Srpski arhiv za celokupno lekarstvo 2012 Volume 140, Issue 5-6, Pages: 379-384
https://doi.org/10.2298/SARH1206379S
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Total hip arthroplasty
Slavković Nemanja (Medicinski fakultet, Beograd + Institut za ortopedsko-hirurške bolesti „Banjica“, Beograd)
Vukašinović Zoran (Medicinski fakultet, Beograd + Institut za ortopedsko-hirurške bolesti „Banjica“, Beograd)
Baščarević Zoran (Medicinski fakultet, Beograd + Institut za ortopedsko-hirurške bolesti „Banjica“, Beograd)
Vukomanović Boris (Institut za ortopedsko-hirurške bolesti „Banjica“, Beograd)
Total hip arthroplasty is most common reconstructive hip procedure in adults.
In this surgery we replace some parts of the upper femur and acetabulum with
biocompatible materials. The main goal of this surgery is to eliminate pain
and regain full extent of joint motion, maintaining hip stability. Surgical
technique, biomaterials, design of the prosthesis and fixation techniques
have evolved with time adjusting to each other. After total hip arthroplasty
patients’ quality of life should be improved. There are many various
postoperative complications. Some of them are fatal, and some are minor,
which may become manifested years after surgery. Each next surgical procedure
following previous hip surgery is associated with considerably lower chances
to be successful. Therefore, in primary total hip arthroplasty, preoperative
evaluation and preparation of patients are essential. Every orthopaedic
surgeon needs to improve already adopted surgical skills applying them with
precision and without compromise, with the main goal to achieve long-term
durability of the selected implant. The number of total hip arthroplasties
will also increase in future, and newer and higher quality materials will be
used.
Keywords: total hip arthroplasty, biomaterials, indication, surgical technique, complications