Total hip arthroplasty (THA) is one of the major breakthroughs in mode
rn orthopedics this century. Since its introduction in the early 1960s
by Sir J. Charnley, it has become the most common form of arthroplast
y. The art of per-forming THA has developed to a large exo tent, yet w
ith the inevitable ''price'' of a learning curve. The rates of early a
nd late complications reported in the orthopedic literature have been
decreasing gradually, along with improved short- and long-term results
. We report the results of two similar series of THA performed with an
interval of 15 to 20 years, which show that the improvement of the re
sults that form the learning curve of THA at our institution is statis
tically significant.