Hip Arthroplasty: Challenges and Perspectives

• DOI: https://doi.org/10.22533/at.ed.1595202524041

• Palavras-chave: Total hip arthroplasty; Orthopedic surgery; Minimally invasive approach; Postoperative rehabilitation; Periprosthetic infection; Outpatient surgery.

• Keywords: Total hip arthroplasty; Orthopedic surgery; Minimally invasive approach; Postoperative rehabilitation; Periprosthetic infection; Outpatient surgery.

• Abstract:

  Total hip arthroplasty (THA) is a surgical procedure widely used to restore joint functionality and relieve pain in patients with degenerative diseases or traumatic fractures. This study, through a recent literature review, discusses the main challenges and perspectives associated with THA, including the choice of surgical approach, the management of post-operative complications and the feasibility of outpatient models. The analysis of the data shows that, despite advances in minimally invasive techniques, there are still limitations in terms of muscle and neurological integrity in the post-operative period. The safety of outpatient arthroplasty depends on strict discharge criteria and a multidisciplinary structure. The prevention of deep infections and the management of periprosthetic fractures remain relevant clinical challenges. The study concludes that personalizing surgical indications, combined with integrated rehabilitation and post-operative care protocols, is the way to improve clinical outcomes and optimize healthcare resources.