Total hip arthroplasty in Jesenice General hospital 1985–2006 – what has been done and look forward

  • Tomaž Silvester
  • Boris Rjazancev
  • Andrej Prlja
  • Peter Ješe
Keywords: total hip arthroplasty, long term results, clinical pathway, register of prosthesis


Background: Total arthroplasty is one of the most interesting and fast developing fields in orthopaedic surgery. Practically every joint in the human body is involved, total hip arthroplasties (THA) being most frequent and with the longest history. Information on long-term results and survival of different types of prosthesis is invaluable for both patients and surgeons.

Patients and methods: Between 1985 and 2006 there were 1563 THAs performed in Jesenice General Hospital. Average age at the time of operation was 67 years, almost two thirds of patients were women. The reason for operation was in 72 % idiopathic arthrosis and in 14 % sequaele of dysplasia.

Results: There were 1370 primary procedures and 193 revisions (12.6 %). Aseptic loosening of the implant was the most frequent reason for revision (74 %) and infection was observed in 1.5 %. In the first ten years of this research hybrid type of prosthesis was most frequently used, but nowadays, non-cemented prosthesis is used in majority of cases.

Conclusions: Total hip arthroplasty is well established procedure at the Jesenice General Hospital. It considerably improves quality of life of the patient, for both, short- and long term, results are very good. New minimal invasive surgical techniques make postoperative rehabilitation faster and easier. The Register of prosthesis enables us to regularly analyze the results and provides treatment outcome information concerning the choice of prosthesis and the optimal surgical technique. Jesenice General Hospital is well recognized as one of the centers for arthroplasties in our country.


Download data is not yet available.


Faro LMC, Huiskes R. Quality assurance of joint replacement. Legal regulation and medical judgement. Acta Orthop Scand 1992; 63 Suppl: 250.

Tooms RF, Harkess JW. Arthroplasty of the hip. In: Campbell’s operative orthopaedic surgery. Vol. 1, Nineth ed. Boston: Mosby-Year Book; 1998. p. 296–471.

Sedel L. The tribology of hip replacement. In: European Instructional Course Lectures. EFORT 1997; 3: 25–33.

Antolič V, Herman S, Milošev I, Cör A, Minovič A. Omajanje umetnega kolčnega sklepa: Etiološki dejavniki. Zdrav Vestn 1998; 67: 647–50.

Milošev I, Minovič A, Antolič V, Herman S, Cör A. Omajanje umetnega kolčnega sklepa: Tvorba in izolacija polietilenskih in kovinskih obrabnih delcev. Zdrav Vestn 1998; 67: 745–9.

Cör A, Milošev I, Antolič V, Herman S, Minovič A. Omajanje umetnega kolčnega sklepa: Biološki odgovor organizma na vsadek. Zdrav Vestn 1999; 68: 21–5.

Espehaug B, Furnes O, Havelin LI, Engesaeter LB, Vollset SE. Registration completeness in the Norwegian Arthroplasty Register. Acta Orthop Scand 2006; 77: 49–56.

Malchau H, Herberts P. Prognosis of total hip replacement. Update of results and risk-ratio analysis for revision and re-revision from Swedish National Hip Arthroplasty Register 1979–2000. In: Scientific exhibition. Annual Meeting of the American Academy of Orthopedic Surgeons, Dallas 2002: 1–16.

Mallchau H, Garellick G, Eisler T, Karrholm J, Herberts P. Presidential guest address: the Swedish Hip Registry: increasing the sensitivity by patient outcome data. Clin Orthop Relat Res 2005; 441: 19–29.

Havelin LI, Engesaeter LB, Espehaug B, Furnes O, Lie SA, Vollset SE. The Norwegian Arthroplasty Register: 11 years and 73,000 arthroplasties. Acta Orthop Scand 2000; 71: 337–53.

Puolakka TJ, Pajamaki KJ, Halonen PJ, Pulkkinen PO, Paavolainen P, Nevalainen JK. The Finnish Arthroplasty Register: report of the hip register. Acta Orthop Scand 2001; 72: 433–41.

Lucht U. The Dannish Hip Arthroplasty Register. Acta Orthop Scand 2000; 71: 433–9.

Eskelinen A, Remes V, Helenius I, Pulkkinen P, Nevalainen J, Paavolainen P. Total hip arthroplasty for primary osteoarthrosis in younger patients in the Finnish Arthroplasty Register. 4661 primary replacements followed for 0–22 years. Acta Orthop Scand 2005; 76: 28–41.

Wirtz C, Niethard FU. Ursachen, Diagnostik und Therapie der aseptischen Huftendoprothesenlockerung – eine Standortbestimmung. Z Orthop 1997; 135: 270–80.

Merx H, Dreinhofer K, Schrader P, Strumer T, Puhl W, Gunther KP, Brenner H. International variation in hip replacement rates. Ann Rheum Dis 2003; 62: 222–6.

Fender D, van der Meulen JH, Gregg PJ. Relationship between outcome and annual surgical experience for the Charnley hip replacement. Results from a regional hip register. J Bone Joint Surg Br 2003; 85: 187–90.

Silvester T, Milošev I, Levašič V. Pomen uvedbe registra totalne endoprotetike v Sloveniji (RETEPS). Zdrav Vestn 2004; 73: 489–92.

Karrholm J, Garellik G, Herberts P. The Swedish Hip Arthroplasty Register. Annual Report 2005. Dosegljivo na:

Lie SA, Havelin LI, Engesæter LB, Furnes O, Vollset SE. Failure rates for 4762 revision total hip arthroplasties in the Norwegian Arthroplasty Register. J Bone Joint Surg 2004; 86-B: 504–9.

Trampuž A, Pavlovčič V, Pišot V. Infekti v ortopediji. Interno gradivo. Ljubljana: Združenje ortopedov Slovenije; 2000.

How to Cite
Silvester T, Rjazancev B, Prlja A, Ješe P. Total hip arthroplasty in Jesenice General hospital 1985–2006 – what has been done and look forward. ZdravVestn [Internet]. 1 [cited 19Oct.2019];76(11). Available from:
Professional article