Published online Apr 18, 2017. doi: 10.5312/wjo.v8.i4.357
Peer-review started: November 23, 2016
First decision: December 15, 2016
Revised: December 21, 2016
Accepted: January 11, 2017
Article in press: January 14, 2017
Published online: April 18, 2017
Core tip: Patients with Paget’s disease commonly develop structural bone deformities in the proximal femur, making total hip arthroplasty (THA) technically demanding. In addition, achieving adequate fixation of hip implants in the hypervascular and often sclerotic bone may prove challenging. This review has shown that, despite its challenging nature, THA can be very successful in terms of improving symptoms and restoring hip function in this unique group of patients. The failure rate, however, appears to be slightly higher than in other patients undergoing a primary total hip replacement. The most common reason for revision surgery is aseptic loosening, and using modern uncemented implants appear to reduce the risk of this occurring.