; Vol. 2, No. 5. pp. 171-178.
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