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Journal of Long-Term Effects of Medical Implants

Publicado 4 números por año

ISSN Imprimir: 1050-6934

ISSN En Línea: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Treatment of Primary Hip Osteoarthritis for the Primary Care Physician and the Indications for Total Hip Arthroplasty

Volumen 23, Edición 4, 2013, pp. 323-330
DOI: 10.1615/JLongTermEffMedImplants.2013010251
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SINOPSIS

Osteoarthritis is a degenerative condition that commonly affects knees and hips with an annual incidence of 88 in 100,000 people in the United States. The purpose of this study was to review the clinical presentation of osteoarthritis of the hip as well as the available management options. We reviewed the recent literature in regard to epidemiology, presentation, and treatment options available to patients. Nonoperative treatments include weight loss and low-impact, aerobic exercises. Along with weight loss and exercise, nonsteroidal anti-inflammatory drugs (NSAIDS), narcotics, and intra-articular steroid injections have been used to improve patient's symptoms. Surgical intervention is a viable option; however, indications such as severe pain that is refractory to nonsurgical management, osteophytes, or joint space narrowing on radiographic films, or impairment of function should be present. The most common surgical option, total hip arthroplasty, has been shown to improve a patient's physical and psychological well-being. However, inherent risks are present with surgery and these should be addressed with the patient so a sound decision can be made. Osteoarthritis of the hip can be bothersome to patients, but physicians can begin management with lifestyle changes or pharmaceuticals. In the event nonoperative measures fail to markedly improve quality of life, total hip arthroplasty remains a viable option.

CITADO POR
  1. Stecz Patryk, Wrzesińska Magdalena, Tabała Klaudia, Nowakowska-Domagała Katarzyna, Emotional Distress Associated with Surgical Treatment and its Relationship with Coping Profiles Among Chronically ill Older Patients, Current Psychology, 36, 1, 2017. Crossref

  2. Gademan Maaike G. J., Hofstede Stefanie N., Vliet Vlieland Thea P. M., Nelissen Rob G. H. H., Marang-van de Mheen Perla J., Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview, BMC Musculoskeletal Disorders, 17, 1, 2016. Crossref

  3. Slonimsky Einat, Kushnir Tammar, Kadar Assaf, Menahem Aharon, Grundshtein Alon, Dekel Shmuel, Eshed Iris, Bilateral total hip replacement: periprosthetic pseudotumor collections are more prevalent in metal-on-metal implants compared to non-metal-on-metal ones, Acta Radiologica, 57, 4, 2016. Crossref

  4. Cheng Karen Y., Ball Scott T., Gonzales Francis B., Schenk Simon, Hughes-Austin Jan M., Metabolic Syndrome Is Associated With Higher Risk of Wound Complications After Total Hip Arthroplasty, Arthroplasty Today, 6, 3, 2020. Crossref

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