Clinical Review
Surgical Challenges in Complex Primary Total Hip Arthroplasty
Am J Orthop. 2007 October;36(10):534-541
Author and Disclosure Information
Sathappan S. Sathappan, MD, Eric J. Strauss, MD, Daniel Ginat, BS, Vidyadhar Upasani, BS, and Paul E. Di Cesare, MD
Dr. Sathappan is Fellow, Dr. Strauss is Resident, Mr. Ginat is Medical Student, and Mr. Upasani is Medical Student, Department of Orthopedic Surgery, Musculoskeletal Research Center, New York University Hospital for Joint Diseases, New York, New York.
Dr. Di Cesare is Professor and Chair, Department of Orthopaedics, University of California at Davis School of Medicine, Sacramento, California.
Complex primary total hip arthroplasty (THA) is defined as primary THA in patients with compromised bony or soft-tissue states, including but not limited to dysplastic hip, ankylosed hip, prior hip fracture, protrusio acetabuli, certain neuromuscular conditions, skeletal dysplasia, and previous bony procedures about the hip. Intraoperatively, provisions must be made for the possible use of modular implants and/or bone grafts. In this article, we review the principles of preoperative, intraoperative, and postoperative management of patients requiring a complex primary THA.