title: Primary total hip replacement--a survey of current practice and identifying changing trends.
abstract: Primary total hip replacement (THR) surgery is the most commonly performed and successful reconstructive procedure in orthopaedic surgery. We performed a survey of Irish Orthopaedic consultants to elucidate current practices of primary THR in elderly and young patients and identify changing trends. There was an 83% response rate. Most respondents use a cemented THR in elderly patients. 69% use a different THR in younger patients compared to older patients. 9% refer younger patients to hip replacement specialist consultant colleagues. 70% report changing to a new implant or new technique in younger patients and 45% use a hybrid THR, 15% an uncemented THR, 15% perform hip resurfacing and 47% use different bearing surfaces. Only 17% use the Charnley hip prosthesis in younger patients. Young and active patients will place high demands on a new THR and newer techniques, implants and bearing surfaces are being adopted in the hope of better outcomes.
authors.affiliation: Department of Orthopaedics, The Adelaide and Meath incorporating the National Children's Hospital, Dublin. pauldcurtin@hotmail.com
authors.forename: P
authors.initials: P
authors.lastname: Curtin
authors.forename: J
authors.initials: J
authors.lastname: Harty
authors.forename: E
authors.initials: E
authors.lastname: Sheehan
authors.forename: P
authors.initials: P
authors.lastname: Nicholson
authors.forename: J
authors.initials: J
authors.lastname: Rice
authors.forename: J
authors.initials: J
authors.lastname: McElwain
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000639:trends*; D001291:Attitude of Health Personnel; D006622:Hip Prosthesis / Q000639:trends; D006801:Humans; D007494:Ireland; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires