Primary total hip replacement--a survey of current practice and identifying changing trends |
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Authors: | Curtin P Harty J Sheehan E Nicholson P Rice J McElwain J |
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Affiliation: | Department of Orthopaedics, The Adelaide and Meath incorporating the National Children's Hospital, Dublin. pauldcurtin@hotmail.com |
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Abstract: | Primary total hip replacement (THR) surgery is the most commonly performed and successful reconstructive procedure in orthopaedic surgery. We performed a survey of Irish Orthopaedic consultants to elucidate current practices of primary THR in elderly and young patients and identify changing trends. There was an 83% response rate. Most respondents use a cemented THR in elderly patients. 69% use a different THR in younger patients compared to older patients. 9% refer younger patients to hip replacement specialist consultant colleagues. 70% report changing to a new implant or new technique in younger patients and 45% use a hybrid THR, 15% an uncemented THR, 15% perform hip resurfacing and 47% use different bearing surfaces. Only 17% use the Charnley hip prosthesis in younger patients. Young and active patients will place high demands on a new THR and newer techniques, implants and bearing surfaces are being adopted in the hope of better outcomes. |
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