DOCSLIB.ORG

Osteoarthritis of the Hip

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Osteoarthritis of the Hip Osteoarthritis of the Hip Hip Joint This fact sheet has been written for people with hip pain, due to osteoarthritis (OA). It provides general information about hip pain and what can be done to help. It also tells you where to find further information. This sheet is not meant for people with hip pain from osteoporosis or other causes. What is OA of the hip? The hip is a ‘ball and socket’ joint, where the end of the thigh bone (femur) is rounded and fits into a socket (acetabulum) in the pelvis. The ends of the bones are covered with ‘articular cartilage’. Articular cartilage is a slick substance that helps the joint move freely, but in OA the articular cartilage may be worn away, causing the bones to rub together. Where there was once smooth articular cartilage, there is now frayed and rough cartilage and increased stress on bone. What are the symptoms? OA in the hip can be especially painful because of the joint’s weight-bearing role in standing, walking and exercising. The pain may flare when you are active and gets better when you rest. People often see this as a reason to rest more but it is important to remain active by finding the right type and amount of activity, and pacing your activity. Pain usually develops slowly, starting in the groin and radiating to the to the outside of the hips or the buttocks. The joint may stiffen, making it difficult to rotate (turn) the hip. OA, if left untreated, may eventually give you pain, even at rest. The hip joint gets stiff and inflamed and movement is restricted. Bone spurs might build up at the ends of the joint, making movement particularly painful. What causes it? As with OA in the knee, obesity and a history of repeated trauma to the joint may be causes for the condition. Get help and more information at www.MyJointPain.org.au 1 However it is important to remember that anyone can develop OA at any time, regardless of their weight or history. Should I see a doctor? You should talk to your doctor or other health professional if your pain or other symptoms are bothering you. They will ask you about your symptoms and examine you. They may check for any serious medical problems that could be causing your pain, but these are rare. You should see your doctor if your pain does not settle down after a few weeks, or starts getting worse. What can I do? 1. Talk to your healthcare team. It is common to worry about the cause of your pain and how it will affect you. Talking to your doctor or another health professional about your worries can be helpful. You will usually find there is no serious cause and there are ways you can deal with it. 2. Learn about hip pain and play an active role in your treatment. Not all information you read or hear about is trustworthy so always talk to your doctor or healthcare team about treatments you are thinking about trying. Reliable sources of further information are also listed in the section below. Self- management courses aim to help you develop skills to be actively involved in your healthcare. Contact your local Arthritis Australia office for details of these courses. 3. Learn ways to manage pain. Talk to your healthcare team about ways to relieve your pain. Some people have found massage and acupuncture helpful with hip pain, although this has not been proven by research. There are also medicines that can help with hip pain. It’s best to start with simple analgesics and measure their effect before trying others. • Paracetamol is a simple pain reliever that can relieve mild to moderate pain from OA. • Anti-inflammatory medicines (NSAIDS) may relieve symptoms of OA.Always talk to your doctor or pharmacist before take these medicines as they are not suitable for all people. • Stronger pain medicine, such as codeine or tramadol, may be useful if simple pain relievers are not effective and anti-inflammatory medicines cannot be used. • A corticosteroid injection into the hip joint may relieve pain. Always talk to your doctor or pharmacist about your medicines, as even natural and over-the-counter medicines can have side effects. See the following for more information: • Complementary medicines treatment • Complementary treatments Get help and more information at www.MyJointPain.org.au 2 • Simple pain relief medicines • NSAIDs treatment • Medicines and arthritis fact sheet • Dealing with pain fact sheet 4. Stay active. Your body is designed for movement and exercise is one of the most important treatments for OA of the hip. It helps to reduce pain and maintain your general health. To protect your sore joints, try low- impact activities, where there is less weight going through your hips. Examples of low-impact activities include cycling and walking. You could also try: • Water exercise: The buoyancy of the water takes pressure off your hips and you may find you can move more freely than you can on land. You could swim, do a hydrotherapy session with a physiotherapist or join a local warm water exercise class. See the Water exercise sheet for more information. • Strengthening exercises: Physiotherapy exercises to strengthen the muscles around your hip can also help reduce pain from OA. • Tai chi: Studies show that tai chi can help reduce pain and stiffness for people with OA. See a physiotherapist or other health professional for advice about exercises to keepyour hip moving. See the Working with your healthcare team information sheet for more information about seeing a physiotherapist. 5. Weight loss: Being overweight can lead to more pain and damage to hips and knees affected by OA. Even modest weight loss (eg. five percent reduction in body weight) can noticeably reduce symptoms of knee OA. You may find it useful to see a dietitian for advice about healthy eating and weight loss. 6. Aids or supports. Some people may find using a walking stick helps reduce pain, although there are no studies to prove this claim. Always use the walking stick on the opposite side to your sore joint (if your right hip is affected, use the walking stick in your left hand). 7. Acknowledge your feelings and seek support. It is natural to feel scared, frustrated, sad and sometimes angry when you have pain. Be aware of these feelings and get help if necessary. You can learn skills to recognise and calm anxiety or strong emotions if you find they start to affect your daily life. See the Awareness of thoughts & emotions treatment sheet. There are many other treatments for hip pain that have not been well-proven. Some unproven treatments may still be useful, however further research is needed. These treatments include: • herbal medicines Get help and more information at www.MyJointPain.org.au 3 • transcutaneous electrical nerve stimulation (TENS) • low level laser therapy • heat and cold (eg. hot water bottles, heat packs, ice packs). Your healthcare team can give you more advice and information about whether any of these or other treatments might be useful for you. Also see the Dealing with pain fact sheet. Other Resources State/Territory Arthritis Offices Your local Arthritis Office can provide further information to assist you and will have a range of education and support activities. Click here to find your local office. Independent Living Centres (ILCs) These centres provide information about products and services to help people remain independent and improve their quality of life. They are located in each capital city. See www.ilcaustralia.org.au or call the National ILC Infoline on 1300 885 886 to find your closest centre and more information. (In Queensland, the Independent Living Centre is called LifeTec). Page created: 18 March 2013 Last modified: 19 June 2015 Content last reviewed: 18 March 2013 Get help and more information at www.MyJointPain.org.au 4.
Load more

Recommended publications
  • Sciatica and Chronic Pain
    Sciatica and Chronic Pain Past, Present and Future Robert W. Baloh 123 Sciatica and Chronic Pain Robert W. Baloh Sciatica and Chronic Pain Past, Present and Future Robert W. Baloh, MD Department of Neurology University of California, Los Angeles Los Angeles, CA, USA ISBN 978-3-319-93903-2 ISBN 978-3-319-93904-9 (eBook) https://doi.org/10.1007/978-3-319-93904-9 Library of Congress Control Number: 2018952076 © Springer International Publishing AG, part of Springer Nature 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
    [Show full text]
  • The Hip's Influence on Low Back Pain
    Journal of Sport Rehabilitation, 2009, 18, 24-32 © 2009 Human Kinetics, Inc. The Hip’s Influence on Low Back Pain: A Distal Link to a Proximal Problem Michael P. Reiman, P. Cody Weisbach, and Paul E. Glynn Low back pain (LBP) is a multifactorial dysfunction, with one of the potential con- tributing factors being the hip joint. Currently, research investigating the examination and conservative treatment of LBP has focused primarily on the lumbar spine. The objective of this clinical commentary is to discuss the potential link between hip impairments and LBP using current best evidence and the concept of regional inter- dependence as tools to guide decision making and offer ideas for future research. Keywords: strength, rehabilitation In day-to-day clinical practice it is often difficult to identify the source of symptoms in patients with low back pain (LBP).1 Abenhaim et al2 noted that a small percentage of individuals with LBP have an identifiable pathoanatomical source. Further clouding the picture are multiple studies indicating the potential inability of diagnostic imaging to identify the pain source, influence prognosis, or affect outcomes.3–6 Research has demonstrated the effectiveness of subgrouping patients into a classification system based on signs and symptoms indicating their likelihood to respond to specific treatments. This classification approach has pro- duced improved outcomes and high levels of reliability as compared with clinical- practice guidelines.7–9 For treating clinicians, these findings help guide decision making and improve results; however, not all patients will fit into a treatment- based subgroup. The treating therapist must then rely on an impairment-based approach, identifying potential local or remote contributors to the patient’s area of primary concern.
    [Show full text]
  • History and Physical Examination of Hip Injuries in Elderly Adults
    2.0 ANCC Contact History and Physical Examination of Hip Hours Injuries in Elderly Adults Mohammed Abdullah Hamedan Al Maqbali Hip fracture is the most common injury occurring to elderly hours of one morning, she was found on the fl oor of her people and is associated with restrictions of the activities of room. She stated that she was trying to get out of bed to the patients themselves. The discovery of a hip fracture can use her commode. She fell onto her right hip and began be the beginning of a complex journey of care, from initial to complain of a pain in her knee. At the emergency de- diagnosis, through operational procedures to rehabilitation. partment, a physical examination provided the observa- The patient's history and physical examination form the ba- tion that her right leg was externally rotated with a bruising of her right hip. An x-ray confi rmed a right sis of the diagnosis and monitoring of elderly patients with femoral neck fracture. She did not present any past hip problems and dictate the appropriate treatment strategy medical history. The next morning, Mrs. B had surgery to be implemented. The aim of this study is to discuss the for open reduction and internal fi xation of the fracture. different diagnoses of hip pain in a case study of an elderly woman who initially complained of pain in her right knee following a fall at home. It shows that musculoskeletal History Taking physical examination determined the management of the History taking is important in sorting out the differen- hip fracture that was found to be present.
    [Show full text]
  • Medical Consultation for the Elderly Patient with Hip Fracture
    J Am Board Fam Pract: first published as 10.3122/15572625-11-5-366 on 1 September 1998. Downloaded from CLINICAL REVIEW Medical Consultation for the Elderly Patient With Hip Fracture RichardJ Ackermann, MD Background: This article describes a family physician geriatrician's perspective on the comprehensive management of hip fracture in frail elderly patients. Primary care physicians might be called upon to pro­ vide medical consultation for these patients. Methods: Guidelines were developed by a combination of personal experience in consulting for several hun­ dred elderly patients with hip fracture at a large community hospital, literature review using the key words "hip fractures," "aged," and "aged, 80 and over," and educational presentations for family practice residents. Results and Conclusions: Elderly patients with hip fracture offer a prime opportunity for comprehensive geriatric assessment. Intertrochanteric fractures are almost always treated with internal fixation, whereas femoral neck fractures can be treated by either fixation or by hemiarthroplasty. Hip fracture should be re­ garded as a surgical urgency, and generally operation should not be delayed, even if patients have serious comorbidity. The family physician can be instrumental in preparing the patient for surgery, preventing and treating complications, and assisting in the placement and rehabilitation of patients after hospital dis­ charge. 0 Am Board Fam Pract 1998; 11:366-77.) As the result of an aging population, family physi­ Some hip fractures and the falls that precede cians are increasingly likely to participate in the them are probably preventable. Strategies to de­ care of elderly patients suffering hip fracture. This tect and treat osteoporosis, especially in high-risk copyright.
    [Show full text]
  • ACR Appropriateness Criteria Acute Hip Pain-Suspected Fracture
    Revised 2018 American College of Radiology ACR Appropriateness Criteria® Acute Hip Pain-Suspected Fracture Variant 1: Acute hip pain. Fall or minor trauma. Suspect fracture. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography hip Usually Appropriate ☢☢☢ Radiography pelvis Usually Appropriate ☢☢ Radiography pelvis and hips Usually Appropriate ☢☢☢ CT pelvis and hips with IV contrast Usually Not Appropriate ☢☢☢ CT pelvis and hips without and with IV Usually Not Appropriate contrast ☢☢☢☢ CT pelvis and hips without IV contrast Usually Not Appropriate ☢☢☢ MRI pelvis and affected hip without and Usually Not Appropriate with IV contrast O MRI pelvis and affected hip without IV Usually Not Appropriate contrast O Bone scan hips Usually Not Appropriate ☢☢☢ US hip Usually Not Appropriate O Variant 2: Acute hip pain. Fall or minor trauma. Negative radiographs. Suspect fracture. Next imaging study. Procedure Appropriateness Category Relative Radiation Level MRI pelvis and affected hip without IV Usually Appropriate contrast O CT pelvis and hips without IV contrast Usually Appropriate ☢☢☢ CT pelvis and hips with IV contrast Usually Not Appropriate ☢☢☢ CT pelvis and hips without and with IV Usually Not Appropriate contrast ☢☢☢☢ MRI pelvis and affected hip without and with Usually Not Appropriate IV contrast O Bone scan hips Usually Not Appropriate ☢☢☢ US hip Usually Not Appropriate O ACR Appropriateness Criteria® 1 Acute Hip Pain-Suspected Fracture Acute Hip Pain-Suspected Fracture Expert Panel on Musculoskeletal Imaging: Andrew B. Ross, MD, MPHa; Kenneth S. Lee, MD, MBAb; Eric Y. Chang, MDc; Behrang Amini, MD, PhDd; Jennifer K. Bussell, MDe; Tetyana Gorbachova, MDf; Alice S. Ha, MDg; Bharti Khurana, MDh; Alan Klitzke, MDi; Pekka A.
    [Show full text]
  • Understanding Treatments for Hip Pain
    Understanding treatments for hip pain. 2 Table of Contents Why does my hip hurt? ……………………… 2 Diagnosis ………………………………………… 4 Nonsurgical treatments …………………… 5 What is a hip replacement? ……………… 6 What risks are involved? …………………… 7 What is it like to have total hip replacement surgery? ………… 7 What can I expect after surgery? ………… 9 Notes …………………………………………… 11 Understanding treatments for hip pain | 1 Renew your passion for living. If hip pain is keeping you from the things you love, you and your doctor may decide it is time for hip replacement surgery. While there are many important factors to consider, keep in mind that surgical treatments are designed to reduce pain and restore function. This brochure is intended to provide an overview of hip pain and treatment options and should be reviewed with your orthopaedic specialist. It does not include all of the information needed to determine eligibility for hip replacement or for the proper use and care of hip implants. Please consult your orthopaedic specialist for more information. For more information or to find a doctor near you, visit zimmerbiomet.com The information herein is of a general nature and does not represent or constitute medical advice or recommendations and is for general education purposes only. This information is not meant to replace the specific verbal and written recommendations and instructions provided by your surgeon for your specific situation. Patient treatment plans and outcomes will vary. 2 Why does my hip hurt? If your hips ache, you have lots of company. Over 52 million Americans suffer from arthritis.1 To understand why your hip hurts, it is important to understand how a healthy hip joint works.
    [Show full text]
  • Hip Osteoarthritis
    #weareNHFT HIP OSTEOARTHRITIS PHYSIOTHERAPY 0330 555 6789 nhft.nhs.uk/physiotherapy MAKING A DIFFERENCE FOR YOU, WITH YOU WHAT IS OSTEOARTHRITIS? Osteoarthritis is very common, with over 9 million people in the UK living with the condition. Almost all of us will develop osteoarthritis in some of our joints, as we get older, although we may not be aware of this as the condition is often pain free. The hip is a ball and socket joint, the ball of the joint, which is at the top of the bone in your upper leg is called the femoral head, and the socket created by the hollow of your pelvis is called the acetabulum. In a healthy Hip (see image – from Versus Arthritis website), a coating of tough, smooth and slippery tissue (cartilage) covers the surface of the bones to help the joint move freely. The Hip is surrounded by a tough, fibrous sleeve called the capsule, which is lined by the synovium and produces a synovial fluid, which nourishes the cartilage and lubricates the joint. In Osteoarthritis, part of the cartilage thins and the surface becomes rougher. In response, your body tries to repair the area by producing extra bone (Osteophytes). For many, healing is successful; the Hip looks different on X-ray with additional bone but often returns to working normally with minimal symptoms of pain or stiffness. Pelvis THE HIP JOINT Acetabulum (socket) Femoral head (ball) Femur (thigh bone) Osteoarthritis is better described as “wear and repair” instead of the commonly used term “wear and tear”. In order for your Hip to carry out the repair process successfully it is important that you keep using your joint normally.
    [Show full text]
  • Hip Pain in Childhood Quadril Doloroso Na Infância
    Ribeiro SC et Pictorialal. / Hip pain Essay in childhood http://dx.doi.org/10.1590/0100-3984.2018.0042 Hip pain in childhood Quadril doloroso na infância Sariane Coelho Ribeiro1,a, Kaline Silva Santos Barreto1,b, Catarina Borges Santana Alves2,c, Oswaldo Lima Almendra Neto1,d, Marcel Vieira da Nóbrega3,e, Leonardo Robert de Carvalho Braga1,f 1. UDI 24 horas, Teresina, PI, Brazil. 2. Universidade Ceuma, São Luís, MA, Brazil. 3. Hospital São Carlos, Fortaleza, CE, Brazil. Correspondence: Dra. Catarina Borges Santana Alves. Universidade Ceuma. Rua Josué Montello, 1, Renascença II. São Luís, MA, Brazil, 65075-120. Email: [email protected]. a. https://orcid.org/0000-0001-8497-1186; b. https://orcid.org/0000-0003-3818-6106; c. https://orcid.org/0000-0001-5708-9219; d. https://orcid.org/0000-0001-9414-2816; e. https://orcid.org/0000-0002-6132-1727; f. https://orcid.org/0000-0002-4222-9247. Received 20 March 2018. Accepted after revision 8 October 2018. How to cite this article: Ribeiro SC, Barreto KSS, Alves CBS, Almendra Neto OL, Nóbrega MV, Braga LRC. Hip pain in childhood. Radiol Bras. 2020 Jan/Fev;53(1):63–68. Abstract Hip pain in a child can have infectious, inflammatory, traumatic, neoplastic, or developmental causes, which can make the diagnosis challenging. Meticulous history taking and a detailed clinical examination guide the radiological investigation. In this article, we ad- dress some of the main causes of hip pain in childhood and their findings on diagnostic imaging. Keywords: Hip joint; Pain/etiology; Arthritis, juvenile; Hip dislocation, congenital; Child, preschool; Child; Adolescent.
    [Show full text]
  • Adult Hip Dysplasia
    Adult Hip Dysplasia David S. Feldman, MD Chief of Pediatric Orthopedic Surgery Professor of Orthopedic Surgery & Pediatrics NYU Langone Medical Center & NYU Hospital for Joint Diseases Overview Adult hip dysplasia describes a condition where the hip’s ball (femoral head) and socket (acetabulum) are misaligned. The condition is common in children but is also found in adolescents and adults who have had no history of problems in childhood. Treatment options include temporizing with medication and/or physical therapy but surgery is often required to fix the problem. Description Hip dysplasia occurs in adults when the femoral head or the acetabulum has not developed fully or correctly. It becomes difficult for the femoral head to remain properly positioned within the acetabulum if the hip has a poorly angled or rotated femoral head/neck or shallow acetabulum. A severe or prolonged misalignment of the hip’s ball and socket results in increased friction which causes the joint’s cartilage to wear out quickly leading to cartilage (labral) tears and eventually osteoarthritis. Symptoms Hip dysplasia ranges from mild to severe and can affect one or both hips. A dysplastic hip socket typically causes discomfort and pain beginning in late adolescence and gradually becomes worse over time. A shallow acetabulum may develop during infancy but may not be evident until after puberty and may not cause pain until the teen years or later. Common symptoms of hip dysplasia include: . Abnormal positioning or turning of the legs . Decreased range of motion on the side where the hip is partially (subluxed) or fully dislocated . The leg may appear shorter on the side where the hip is partially (subluxed) or fully dislocated .
    [Show full text]
  • Hip Osteoarthritis
    Hip Osteoarthritis Hip osteoarthritis literally means wear and tear to the hip joint, or hip joint degeneration. Similar to other joints carrying your weight, the hips are prone to wear-and-tear arthritis. This can be caused by aging, over use, being overweight or underlying genetic factors. The glistening and smooth cartilage at the end of the bones that allows the hip joints to glide smoothly may end up wearing thin. The first sign of osteoarthritis might be a small amount of discomfort and stiffness in the thigh, buttock or groin upon waking up in the morning. Pain flares up when you are more active and tends to get better upon resting. Hip arthritis sufferers will notice that their hip pain can flare up, or reduce in nature over any particular week. This is due to inflammation. If you have any pain in the groin or hip, make sure you see your therapist as soon as possible because treatment to the hip can be very beneficial and can slow down and improve the pain and stiffness in the joint. Some people may notice some pain travelling down the front of the thigh to the knee, and this is referred pain from the hip. You may also notice you are having difficulty getting your socks on in the morning as you gradually lose the ability to bend the hip. At very late stages, the pain may no longer be relieved by resting .The cartilage may completely wear away, where the bones end up rubbing against one another, and the body lays down bone around the joint which makes it difficult to move.
    [Show full text]
  • Hip Osteoarthritis: Where Is the Pain?
    Ann R Coll Surg Engl 2004; 86: 119–121 Audit Hip osteoarthritis: where is the pain? AM Khan1, E McLoughlin1, K Giannakas1, C Hutchinson2, JG Andrew1 1Department of Orthopaedic Surgery, Hope Hospital, Salford, UK 2Biophysics and Medical Imaging Research Group, University of Manchester, Manchester, UK Background: Pain radiating below the knee is typically thought to originate from the lumbosacral spine rather than degenerative hip pathology. We investigated the lower limb distribution of pain using body image maps in 60 patients awaiting primary hip arthroplasty and in 60 patients awaiting spinal decompression for confirmed spinal stenosis. The perception of 33 orthopaedic registrars regarding distribution of hip pain was also assessed. Results: Groin and buttock pain are significantly more common in hip osteoarthritis. The presence of groin pain is 84.3% of those sensitive for hip dysfunction with a specificity of 70.3%. Patients with hip osteoarthritis had pain below the knee in 47% of cases whereas 88.5% of orthopaedic trainees believed hip pain did not radiate below the knee. Radiographic features of osteoarthritis within the hip joint, visual analogue pain score or Oxford Hip Score have no significant association with a patient’s distribution of hip pain. Conclusions: Hip pain referred below the knee is common with a degenerate hip joint and follows the distribution of the saphenous nerve, which branches from the femoral nerve. Radiographic deterioration of a hip joint does not correlate with pain distribution or patient dysfunction as measured by the Oxford Hip Score. Key words: Hip osteoarthritis – Pain location – SpR perceptions n increasing number of patients present for joint We assessed the distribution of pain in 60 patients on a Areplacement surgery of lower limb joints including waiting list for primary hip arthroplasty and compared the hip, but accurate diagnosis remains important as it is the pain distribution with an equal number of patients possible to be confused by symptoms which might arise awaiting decompression for spinal stenosis.
    [Show full text]
  • Total Hip Replacement: Relieving Pain and Restoring Function
    Bradley Ashman, MD, David Cruikshank, MD, Michael Moran, MBBCh, FRCSC Total hip replacement: Relieving pain and restoring function Since the first successful modern hip arthroplasty was performed by Sir John Charnley in the 1960s, procedures and components have evolved and made joint replacement available to patients younger than 65. ABSTRACT: Total hip replacement metal or ceramic femoral heads; and otal hip replacement is a re- is one of the most common ortho- polyethylene or ceramic acetabular markable procedure that can paedic reconstructive procedures liners. In British Columbia, the stan- Trelieve pain and restore func- performed today, with more than dard of care is a metal acetabular tion. According to the Canadian Insti- 40 000 replacements completed an- shell with a polyethylene liner and tute for Health Information, more than nually in Canada. New surgical tech- a cemented or uncemented femoral 40 000 hip replacements are complet- niques and materials have led to stem with a metal femoral head. Hip ed annually in Canada (https://secure procedures that produce profound resurfacing is an option for young .cihi.ca/estore/productFamily.htm? changes in the lives of patients and active patients, although its use locale=en&pf=PFC2945&lang=en). allow them to resume virtually all of worldwide has declined dramatical- For most patients with a destructive their previous activities. Sir John ly. Early mobilization after total hip process occurring in the hip joint, to- Charnley developed low-friction ar- replacement is recommended. While tal hip arthroplasty (THA) is a viable throplasty in the 1960s. Since then, complication rates are low, possible option.
    [Show full text]