This study explores the evolution, design, and clinical progress of contemporary prostheses used in orthopaedic reconstruction of the socket of the hip joint. A literature search was performed to study acetabular implants, as used in total hip arthroplasty. The history of the design of these implants is chronicled. Next, the anatomy of the acetabular region and the surgical technique performed to replace the hip socket are presented. A comprehensive discussion of the design features, rationale, and clinical results for commercially available cemented and cementless prostheses follows.
Hydroxyapatite, a bioceramic which has just recently been approved for applications in total hip arthroplasty, is described, the coating process explained, and its clinical effects evaluated. Finally, the abnormal or deficient acetabulum is reviewed. Corrective implants and reconstructive techniques are described.
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