Gender Issues in Total Hip Arthroplasty: Length, Offset, and Osteoporosis

Curtis W. Hartman, Brett J. Gilbert, Wayne G. Paprosky

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Total hip arthroplasty is a highly successful operation, yet outcomes in women tend to be inferior to those in men. Many differences have been hypothesized to account for these outcomes. Anatomic differences between the male and female hip are important variables with significant impacts on appropriate reconstruction of leg length and offset. In addition, osteoporosis is significantly more prevalent in the female population, further impacting the anatomic differences. We present a classification system describing six female femoral subtypes and discuss the importance of recognizing gender differences in reconstructive hip surgery.

Original languageEnglish (US)
Pages (from-to)62-65
Number of pages4
JournalSeminars in Arthroplasty
Issue number1
StatePublished - Mar 2009
Externally publishedYes


  • gender
  • total hip

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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