Key Points The success of the first generation of resurfacing implants was limited by inferior manufacturing processes and materials that were the best available at the time. Improvements in the understanding of tribology; improvements in materials, design, and surgical technique;…
Key Points Patient selection: Total hip arthroplasty (THA) should be reserved for patients with severe hip pathology who have failed a comprehensive nonoperative treatment program and who are capable, both physically and cognitively, of recovering from the surgery. In addition…
Key Points The outcome of total hip arthroplasty (THA) is generally excellent, resulting in long-lasting improvement in pain and function for the vast majority of patients. The profound improvement in pain and function associated with THA results in a large…
Introduction Total hip arthroplasty (THA) is a proven successful operative procedure that has demonstrated relief of pain and enhanced function for over 4 decades. Long-term results vary based on method of fixation, quality of prosthetic materials, presence of modularity, and…
Key Points Indications for arthrodesis of the hip include young active patients with arthritis in whom other forms of reconstruction will likely fail at an unacceptably high rate. Surgical technique greatly influences outcome; sparing the abductor mechanism is key for…
Key Points Early diagnosis is critical to maximize success with femoral head–sparing surgical procedures for osteonecrosis. One should select the least invasive procedure possible for a given stage of osteonecrosis. Use of core decompression or percutaneous drilling procedures is appropriate…
Key Points Intertrochanteric femoral osteotomy has lost popularity today. Interest in addressing torsional deformities of the femur has recently come back to the fore. Proximal femoral osteotomies are often used in the context of femoroacetabular impingement (FAI) surgery and/or treatment…
Key Points The Bernese periacetabular osteotomy (PAO) can improve pain and function in adolescent and young adult patients with symptomatic acetabular dysplasia and minimal degenerative changes. PAO allows medialization of the hip center, improved lateral and anterior coverage, and correction…
Key Points Surgical hip dislocation (SHD) combined with a sliding osteotomy of the greater trochanter provides a 360-degree overview for correction of structural hip problems and is a safe approach with a low complication rate. SHD can be used for…
Key Points Structural abnormalities are the main causes of labral pathology in the hip. Femoroacetabular impingement (FAI) and developmental hip dysplasia are causes of osteoarthritis in the hip. Arthroscopy is an effective, reproducible, and less invasive method of treating intraarticular…