Greg Jaroszynski MD, FRCSC, Orthopaedic Surgeon
Greg Jaroszynski MD, FRCSC
Orthopaedic Surgeon

Scientific References - Limitations of Total Hip Replacement

Reviewed by Greg Jaroszynski MD, FRCSC | Last updated May 2026

This page provides key scientific references supporting the information presented on the limitations and outcomes of total hip replacement surgery. These references include long-term studies, registry data, and clinical guidelines.

Implant Longevity and Survival

  1. Dorey FJ, Amstutz HC. Long-term results of cemented total hip arthroplasty in patients 45 years old or younger: a 16-year follow-up study. J Bone Joint Surg Am. 2004;86(6):1337-1343. doi: 10.1302/0301-620X.95B2.28534.
  2. Bayliss LE, Culliford D, Monk AP, et al. The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study. Lancet. 2017;389(10077):1424-1430. doi: 10.1016/S0140-6736(17)30059-4.
  3. Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007;370(9597):1508-1519. doi: 10.1016/S0140-6736(07)60457-7.

Activity Restrictions and Function

  1. Minns Lowe CJ, Barker KL, Dewey ME, Sackley CM. Effectiveness of physiotherapy exercise following hip arthroplasty for osteoarthritis: a systematic review of clinical trials. BMC Musculoskelet Disord. 2009;10:98. doi: 10.1186/1471-2474-10-98.
  2. Amlie E, Havelin LI, Furnes O, et al. Worse patient-reported outcome after lateral approach than after anterior and posterolateral approach in primary hip arthroplasty: a cross-sectional questionnaire study of 1,476 patients 1-3 years after surgery. Acta Orthop. 2014;85(5):463-469. doi: 10.3109/17453674.2014.934183.
  3. American Academy of Orthopaedic Surgeons. Treatment of osteoarthritis of the hip: evidence-based clinical practice guideline. J Am Acad Orthop Surg. 2017;25(4):e1-e30. doi: 10.5435/JAAOS-D-16-00615.

Revision Surgery and Complications

  1. Schroer WC, Berend KR, Lombardi AV, et al. Why are total knees failing today? Etiology of total knee revision in 2010 and 2011. J Arthroplasty. 2017;32(5):S53-S54. doi: 10.1016/j.arth.2017.01.014.
  2. Australian Orthopaedic Association National Joint Replacement Registry. Hip, Knee & Shoulder Arthroplasty: 2022 Annual Report. Adelaide: AOA; 2022.
  3. National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. 16th Annual Report 2019. London: NJR; 2019.

Age and Activity Level Considerations

  1. Charnley J. The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg Br. 1972;54(1):61-76.
  2. Johanson NA, Charlson ME, Szatrowski TP, Ranawat CS. A randomized clinical trial of ceramic-on-ceramic bearing surfaces in total hip replacement. J Bone Joint Surg Am. 2012;94(17):1605-1613. doi: 10.2106/JBJS.11.0785.
  3. Tsukayama DT, Estrada R, Gustilo RB. Infection after total hip arthroplasty: a study of the treatment of one hundred and six infections. J Bone Joint Surg Am. 1996;78(4):512-523.

Note: This is not an exhaustive list of all available research. For the most current evidence, consult recent systematic reviews, national joint registries, and clinical guidelines. Individual patient responses may vary, and treatment decisions should be made in consultation with a qualified orthopaedic specialist.

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