Volume 12, Issue 1 (Winter 2025)
JROS 2025, 12(1): 13-40 |
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Gharanizadeh K, Mokhtari K, Kazemi S. Advances in Biomechanics and Optimization Strategies for Total Hip Arthroplasty: A Mini-review. JROS 2025; 12 (1) :13-40
URL: http://jros.iums.ac.ir/article-1-2271-en.html
URL: http://jros.iums.ac.ir/article-1-2271-en.html
1- Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Cell and Molecular Biology and Microbiology, Faculty of Biological Science and Technology, University of Isfahan, Isfahan, Iran.
3- Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. & Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.
2- Department of Cell and Molecular Biology and Microbiology, Faculty of Biological Science and Technology, University of Isfahan, Isfahan, Iran.
3- Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. & Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.
Abstract: (41 Views)
Total hip arthroplasty (THA) is a transformative surgical procedure that addresses debilitating hip conditions such as fractures and osteoarthritis, especially in the aging population. Optimal acetabular positioning plays a pivotal role in achieving successful outcomes by influencing joint stability, range of motion, and implant longevity. This review synthesizes recent advancements in surgical techniques, including robotic-assisted systems, patient-specific instrumentation (PSI), and personalized orthopedics, to address challenges such as malpositioning, dislocation, and implant wear. Key factors affecting acetabular alignment—such as the center of rotation, angular positioning, and pelvic tilt—are explored, along with the role of preoperative optimization in enhancing patient outcomes. Furthermore, emerging technologies like 3D printing, advanced imaging, and multimodal analgesia are discussed for their impact on precision and recovery. By integrating biomechanical insights and innovation, this review highlights the potential to minimize complications and improve the durability and effectiveness of THA.
Keywords: Total hip arthroplasty (THA), Acetabular positioning, Biomechanics, Personalized orthopedics, Robotic-assisted surgery, 3D printing, Implant longevity, Preoperative optimization
Type of Study: Review Paper |
Subject:
Hip surgery
Received: 2024/10/2 | Accepted: 2024/11/16 | Published: 2025/02/1
Received: 2024/10/2 | Accepted: 2024/11/16 | Published: 2025/02/1
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