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Total Hip Joint Arthroplasty: Mistakes, Complications and Their Prevention

Results of total arthroplasties performed at Kharkov Scientific Research Institute of Orthopaedics and Traumatology during 28 years have been analysed. In the period before 1990, 1025 total hip arthroplasties using different implants design were done. Complications developed in 246 (24%) patients. In the period from 1991 to 1996, 115 total hip arthroplasties were performed and complications were recorded in 11 (9.5%) cases. Loosening of implants and suppuration were the most frequent complications. The causes of complications and certain opportunities of their prevention and treatment are scrutinized. By authors opinion the decrease of complications rate in the second period is associated with the accumulation of experience, increase of skills of the staff and accessment to modern implants.