title: Surgical management of osteoarthritis.
abstract: The last few years have witnessed significant advancements in arthroplasty. The procedure is mainly used to treat osteoarthritis of the hip and knee joint. Other joints such as the shoulder or ankle are also being successfully replaced by arthroplasty. The success of the operation depends on the implantation technique as well as the choice of material and fixation technique. Excellent results have been achieved especially in hip arthroplasty, with long-term survival rates of 90 %. However, the potential complications and sequelae are also worthy of mention, although they concern just a fraction of the treated patients. Careful preoperative planning, informing the patient accurately about the chances of success, and discussing the patient's expectations are essential aspects of the treatment.
authors.affiliation: Department of Orthopaedic Surgery, Childrens Hospital Boston, 300 Longwood Avenue, Enders 1016, Boston, MA 02115, USA. Benedikt.Proffen@childrens.harvard.edu
authors.forename: Benedikt
authors.initials: B
authors.lastname: Proffen
authors.forename: Patrick
authors.initials: P
authors.lastname: Vavken
authors.forename: Ronald
authors.initials: R
authors.lastname: Dorotka
mesh_terms: D000368:Aged; D019643:Arthroplasty, Replacement / Q000379:methods*; D058737:Arthroplasty, Replacement, Ankle / Q000379:methods; D057929:Arthroplasty, Replacement, Elbow / Q000379:methods; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D019645:Arthroplasty, Replacement, Knee / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010003:Osteoarthritis / Q000601:surgery*; D010027:Osteotomy; D011183:Postoperative Complications / Q000209:etiology; D011474:Prosthesis Design; D012086:Reoperation; D012785:Shoulder Joint / Q000601:surgery; D025321:Surgery, Computer-Assisted / Q000379:methods