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Systematic Exposure in Revision Total Hip Arthroplasty: The Posterior Approach
Jonathan Tran1, Henry Yu, Wayne G Paprosky
1From the Department of Orthopaedic Surgery, Rush University, Chicago, IL (Paprosky), the Department of Orthopaedic Surgery, Pennsylvania HospitalPhiladelphia, PA (Tran, Yu, and Sheth).
Summary
Revision total hip arthroplasty (THA) is increasing due to expanded indications and active lifestyles. This review details a systematic posterior surgical approach for safe and adequate visualization during revision THA procedures.
Area of Science:
- Orthopaedic Surgery
- Arthroplasty
- Surgical Techniques
Background:
- Increasing indications and patient longevity are driving a rise in revision total hip arthroplasty (THA).
- General orthopaedic surgeons face a growing burden of revision THA cases nationwide.
- Complex revision THA often necessitates extensile exposure and soft-tissue release techniques beyond classical hip approaches.
Conclusions:
- A systematic posterior approach is essential for effective revision THA.
- Surgeons must master specific exposure techniques for challenging revision cases.
- Optimizing surgical visualization is key to successful revision total hip arthroplasty outcomes.
