Seminars in Arthroplasty
Volume 17, Issue 2 , Pages 88-92, June 2006

The Future of High Performance Total Hip Arthroplasty

  • Michael A. Mont, MD

      Affiliations

    • Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Reconstruction, Sinai Hospital of Baltimore, Baltimore, MD.
    • Corresponding Author InformationAddress reprint requests to Michael A. Mont, MD, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Reconstruction, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215
    • ,
  • Peter M. Bonutti, MD

      Affiliations

    • Bonutti Clinic, Effingham, IL.
    • ,
  • Thorsten M. Seyler, MD

      Affiliations

    • Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Reconstruction, Sinai Hospital of Baltimore, Baltimore, MD.
    • ,
  • Johannes F. Plate, BS

      Affiliations

    • Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Reconstruction, Sinai Hospital of Baltimore, Baltimore, MD.
    • ,
  • Ronald E. Delanois, MD

      Affiliations

    • Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Reconstruction, Sinai Hospital of Baltimore, Baltimore, MD.
    • ,
  • Mark Kester, PhD

      Affiliations

    • Stryker Orthopaedics, Mahwah, NJ.

Balancing longevity with high performance depends on numerous intraoperative and postoperative factors. Intraoperatively, longevity can be affected by surgical approach, pain management, and instrumentation. Utilizing anesthetic pain management with muscle-sparing surgical approaches and computer-assisted instrumentation can provide improved results. Postoperatively, longevity is dependant on rehabilitation, implant design, and activity level. Individualized and comprehensive rehabilitation protocols are the critical foundation of longevity. Cementless technology and improvements in bearing surfaces (new polyethelenes, ceramic-on-ceramic interfaces) may help to improve alignment and fixation. Implant performance can be improved through advanced instrumentation, disease specific designs, and the use of navigation.

Keywords:  total hip arthroplasty , ceramic-on-ceramic , metal-on-metal , minimally invasive surgery , performance

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PII: S1045-4527(06)00033-2

doi:10.1053/j.sart.2006.06.002

Seminars in Arthroplasty
Volume 17, Issue 2 , Pages 88-92, June 2006

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