Surgical Total Hip Arthroplasty Options for Geriatric Patients

Abstract

Total hip arthroplasty to replace the hip is a very successful surgical procedure. There are different options for patients with regard to total hip arthroplasty surgical approaches and implant materials. This article provides an in-depth review of the pros and cons of various surgical approaches, including the posterior, lateral, anterior, anterolateral, and transtrochateric approaches. Various implant materials, including metal, ceramic, and polyethylene, are also discussed. and resurfaces the acetabulum. A metal stem is introduced into the femur and a head is placed on top of this stem to replace the femoral head. The acetabular cup is placed into the pelvis and a liner is snapped into this to mate with the head. The goal of placing these implants is to recreate a more normal joint articulation with less friction and less stiffness. This restores function and relieves the pain associated with hip osteoarthritis.THA for hip osteoarthritis is one of the most successful surgical procedures performed, with regard to patient improvement in function and quality of life. 2 While the results of most THAs are good, there are different surgical styles and materials that are used to perform THAs. The purpose of this article was to give an overview of the advantages and disadvantages of different surgical approaches (posterior, lateral, anterolateral, anterior, and transtrochanteric) and different implant materials (metal-on-metal, metal-on-polyethylene, ceramic-on-ceramic, and ceramicon-polyethylene).