| Keywords [eng] |
Total hip prosthesis, hemiarthroplasty, hip resurfacing arthroplasty, approach, cementless, materials, prosthetic stem, osteoarthritis, templating, femoral neck fractures, complications |
| Abstract [eng] |
This narrative review discusses the newest available clinical studies and data which are concerning the restoration of the native hip anatomy with prostheses. The three main arthroplasty styles of Total Hip Arthroplasty, unipolar and bipolar Hemiarthroplasty and lastly Hip Resurfacing Surgery are presented. These surgeries are very common and worldwide executed with increasing prevalences due to the more ageing population. In this review, newest data for prostheses including indications for these arthroplasties like osteoarthritis and osteoporosis are presented, as well as the natural anatomic gait laboratories, surgical approaches, templating variations, new robotic technologies and fast-track surgeries. Additionally and importantly, numerous materials as well as fixation styles, stem lengths and various complications, including impingement, femoral neck fractures and dislocations are thoroughly displayed and discussed. More in depth matters like alignment styles and the reason behind them, as well as revision rates in various scenarios are displayed additionally. Ultimately, it is important to note, that every new technique is based on the surgeons’ abilities and moreover on the patients’ comorbidities. This narrative review’s ultimate goal is to differentiate various types and topics concerning prostheses and the restoration of the anatomy by comparing new available data, different opinions on new techniques and thus, display the most important key points to achieve the best possible outcome during these surgeries. |
