10Total joint replacement in osteoarthritis
Section snippets
Surgical approaches to osteoarthritis other than total joint replacement
While total joint replacement is the most frequently performed procedure for advanced osteoarthritis of the hip and knee, several other options exist. These alternatives to total joint replacement are especially appealing for younger patients who would likely require one or more revisions if they underwent total hip or knee replacement in their 30 or 40s. For select patients with hip osteoarthritis, femoral or acetabular osteotomy provides symptom relief and functional benefit. Osteotomy
Total joint replacement
Total hip replacement was developed in the 1960s and matured in the 1970s, becoming a well-accepted, reliable treatment for hip osteoarthritis. Today there are over 200 000 elective total hip replacements performed per year in the United States.3 Total knee replacement developed in a similar fashion about a decade later. The growth in total knee replacement has been especially brisk because the prevalence of knee osteoarthritis is increasing, in part because of an increase in obesity.4
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2019, Engineering Fracture MechanicsCitation Excerpt :Fig. 2 shows a hip joint schematically, indicating its capability to move almost without friction [3,4]. If the cartilage is damaged, hip movement causes significant pain and replacement is inevitable [2,3]. Nowadays this is a routine procedure, but implant integrity and life remain a significant problem.