The treatment of choice for a displaced femoral neck fracture is still a matter of debate, with the answer most likely hinging on patient age and activity level. In most cases, younger patients – generally those under age 60 – are offered open reduction and internal fixation (ORIF). Hemiarthroplasty and total hip arthroplasty (THA) are usually better options for older patients, [1-4] with recent studies suggesting that outcomes of the 2 procedures are about equal in this population.
Sometimes the best way to relieve hip pain is to start moving more. Although rest and recovery can be necessary to heal an injury, sitting for too long puts added stress on the hips. The right types of exercises build strength, alleviate pain, improve your range of motion, and help protect your hips in the long haul.
With surgeons offering total knee arthroplasty (TKA) to increasingly younger patients with osteoarthritis and other degenerative conditions, the idea that both knees could be replaced during the same operation is appealing. Many of these patients still work, and by undergoing surgery only once, they minimize time off from work and, theoretically, minimize the risk of complications from a second anesthesia and hospitalization.
Managing a patient with degenerative disease in both the hip and the lumber spine – the hip-spine syndrome – presents a challenge: Which procedure should be done first? Should the surgeon start with a total hip arthroplasty (THA), or should the patient be referred to a spine surgeon for spinal fusion before THA?
Primary total knee arthroplasty (TKA) is one of the most commonly performed orthopaedic procedures in the US. The same cannot be said for partial knee arthroplasty: According 2020 Annual Report from the American Joint Replacement Registry (AJRR), unicompartmental knee arthroplasty (medial and lateral UKA) accounted for just 4.1% of knee replacements in 2019, compared with 8.2% in 2012, and patellofemoral arthroplasty decreased from a high of 1.7% in 2016 to 0.04% in 2019.