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A total hip replacement (total hip arthroplasty or THA) consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head. Hip replacement is one of the most common orthopaedic operations, though patient satisfaction varies widely.
Hip arthroscopy. Intraoperative fluoroscopic image during an arthroscopic resection of a cam lesion of the femur. The upper instrument is the arthroscope (viewing device), while the lower is the high-speed burr used for reshaping the bone. Hip arthroscopy refers to the viewing of the interior of the acetabulofemoral (hip) joint through an ...
Subsequent treatment with total hip arthroplasty ( hip replacement) is complicated by a need for revision surgery (replacing the artificial joint) owing to skeletal changes as the body matures, loosening/wear or bone resorption.
If there is a fracture of the neck of the femur, the blood supply through the ligament becomes crucial. The head of the femur is relevant to orthopedic surgery because it can undergo avascular necrosis and consequent osteochondritis dissecans. The femoral head is removed in total hip replacement surgery.
In elderly patients with displaced or intracapsular fractures many surgeons prefer to undertake a hemiarthroplasty, replacing the broken part of the bone with a metal implant. In elderly patients who are medically well and still active, a total hip replacement may be indicated.
While bone resorption is commonly associated with many diseases or joint problems, the term osteolysis generally refers to a problem common to artificial joint replacements such as total hip replacements, total knee replacements and total shoulder replacements.