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On 01/09/2021

N°013 - September / October 2021

N°013 - September / October 2021


Jean-Alain Epinette has dedicated his life to hip and knee surgery and has built an international reputation on hydroxyapatite. This reputation is the result of hard work and an understanding of what the complete training of a lower limb surgeon should be.

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Article : Personalized hip joint replacements using a large diameter head By Pascal-André Vendittoli 1,2,3, Sagi Martinov 1, Mina Wahba Morcos 1

Hip arthroplasty is one of the most common and successful orthopaedic procedures in recent years. The aim of hip replacement is to create a ‘forgotten’ joint, with the same functionality as a native structure.

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Article : Peculiarities of total hip arthroplasty in patients with low bone mass By Stanislav Bondarenko

Osteoporosis and osteoarthritis are common in old patients. Both diseases cause pain and limit mobility, and the prevalence of both is increasing every year due to global aging. Osteoarthritis ranks 11th in the world among approximately 300 diseases that lead to disability and is more common in women aged 55-59 years old.

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Article : Major consequences for hip arthroplasty services in Europe during the COVID-19 : Pandemic results of an online survey of members of the European Hip Society By Martin Thaler (1), Ismail Khosravi (1), Jean-Alain Epinette (2), Luigi Zagra (3)

In December 2019, the coronavirus disease 2019 (COVID-19) broke out in Wuhan, the capital city of Hubei Province in China. The cause of the disease was a highly contagious novel coronavirus (SARS-CoV-2) that rapidly spread around the world and in March 2020 was declared a global pandemic by the World Health Organization (WHO).

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Article : Calcar-guided short stems in total hip arthroplasty. Why? For whom? How? By Thomas GOETZMANN

Advances in total hip arthroplasty techniques (as is true for all joints) show trends towards reducing the aggressiveness of the surgery on both the soft tissue and the bone stock. The goal is to encourage the most straightforward recovery, the lowest complication rates and to anticipate any future revisions.

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Article : THA instability in hip-spine syndrome: surgical implications By Antonino Giulio BATTAGLIA, Luigi ZAGRA

Total hip arthroplasty (THA) is one of the most commonly performed surgical procedures worldwide. Despite the excellent outcomes associated with primary THA, implant failure and revision continue to burden the healthcare system and the patients. Instability remains a challenging problem in both primary and even more in revision THA.

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Article : Revision total hip arthroplasty: Cementless stems with bioactive coatings By Jean-Christophe Chatelet (1), Tarik Ait-Si-Selmi (1), Alain Machenaud (1), Sonia Ramos-Pascual (2), Jean-Pierre Vidalain (1), Michel P Bonnin (1), Jean-Charles Rollier (1), Laurent Jacquot (1), Michel-Henri Fessy (1), Institut Artro (1)

The goals of revision total hip arthroplasty (THA) are to provide lasting stable fixation, to restore function, and to eliminate pain. Furthermore, adequate primary stability must be attained following revision THA, to allow restoration of metaphyseal and/or diaphyseal bone defects, consolidation of any fractures or femorotomies and to ensure osseointegration of the new device.

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Article : Hydroxyapatite and hip arthroplasty: Lessons learned from 34 years of clinical experience By Jean-Alain Epinette

Once described as ‘the third way’ between cemented implants and simple roughened surfaces, hydroxyapatite has built up an impressive clinical reputation over the past three decades compared to so-called ‘biological’ methods of fixation but is now facing competition from newer rough...

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