December 5, 2012 Grand Rounds Video: From Sir John Charnley to the present: Have we made progress in hip replacement?
David W. Zeltser, MD, Orthopaedic Surgery Resident
Paul A. Manner, MD, Associate Professor
Thomas Tanous, MD
The total hip replacement has been called the operation of the century. Surgeons toiled for decades to improve the procedure until Sir John Charnley developed the gold-standard "low-friction arthroplasty" in the 1950s. Currently, hip replacement surgery is a reliable tried-and-true operation, but challenges remain, mostly in the areas of surgical approach and bearings. Dr. David Zeltser highlights important historical landmarks leading up to the modern hip replacement. Dr. Thomas Tanous follows with a review of minimally-invasive and traditional surgical approaches. Dr. Paul Manner who recently testified to the FDA on metal-on-metal bearings, concludes the lecture with a discussion of various bearings used in hip replacement.