Success vs Failure!

Total Hip Arthroplasty has had great results in relieving pain. Replacement of the hip joins have not only decreased pain, but improved their gait and the abductor muscle strength.  In fact of over ninety percent of these patients achieve independce of assist devices, have marked improvements in their limp, and report significant strength gains in their hip musculature.

However, complications do occur. These complications are represented by fracture of the femur during implantation, peroneal or sciatic nerve palsy, post operative dislocation of the hip or even late infection of the prosthesis. Despite these complications, hip joints have a high success rate of ninety-two percent survival after five years and an eighty-eight percent  after ten years.

There have many developments to reduce complications over the last two decades; Prophylactic antibiotic therapy which has helped to prevent infection. During preoperative procedures, the use of anticoagulants has reduced deep venous thrombosis and pulmonary emboli. In addition, mechanical loosening has decreased with newer cement and cementless techniques of fixture.

© 2007 Dhondup Pemba