Alternatives to conventional total hip arthroplasty for osteoarthritis

Adam A. Sassoon, William J. Maloney, John C. Clohisy

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Total hip arthroplasty remains an extremely reliable treatment of advanced osteoarthritis refractory to conservative management with respect to improvements in pain and function. Despite a relatively small postoperative complication rate, a risk still exists, giving pause to patients and surgeons alike, especially in extremely young, active patients with arthritis. Additionally, some patients with end-stage osteoarthritis are not acceptable surgical candidates, but some form of treatment is required to help mitigate their pain as a long-term solution or to help temporize them until they can be medically optimized to undergo total hip arthroplasty. It is important to review recent advances in nonarthroplasty treatment of hip arthritis, with a focus on nonsurgical options including long acting intra-articular corticosteroid injections, platelet-rich plasma, stem cell therapies, and nerve ablation procedures, and nonarthroplasty surgical options including osteotomies and hip resurfacing.

Original languageEnglish
Title of host publicationOrthopaedic Knowledge Update
Subtitle of host publicationHip and Knee Reconstruction 5
PublisherWolters Kluwer Health
Pages339-344
Number of pages6
ISBN (Electronic)9781975123819
ISBN (Print)9781975123796
StatePublished - Jan 1 2018

Keywords

  • Hip arthritis
  • Hip resurfacing
  • Nerve ablation
  • Nonsurgical options
  • Platelet-rich plasma

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