Reviews in Clinical Gerontology

Clinical geriatrics

How does age affect the success of total replacement of the hip joint?

Thomas E Copea1 c1

a1 University of Cambridge School of Clinical Medicine, Addenbrooke's Hospital, Cambridge, UK

Primary total hip replacement (THR) is one of the most common and cost-effective major operations performed in the developed world: annually approximately 50,000 are undertaken in England and Wales and over half a million are performed worldwide. The majority of these operations are performed for primary or secondary osteoarthritis (over 75% from Swedish data), traumatic fracture (11.3%) or rheumatoid arthritis (6%), but indications are varied and include avascular necrosis, congenital dislocation, Paget's disease, and ankylosing spondylitis. The primary goal of the procedure is the relief of pain that can no longer be controlled by analgesia or non-operative procedures, but severely impaired mobility affecting independence is a secondary indication.


c1 Address for correspondence: TE Cope, Gonville and Caius College, Cambridge, Cambridgeshire CB2 1TA E-mail: