A review of enhanced total hip prosthesis design and material bearing combination to accommodate Muslim prayer (Salat) movements: Biomechanical, biotribological, and biological perspectives

Abstract

Total hip prostheses have greatly improved mobility and quality of life for patients with hip disorders. However, the unique biomechanical demands of Muslim prayer (Salat), involving complex, repetitive movements, pose challenges for standard designs. This review highlights advancements in prosthesis design, emphasizing dual mobility bearings for enhanced stability and range of motion, and Ceramic-on-Polymer (CoP) bearings for durability and reduced wear. By addressing biomechanical, biotribological, and biological factors, these innovations optimize prosthetic performance, meeting the functional and cultural needs of Muslim patients while ensuring long-term durability and satisfaction.