The Top Three Burning Questions in Total Hip Arthroplasty

Total hip arthroplasty (THA) is a highly effective surgery for end-stage osteoarthritis, restoring ambulation and hip function. However, debates persist regarding new technologies, spinopelvic mobility, and fast-track protocols. New technologies like robotic and navigation systems aim to improve implant placement accuracy. Spinopelvic mobility, the interaction between the spine, pelvis, and hip, influences THA outcomes. Fast-track protocols seek to accelerate recovery and reduce hospital stays. Understanding these three aspects is crucial for optimizing THA procedures, improving patient outcomes, and addressing controversies within the orthopedic community.

• 1
  Robotic and navigation technologies can offer individualized planning and positioning of the acetabular cup, utilizing patient-specific safe zones of positioning modeled on preoperative assessment spinopelvic mobility.
• 2
  Spinopelvic mobility is a crucial parameter that should be taken into account with preoperative evaluation and planning to avoid dislocations.
• 3
  Fast-track THA surgery is a valid option for non-outlier patients, and future research should focus on adjusting the multiple domains of fast-track pathways.