Total hip arthroplasty : State of the art, prospects and challenges
Recently increasing revision rates of certain types of
metal-on-metal (MoM) hip prostheses [1], introduced
on the medical device market during the last decade,
have created uncertainty concerning the safety and
effectiveness of artificial hip joints [2]. Eventhough
medical progress is generally expected to be a
continuous process leading to improved medical
treatment, problems occured with some hip-resurfacing
systems that failed to deliver the expected improvement.
Moreover, this created severe health problems for many
patients worldwide [2].
This report reviews the historical development and
the state-of-the-art of total hip arthroplasty from a
biomedical engineering point of view and illustrates
the motivation for the efforts to improve the quality of
hip prostheses. The report also aims at explaining the
peculiar problems related to evaluating the safety and
effectiveness of hip prostheses, which are supposed
to last for at least 20 to 25 years. Furthermore, it
addresses some medical and biological aspects of total
hip arthroplasty (THA).
HOLZWARTH Uwe;
COTOGNO Giulio;
2012-07-09
Publications Office of the European Union
JRC72428
978-92-79-25280-8 (print),
978-92-79-25279-2,
1018-5593 (print),
1831-9424 (online),
EUR 25378 EN,
OP LB-NA-25378-EN-C (print),
OP LB-NA-25378-EN-N,
https://publications.jrc.ec.europa.eu/repository/handle/JRC72428,
10.2788/31286,
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