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Soft-Tissue Balancing in Total Hip Arthroplasty
Richard A Boe1, Nicolas A Selemon2, Krishna Kiran Eachempati3
1Department of Orthopaedic Surgery, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, Pennsylvania.
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Appropriate total hip arthroplasty (THA) reconstruction must simultaneously address component position, restoration of biomechanics, and soft-tissue balance.
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Preoperative planning for complex THA cases should include radiographic templating, a detailed case plan that contains backup implant options, and a thorough understanding of the patient's preoperative examination.
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Using a systematic approach to soft-tissue balancing in THA enhances the ability to intraoperatively execute the preoperative plan.
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In patients with preexisting deformities (e.g., dysplasia or prior surgery), increased attention to abductor function is necessary when assessing acetabular component placement and offset.
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