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Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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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
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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.

American Journal of Orthopedics (Belle Mead, N.J.)
|November 23, 2007
PubMed
Summary

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.

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Published on: August 4, 2022

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.