Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Apr 4:29:30-33.
doi: 10.1016/j.amsu.2018.03.043. eCollection 2018 May.

Primary total hip arthroplasty: Staying out of trouble intraoperatively

Shahryar Noordin  1 , Riaz Lakdawala  1 , Bassam A Masri  2
Affiliations
Review

Primary total hip arthroplasty: Staying out of trouble intraoperatively

Shahryar Noordin et al. Ann Med Surg (Lond). .

Abstract

Total hip Arthroplasty is one of the most successful and commonly performed procedures in Orthopaedic Surgery. Meticulous preoperative planning allows to surgeon anticipate potential problems to reduce postoperative complications and optimize patient outcomes. Currently, the posterior approach is the most common approach utilized in the United States. In order to prevent errors in stem version, especially with cementless fixation, the entry point should be posterior, and the initial entry point should be aligned in the correct anteversion as this will determine the ultimate version of the stem. Preoperative evaluation should asses for true and apparent lengths. For successful osseointegration of cementless components, bone ingrowth occurs when there is less than 40 μm of motion between the implant and bone. Certain socket conformations such as elliptical versus hemispherical are more prone to generate fractures at the time of impaction.

Keywords: Surgical technique; Total hip arthroplasty.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Posterior capsule U shaped flap.
Fig. 2
Fig. 2
The U shaped flap tagged with sutures.
See this image and copyright information in PMC

References

    1. Kurtz S., Mowat F., Ong K., Chan N., Lau E., Halpern M. Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J Bone Joint Surg Am. 2005;87(7):1487–1497. - PubMed
    1. Kurtz S., Ong K., Lau E., Mowat F., Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89(4):780–785. - PubMed
    1. Waddell J., Johnson K., Hein W., Raabe J., FitzGerald G., Turibio F. Orthopaedic practice in total hip arthroplasty and total knee arthroplasty: results from the Global Orthopaedic Registry (GLORY) Am. J. Orthoped. 2010;39(9 Suppl):5–13. - PubMed
    1. Lewinnek G.E., Lewis J., Tarr R., Compere C., Zimmerman J. Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am. 1978;60(2):217–220. - PubMed
    1. Xue E., Su Z., Chen C., Wong P.K.C., Wen H., Zhang Y. An intraoperative device to restore femoral offset in total hip arthroplasty. J. Orthop. Surg. Res. 2014;9(1):1. - PMC - PubMed