Hip Arthroplasty

Pp: 162-170 (9)

* (Excluding Mailing and Handling)

Abstract

Hip arthropathy in patients with Haemophilia may be disabling. In early stages a conservative treatment may be useful, as in late stages a Total Hip Arthroplasty is indicated. During the ‘80s and ‘90s clinical outcomes after a hip arthroplasty were variable given the use of first generation cemented implants, and the significantly high rates of complications, as for other types of surgery. In the last decades modern cementless implants with high performing materials and less invasive surgical techniques have been introduced with expected improved results. Recently several series have been reported with very satisfactory outcomes, and longer survival rates of implants with respect to the past. A combination of multidisciplinary teams dedicated to haemophilic subjects, the use of modern cementless implants, and less invasive surgical approaches may represent the key to achieve good outcomes, fewer complications, and better prosthetic survivorship in such difficult patients.

Keywords: Apomeiosis, Apomixis, Asexual reproduction, Fertilization, Hybrid vigor, Inbreeding depression, Meiosis, Parthenogenesis, Plant reproduction, Sexual reproduction.