Related Experiment Video
Updated: Apr 23, 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
Does previous osteotomy compromise total hip arthroplasty? A systematic review
Stephen Duncan1, Scott Wingerter2, Angela Keith2
1University of Kentucky, Lexington, Kentucky.
Insights
Total hip arthroplasty (THA) after hip osteotomy surgery offers similar outcomes and survivorship to primary THA. While technically demanding with longer operative times, this approach effectively relieves pain and improves function.
Area of Science:
- Orthopedic Surgery
- Arthroplasty Research
- Hip Reconstruction
Background:
- Hip osteotomy procedures have seen increased utilization.
- The impact of prior hip osteotomy on subsequent total hip arthroplasty (THA) outcomes is debated.
- Understanding THA in the context of prior osteotomy is crucial for patient management.
Purpose of the Study:
- To systematically review literature on clinical outcomes, complications, and survivorship of THA after hip osteotomy.
- To compare THA results in patients with prior hip osteotomy versus those without.
- To assess the feasibility and safety of THA following hip osteotomy.
Main Methods:
- Systematic literature review of studies reporting on THA after hip osteotomy.
- Inclusion criteria focused on studies with comparative data or sufficient case numbers.
- Analysis of operative time, blood loss, clinical outcomes, complications, and implant survivorship.
Main Results:
- Ten studies met the inclusion criteria for the review.
- Post-osteotomy THA cohorts demonstrated increased operative time and estimated blood loss.
- Clinical results and survivorship were comparable between post-osteotomy and primary THA groups.
Conclusions:
- Total hip arthroplasty following pelvic and femoral osteotomy provides significant pain relief and functional improvement.
- Outcomes, complication rates, and survivorship of THA after hip osteotomy are similar to primary THA.
- While technically more demanding, THA is a viable option for patients with prior hip osteotomy history.
Abstract:
Hip osteotomy surgery has increased over the past several years, yet the impact of these procedures on subsequent total hip arthroplasty (THA) remains controversial. The purpose of this study was to perform a systematic review of the literature to determine the clinical results, procedure complications, and survivorship of THA following previous hip osteotomy. Ten studies met inclusion criteria. The operative time and estimated blood loss were higher in the post-osteotomy cohorts; while the clinical results and survivorship between groups were similar. THA following previous pelvic and femoral osteotomy provides pain relief and improved function with similar complication rates, clinical outcomes, and survivorship compared to hips undergoing routine primary THA. These procedures can be technically more demanding with increased operative times and intraoperative blood loss.
