Department of Orthopedic Surgery, Case Western Reserve University, USA. vmgoldbg@aol.com
Total joint arthroplasty is a highly successful procedure for end-stage lower extremity arthritis. Excellent pain relief and significantly improved function is usual after surgery when used for appropriate indications by highly skilled surgeons using contemporary designed components. Future improvement in design and materials to reduce wear will further enhance clinical outcomes and long-term implant survival.