Related Experiment Video
Updated: Jul 9, 2026
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Surgical challenges in complex primary total hip arthroplasty
Sathappan S Sathappan1, Eric J Strauss, Daniel Ginat
1Department of Orthopaedic Surgery, Musculoskeletal Research Center, New York University Hospital for Joint Diseases, New York, New York, USA.
Insights
Complex primary total hip arthroplasty (THA) involves surgery for hip conditions like dysplasia or fractures. This review covers essential preoperative, intraoperative, and postoperative management strategies for successful outcomes in challenging THA cases.
Area of Science:
- Orthopedic Surgery
- Arthroplasty Research
Background:
- Complex primary total hip arthroplasty (THA) addresses challenging hip conditions.
- These include hip dysplasia, ankylosis, fractures, protrusio acetabuli, neuromuscular disorders, skeletal dysplasia, and prior hip surgeries.
Purpose of the Study:
- To review the management principles for complex primary THA.
- Focuses on preoperative, intraoperative, and postoperative phases.
Main Methods:
- Review of principles for managing complex primary THA.
- Highlights considerations for compromised bony or soft-tissue states.
Main Results:
- Emphasizes the need for modular implants and bone grafts in complex primary THA.
- Outlines comprehensive management strategies.
Conclusions:
- Effective management of complex primary THA requires careful planning.
- Addresses patient-specific challenges for optimal surgical results.
Abstract:
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.
