Posterolateral Approach to the Hip
CASE STUDY A 42-year-old man presented with bilateral hip pain 1 year after undergoing staged, bilateral total hip arthroplasties (THAs). The patient had his right hip replaced first, with good…
Acetabular Bone Loss: Case Presentations
CASE STUDIES Case 1 A 39-year-old man had a right total hip arthroplasty (THA) in 1996 at the age of 26 for degenerative changes of the hip caused by osteomyelitis…
Recommended Acetabular Reconstruction Options
Algorithm Treatment algorithm for acetabular revision proposed by Paprosky. Introduction Numerous steps and technical issues are involved in performing an acetabular revision. Success depends on intimate contact between the implant…
Femoral Reconstruction Options in Revision Hip Arthroplasty
CASE STUDY An 81-year-old woman presented with pain in the right hip and thigh that was associated with progressive difficulty in ambulating and putting weight on the right leg. She…
Direct Lateral Approach to the Hip
Chapter Preview Chapter Synopsis The direct lateral or transgluteal approach for total hip arthroplasty (THA) is used by clinicians worldwide. Clinical outcomes and potential complications are similar to those for…
Surgical Techniques: Socket Removal
Introduction Removing a solidly fixed, cemented or cementless acetabular component with minimal bone loss while avoiding further structural damage to the pelvis can be technically challenging as well as time…
Acetabular Bone Loss Classification
Introduction The demand for primary total hip arthroplasty (THA) is expected to increase during the next few decades, ensuring a concomitant increase in revision THAs. Revisions are projected to increase…
Femoral Component Removal
Chapter Preview Chapter Synopsis In this chapter, we review the indications and techniques for successful removal of the femoral components in revision total hip arthroplasty. Important Points • Before femoral…
Femoral Bone Loss Classification
Chapter Preview Chapter Synopsis This chapter reviews classification systems for femoral bone loss in total hip arthroplasty. Important Points • Preoperative radiographic evaluation of bone loss helps to evaluate intraoperative…
Mechanisms of Failure: Indications for Revision Total Hip Arthroplasty
CASE STUDY A 48-year-old man presented with increasing left groin pain that was exacerbated by weight-bearing activities. He underwent primary, cementless, left total hip arthroplasty 15 years earlier for posttraumatic…
