الفهرس | Only 14 pages are availabe for public view |
Abstract During the last two decades, revision hip arthroplasty is constantly in the focus of orthopedic surgeons as the numbers of these difficult and risky surgeries are increasing. The paradigm of revision surgery has been evolving constantly. from polyethylene wear, osteolysis and loosening, to complexities such as pelvic discontinuity, there is a wide range of surgical options for successful reconstruction. It is vital for the surgeon to be familiar with different treatment approaches and to anticipate various intra-operative scenarios. Systematic approach with considerable preoperative evaluation and planning will achieve a good result. Prerequisite for a successful and durable revision include viable host bone, adequate surgical technique and stable and endurable implant. Current improvements in surgical techniques, implant designs, as well as biomaterials and bearing surfaces are a significant contribution for obtaining favorable outcome after revision hip arthroplasty. The optimal surgical approach for revision THA varies among different settings, however the primary incision should be considered. |