Total Hip Arthroplasty: Past, Present, and Future. What Has Been Achieved?

In the 1960s, Sir John Charnley introduced to clinical practice his concept of low-friction total hip arthroplasty (THA). Although early designs were plagued by poor performance and even failure, there have been steady advances in implant designs, biomaterials, surgical techniques and an understandi...

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Bibliographic Details
Published in:Hip & pelvis 2019, 31(4), , pp.179-189
Main Authors: Shon, Won Yong, Park, Beyoung-Yun, R, Rajsankar N, Park, Phil Sun, Im, Jung Taek, Yun, Ho Hyun
Format: Article
Language:English
Subjects:
Review
정형외과학
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Summary:In the 1960s, Sir John Charnley introduced to clinical practice his concept of low-friction total hip arthroplasty (THA). Although early designs were plagued by poor performance and even failure, there have been steady advances in implant designs, biomaterials, surgical techniques and an understanding of the biomechanical restoration of the hip; these advances have contributed to improvements in implant survival and clinical outcomes of THA in the past three decades. With improved wear resistance and mechanical reliability, a potential to last for at least 25 to 30 years are now available for THA. In this review, we focus on the evolution of THA and review current controversies and future directions of this procedure based on a single surgeon's 29-year of experience at a single institution.
ISSN:2287-3260
2287-3279
DOI:10.5371/hp.2019.31.4.179