Clin Cases Miner Bone Metab. 2013 Jan;10(1):41-6. doi: 10.11138/ccmbm/2013.10.1.041.
Source
Orthopaedic Clinic, Department of Special Surgical Science, University of Florence, CTO, Florence, Italy.Abstract
Osteoarthritis
of the hip is a common pathology and involves forms of disability and
need for treatments that affect the quality of life of patients and
their families, and in general of the whole society. It should be
considered as such degenerative joint disease is increasing as the
increase in life expectancy and musculoskeletal trauma, the latter
responsible for secondary forms of osteoarthritis. The treatment of
osteoarthritis of the hip has changed a lot over the years, since the
earlier diagnosis and, before, with prevention through proper lifestyle.
More in-depth knowledge of the biology of the tissues involved, first of all hyaline cartilage, has lead to non-surgical treatments such as infiltration with hyaluronic acid (viscosupplementation) and autologous growth factors derived from platelets (platelet rich plasma). Surgical therapy with prosthetic replacement is finally a choice to share with the patient based on pain and functional limitation, bearing in mind always the best technology and tribology and the possibility of less invasive surgical access, while recognizing that there are not still eternal prosthesis. Of particular importance then is the age of the patient. There are also other types of surgery (hip arthroscopy, forage) for other pathologies of the hip which can be resolutive, or, in a sense, can delay the arrival to the prosthetic replacement. We will discuss below the decision-making process that leads the surgeon with the patient to the surgery option.
http://www.ncbi.nlm.nih.gov/pubmed/23858310
More in-depth knowledge of the biology of the tissues involved, first of all hyaline cartilage, has lead to non-surgical treatments such as infiltration with hyaluronic acid (viscosupplementation) and autologous growth factors derived from platelets (platelet rich plasma). Surgical therapy with prosthetic replacement is finally a choice to share with the patient based on pain and functional limitation, bearing in mind always the best technology and tribology and the possibility of less invasive surgical access, while recognizing that there are not still eternal prosthesis. Of particular importance then is the age of the patient. There are also other types of surgery (hip arthroscopy, forage) for other pathologies of the hip which can be resolutive, or, in a sense, can delay the arrival to the prosthetic replacement. We will discuss below the decision-making process that leads the surgeon with the patient to the surgery option.
http://www.ncbi.nlm.nih.gov/pubmed/23858310
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