Total Joint Replacement

  • Sharad Goyal
  • Tarang Tandon
  • Dhrumin Sangoi
  • Edward J. C. Dawe


In this chapter, we focus on hip and knee replacements in greater detail while briefly looking at joint replacements in ankle, shoulder, wrist, and hand.

Over half a decade, since the advent of modern joint replacement surgery, tremendous progress has been made.

However, the weak link in hip replacement surgery is still the bearing material and the quest for the ideal material still continues.

In knee replacements, it has been observed that none of the implant designs have been able to replicate the kinematics of native knee, accounting probably for 20% of patients still dissatisfied with their outcomes, as observed in various studies worldwide.

Complex primary hip and knee replacements have been discussed with emphasis on pearls and pitfalls in execution of these difficult cases.

Infection, aseptic loosening, periprosthetic fractures and instability are one of the most common indications for revision surgery.

The field of navigation and robotics is growing at an alarming rate in joint replacements. As this technology is embraced and research is done on this subgroup of patients, we may find that use of these technologies may translate into increased survival of implants and improved functional outcomes of our patients.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sharad Goyal
    • 1
  • Tarang Tandon
    • 1
  • Dhrumin Sangoi
    • 1
  • Edward J. C. Dawe
    • 1
  1. 1.Department of Trauma & OrthopaedicsSt Richards HospitalChichesterUK

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