Types of hip prostheses and their functional outcomes: a review

Abstract

Objective: To conduct a systematic review of the literature aimed at identifying the main types of prostheses used in total hip arthroplasty (THA) and evaluating their respective functional outcomes. Methods: A total of 55 studies published between 1997 and 2025 were selected through searches in PubMed, Scopus, and ScienceDirect databases. Inclusion criteria comprised clinical studies, systematic reviews, and randomized controlled trials addressing hip prosthesis types, functional outcomes, biomechanical implications, postoperative complications, and quality-of-life metrics.

Results: The prosthetic designs analyzed included cemented, uncemented, metal-on-metal, ceramic-on- ceramic, and short-stem femoral implants. Functional outcomes were influenced by factors such as

spinopelvic alignment, patient age, surgical technique, and prosthesis configuration. Conclusion: The selection of the prosthesis type in THA should be tailored to the individual, considering anatomical, functional, and clinical parameters. A comprehensive understanding of biomechanical and functional dynamics is essential for optimizing THA outcomes.