George A. Shultz, BS; Dana C. Mears, MD, PhD; C. Lowry Barnes, MD; Simon C. Mears, MD, PhD; Benjamin M. Stronach, MD; and Jeff erey B. Stambough, MD
Total Hip Arthroplasty: A Surgical Revolution
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Total hip arthroplasty (THA) is one of the most successful orthopaedic procedures, off ering signifi cant improvements in pain relief, mobility, and overall quality of life for patients with hip pathology. Since its inception, continuous advancements in implant materials, fi xation techniques, and surgical approaches have contributed to enhanced implant longevity and functional outcomes. THA has evolved from early designs to incorporate modern biomaterials, robotic-assisted surgery with improved precision, and three-dimensional printing for patient-specifi c solutions. Despite its success, challenges such as implant wear, prosthetic joint infection, and the need for revision surgeries remain critical concerns for orthopaedic surgeons. The increasing demand for THA, driven by an aging population and expanded indications, underscores its growing societal impact, including economic benefi ts through improved productivity and reduced healthcare costs. As research and innovation continue to shape the fi eld, THA remains a cornerstone of orthopaedic surgery, with ongoing eff orts to optimize outcomes and address the complexities associated with revision procedures. (Journal of Surgical Orthopaedic Advances 34(3):119-123, 2025)
Key words: total hip arthroplasty, polyethylene, Charnley, bearings, osteolysis