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Total hip replacement: indications for surgery and risk factors for failure
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Introduction |
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Total hip replacement is one of the most successful and cost effective interventions in medicine.1 2 It offers reliable relief of pain and considerable improvement in function in patients suffering with osteoarthritis or inflammatory arthritis of the hip.3-7 Currently about 50 000 hip replacements are performed in the United Kingdom annually while worldwide the number is over 300 000. Two thirds of these are performed in patients over 65 years of age.8 Ninety to ninety five per cent of patients can expect to have their total hip replacement functioning at 10 years,8 and in 85% they will still be functioning at 20 years.9
Although 85% of patients undergoing total hip replacement have a
diagnosis of osteoarthritis,8 inflammatory arthritis, both
seropositive and seronegative, is an important indication for total hip
replacement and can offer tremendous improvements in quality of life
even in the very young.10 In rheumatoid arthritis it has
been estimated that the cost to
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Degenerative joint disease
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