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The Journal of Hip Surgery 2023; 07(02): 091-098
DOI: 10.1055/s-0043-1769082
Special Section Article

Salvage Options for the Failed Total Hip Arthroplasty (THA)

Andrew Brash 
1   Department of Orthopedic Surgery, NYU Langone Medical Center's Hospital for Joint Diseases, New York, New York
,
Joseph X. Robin
1   Department of Orthopedic Surgery, NYU Langone Medical Center's Hospital for Joint Diseases, New York, New York
,
David Kugelman
1   Department of Orthopedic Surgery, NYU Langone Medical Center's Hospital for Joint Diseases, New York, New York
,
Ran Schwarzkopf
2   Department of Orthopedic Surgery, NYU Langone Health, New York, New York
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Abstract

Total hip arthroplasty (THA) has been referred to as the operation of the century given its success and predictable improvement in quality of life. With the increase in number of THAs performed every year, there is a concomitant rise in the incidence of revision and re-revision surgeries. Failure of THA and revision hip arthroplasty may occur due to a variety of reasons, often in older patients with multiple comorbidities. Revision procedures in this setting are associated with worse outcomes as they are often complicated by limited bone stock and poor soft tissue and bone quality, making reconstruction more challenging. The purpose of this review is to discuss modern techniques for limb salvage following failed THA in the setting of significant bone loss. These include proximal femur replacement, total femur replacement, hip resection arthroplasty, and hip disarticulation.

Keywords

orthopaedic surgery - adult reconstruction - total hip arthroplasty - revision total hip arthroplasty


Publication History

Received: 16 November 2022

Accepted: 20 April 2023

Article published online:
19 May 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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