Hip arthroplasty is a surgical technique that encompasses the replacement of the diseased
\nhip joint with a prosthetic implant. Individuals with massive hip joint decay have
\nacquired many benefits from this procedure. Hemiarthroplasty is another procedure that
\ninvolves the replacement of the affected half of the joints with the prosthesis while the
\nother healthy half of the joint has remained unaltered. Even though researchers have
\nrevealed that total hip arthroplasty offers better results than hemiarthroplasty (Parker,
\nGurusamy & Azegami, 2010)
\nThe most common indication of total hip replacement is osteoarthritis. A displaced
\nfracture of the femoral neck that happens in younger patients is furthermore an important
\nindication. Extra main indications include rheumatoid arthritis, juvenile, hip fractures,
\nankylosing spondylitis, benign and malignant bone tumors, and Paget\u2019s disease. Total
\nhip arthroplasty is likewise recommended for the controlling of unrestrained
\ntraumatic dislocation of the hip joint which is very common in developing
\ncountries (Barton\u00ed\u010dek, Sk\u00e1la-Rosenbaum, D\u017eupa & Dou\u0161a, 2005)
\nAlike any other procedure, total hip replacement also has its complications. Dislocation
\nis considered one of the most common complications, moreover, it rises because the hip
\nball can get dislocated from its socket throughout the first 2 to 3 months subsequently to
\nthe operation. Venous thrombosis after hip arthroplasty is a major problem that disturbs
\nsurgeons. On the other hand, this can be dealt with through thromboprophylaxis (Garrett,
\nEpstein, Harris, Harvey & Nickel, 1979)
\nMetal sensitivity can lead to implant failure in a metal prosthesis, and this must be
\nsuspected in patients who reveal the cutaneous signs of allergy after implantation
\nof a metal device (Austin, Higuera & Rothman, 2012)
\nOsteolysis, Sciatic nerve palsy, and the two legs discrepancy are among other
\ncomplications that are worth mentioning (Garrett, Epstein, Harris, Harvey & Nickel,
\n1979)
\nPreoperative planning plays a crucial role in the success of any surgical procedure. In hip
\narthroplasty, the preoperative assessment shows various aspects of the procedure are of
\nextreme importance. Researches have revealed that unplanned hip replacement
\nprocedures have lower success rates than planned ones. A prospective study was carried
\nout at the University of Pennsylvania, which has shown that unplanned and urgent hip
\narthroplasty led to a longer hospital stay of the patient and increased the patient’s
\nfinancial burden (Mikhael, Hanssen & Sierra, 2009).
\nPreoperative planning of hip arthroplasty has shown promising results in determining the
\nappropriate size of the prosthesis that has to be used in the procedure. Preoperative
\ntemplating guarantees an inordinate degree of hip implant procedures success. Precisely
\nallocating the size of the template increases the care of the procedure. Preoperative
\ntemplating reduces the chance of implant loosening over time. Moreover, exact
\ntemplating before a total hip replacement has revealed an important impact in reducing
\nthe complications of the procedure among peri-prothetic fractures, and leg length
\ndiscrepancy (Hallab, Merritt & Jacobs, 2001).
\nReferences:
\n1. Parker MJ, Gurusamy KS, Azegami S. Arthroplasties (with and without bone
\ncement) for proximal femoral fractures in adults. The Cochrane database of
\nsystematic reviews. 2010; 6:CD001706.
\nhttps:\/\/doi.org\/10.1002\/14651858.CD001706.pub4
\n2. Skala-Rosenbaum J, Cech O, Dzupa V. [Arthroplasty for intracapsular fractures
\nof the femoral neck. Current concept review]. Acta chirurgiae orthopaedicae et
\ntraumatologiae Cechoslovaca. 2012; 79(6):484-92. PMid:23286679
\n3. Garrett JC, Epstein HC, Harris WH, Harvey JP Jr, Nickel VL. Treatment of
\nunreduced traumatic posterior dislocations of the hip. J Bone Joint Surg Am.
\n1979; 61:2-6. https:\/\/doi.org\/10.2106\/00004623-197961010-00002
\nPMid:759430
\n4. Austin MS, Higuera CA, Rothman RH. Total hip arthroplasty at the rothman
\ninstitute. HSS journal : the musculoskeletal journal of Hospital for Special
\nSurgery. 2012; 8(2):146-50. https:\/\/doi.org\/10.1007\/s11420-012-9268-x
\nPMid:23874255 PMCid:PMC3715633
\n5. Mikhael MM, Hanssen AD, Sierra RJ. Failure of metal-on-metal total hip
\narthroplasty mimicking hip infection. A report of two cases. The Journal of bone
\nand joint surgery American volume. 2009; 91(2):443-6.
\nhttps:\/\/doi.org\/10.2106\/JBJS.H.00603 PMid:19181991
\nttps:\/\/doi.org\/10.1007\/s11420-012-9268-x PMid:23874255 PMCid:PMC3715633
\n6. Hallab N, Merritt K, Jacobs JJ. Metal sensitivity in patients with orthopaedic
\nimplants. The Journal of bone and joint surgery American volume. 2001; 83-
\nA(3):428-36. https:\/\/doi.org\/10.2106\/00004623-200103000-00017
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