Abstract

One of the most high-tech, efficient and reliable surgical procedures is Total Hip Arthroplasty (THA). Due to the increase in average life expectancy, it is especially relevant for older people suffering from chronic joint disease, allowing them to return to an active lifestyle. However, the rejuvenation of such a severe joint disease as osteoarthritis requires the search for new solutions that increase the lifespan of a Total Hip Replacement (THR). Current trends in the development of this area are primarily focused on the creation of new materials used in THR and methods for their processing that meet the requirements of biocompatibility, long-term strength, wear resistance and the absence of an immune system response aimed at rejection. This study is devoted to the substantiation of one of the possible approaches to increase the reliability and durability of THR, based on the improvement of the implant design and postoperative rehabilitation technology, potentially reducing the risk of complications in the postoperative period.

Highlights

  • Increasing the intensity and improving the quality of treatment of patients with injuries and diseases of the musculoskeletal system (MSS) are some of the primary problems of modern healthcare

  • This paper presents a new direction for improving the typical designs of modular hip replacements and postoperative rehabilitation strategies in order to reduce the risk of complications after Total Hip Arthroplasty (THA)

  • To reduce material wear, which is most conducive to the development of osteolysis, it is advisable to use well-proven ceramics-on-polyethylene (CoP) friction pairs in Total Hip Replacement (THR), provided that the disadvantages inherent in the ceramic heads are eliminated, such as the tendency to brittle fracture, increased fretting and tribocorrosion in the interface with metal stem

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Summary

Introduction

Increasing the intensity and improving the quality of treatment of patients with injuries and diseases of the musculoskeletal system (MSS) are some of the primary problems of modern healthcare. This is due to the need to provide high-quality medical care to a large number of people, the number of which is increasing every year due to the increasing frequency of local military conflicts, changes in the structure of nutrition, physical activity, environmental conditions, as well as man-made and other factors. It should be noted that currently THA is one of the most high-tech surgical operations, and the designs of joint endoprostheses and their implantation technologies are constantly being improved, which in most cases makes it possible to achieve the desired result—to provide the patient with the highest possible quality of life

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