Choudhary Abhishek, Pisulkar Gajanan, Taywade Shounak, Awasthi Abhiram A, Salwan Ankur
Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Mar 17;16(3):e56350. doi: 10.7759/cureus.56350. eCollection 2024 Mar.
Post-traumatic hip arthritis presents a challenging condition characterized by degenerative changes in the hip joint following traumatic injury. Total hip arthroplasty (THA) is a cornerstone in managing this condition, offering significant pain relief, functional improvement, and enhanced quality of life. This comprehensive review aims to synthesize existing literature to elucidate the outcomes of THA in post-traumatic hip arthritis, exploring factors influencing surgical success and identifying areas for further research. Key findings reveal favourable clinical outcomes associated with THA, though considerations such as patient characteristics, surgical techniques, and implant selection impact outcomes. Implications for clinical practice underscore the importance of tailored preoperative assessment and ongoing advancements in surgical approaches and implant technology. Furthermore, opportunities for future research lie in long-term durability studies, patient-reported outcomes assessment, and exploration of innovative surgical techniques. Overall, THA emerges as a promising intervention for post-traumatic hip arthritis, yet continual refinement through research and innovation remains imperative to optimize patient care in this population.
创伤后髋关节炎是一种具有挑战性的病症,其特征为创伤性损伤后髋关节出现退行性改变。全髋关节置换术(THA)是治疗该病症的基石,能显著缓解疼痛、改善功能并提高生活质量。这篇全面综述旨在综合现有文献,阐明创伤后髋关节炎患者接受THA的疗效,探讨影响手术成功的因素,并确定进一步研究的领域。主要研究结果显示,THA具有良好的临床疗效,不过患者特征、手术技术和植入物选择等因素会影响治疗效果。对临床实践的启示强调了个性化术前评估的重要性,以及手术方法和植入物技术的不断进步。此外,未来研究的机会在于长期耐久性研究、患者报告结局评估以及创新手术技术的探索。总体而言,THA对于创伤后髋关节炎而言是一种有前景的干预措施,但通过研究和创新不断完善对于优化该人群的患者护理仍然至关重要。