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Total hip arthroplasty after hip preservation surgery: Outcomes and challenges
Mantu Jain1, Kulbhushan Kamboj2, Harshal Sakale3
1Department of Orthopedics, AIIMS, Bhubaneswar, 751019, India.
Journal of Clinical Orthopaedics and Trauma
|June 26, 2026
Summary
Total hip arthroplasty (THA) after hip preservation surgery (HPS) is technically demanding but offers significant pain relief and improved function. Careful planning is crucial for successful outcomes in these complex cases.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
- Hip Preservation
Background:
- Hip preservation surgery (HPS) aims to delay or avoid total hip arthroplasty (THA) in young, active patients.
- A subset of patients undergoing HPS eventually requires conversion to THA due to disease progression.
Purpose of the Study:
- To review the literature on total hip arthroplasty (THA) following various hip preservation procedures (HPS).
- To assess indications, challenges, strategies, and outcomes of conversion THA after HPS.
Main Methods:
- Narrative review of PubMed-indexed studies.
- Evaluation of THA after hip arthroscopy, periacetabular osteotomy, femoral osteotomies, and core decompression.
Main Results:
- Conversion THA after HPS is technically more demanding, with longer operative times and increased blood loss.
- Most studies report significant improvements in pain, function, and satisfaction, comparable to primary THA.
- Complex prior procedures may increase complication and revision rates.
Conclusions:
- THA is a reliable option after failed HPS, requiring meticulous preoperative planning and surgical expertise.
- Further long-term studies are needed to optimize techniques and identify risk factors for complications.