Revision Total Hip Arthroplasty

  • Vassilios S. Nikolaou
  • John Antoniou


Consider revision of total hip arthroplasty (THA) when patient has pain or functional disability due to: Implant loosening Implant fracture Advanced bearing surface wear Periprosthetic fracture Infection Recurrent dislocation - Implant mal-positioned Do not proceed to revision unless you have a clear idea about patient’s cause of symptoms


Acetabular Component Periprosthetic Fracture Limb Length Discrepancy Trabecular Metal Impaction Grafting 
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Further Reading

  1. Gross AE, Goodman S. The current role of structural grafts and cages in revision arthroplasty of the hip. Clin Orthop Relat Res. 2004;429:193.PubMedCrossRefGoogle Scholar
  2. Paprosky WG, Magnus RE. Principles of bone grafting in revision total hip arthroplasty: acetabular technique. Clin Orthop Relat Res. 1994;298:147.PubMedGoogle Scholar
  3. Younger TI, Bradford MS, Magnus RE, et al. Extended proximal femoral osteotomy: a new technique for femoral revision arthroplasty. J Arthroplasty. 1995;10:329.PubMedCrossRefGoogle Scholar
  4. Lieberman JR, Berry DJ, editors. Advanced reconstruction: hip. Rosemont: American Academy of Orthopaedic Surgeons; 2005.Google Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Division of Orthopaedic Surgery, School of MedicineMcGill UniversityMontrealCanada

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