Total Hip Replacement Complications: Difference between revisions

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== Introduction ==
== Introduction ==
Complications of total hip arthroplasty are common and can occur at various time times following the initial surgery:
Complications of total hip arthroplasty are common and can occur at various time times following the initial surgery. They include:


Aseptic loosening: considered to be the most common indication for revision surgery
* Aseptic loosening: considered to be the most common indication for revision surgery
* Infection of hip prostheses
* Particle disease / histiocytic reaction / aggressive granulomatosis
* Fracture: periprosthetic fracture; cement fracture; stem fracture
* Dislocation (~5% of all replacements): dislocation of femoral head out of the cup: component dissociation: dislocation of the entire acetabular cup; dislocation of stem
* [[Heterotopic Ossification|Heterotopic bone formation]]


Infection of hip prostheses 5,6
* Reaction to metal: eg metal-on-metal pseudotumour, metallosis.
 
* Abductor muscle/tendon dysfunction e.g. tears
Particle disease / histiocytic reaction / aggressive granulomatosis
* Stress shielding
 
* [[Trochanteric Bursitis|Trochanteric bursitis]]
Fracture: periprosthetic fracture; cement fracture; stem fracture
* [[Total Hip Joint Revision Operations|Revision total hip arthroplasty]]
 
* General post-orthopaedic surgical complications eg haemorrhage, wound complications, deep vein thrombosis and pulmonary embolism, vascular injury, neurological deficit, death.<ref>Radiopedia Complications of total hip arthroplasty Available: https://radiopaedia.org/articles/complications-of-total-hip-arthroplasty?lang=gb (accessed 7.12.2022)</ref>
Dislocation (~5% of all replacements): dislocation of femoral head out of the cup: component dissociation: dislocation of the entire acetabular cup; dislocation of stem
 
Heterotopic bone formation
 
Reaction to metal: metal-on-metal pseudotumour; aseptic lymphocyte-dominant vasculitis-associated lesion; metallosis.
 
Pseudobursae formation.
 
Abductor muscle/tendon dysfunction e.g. tears
 
Stress shielding
 
Trochanteric bursitis
 
Revision total hip arthroplasty
 
General post-orthopaedic surgical complications eg haemorrhage, wound complications, deep vein thrombosis and pulmonary embolism, vascular injury, neurological deficit, death.<ref>Radiopedia Complications of total hip arthroplasty Available: https://radiopaedia.org/articles/complications-of-total-hip-arthroplasty?lang=gb (accessed 7.12.2022)</ref>
 
== Sub Heading 2 ==
 
== Sub Heading 3 ==
 
== Resources  ==
*bulleted list
*x
or
 
#numbered list
#x


== References  ==
== References  ==


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Revision as of 07:00, 7 December 2022

Original Editor - User Name

Top Contributors - Lucinda hampton, Rana Samy Algarhy, Kim Jackson and Vidya Acharya  

Introduction[edit | edit source]

Complications of total hip arthroplasty are common and can occur at various time times following the initial surgery. They include:

  • Aseptic loosening: considered to be the most common indication for revision surgery
  • Infection of hip prostheses
  • Particle disease / histiocytic reaction / aggressive granulomatosis
  • Fracture: periprosthetic fracture; cement fracture; stem fracture
  • Dislocation (~5% of all replacements): dislocation of femoral head out of the cup: component dissociation: dislocation of the entire acetabular cup; dislocation of stem
  • Heterotopic bone formation
  • Reaction to metal: eg metal-on-metal pseudotumour, metallosis.
  • Abductor muscle/tendon dysfunction e.g. tears
  • Stress shielding
  • Trochanteric bursitis
  • Revision total hip arthroplasty
  • General post-orthopaedic surgical complications eg haemorrhage, wound complications, deep vein thrombosis and pulmonary embolism, vascular injury, neurological deficit, death.[1]

References[edit | edit source]

  1. Radiopedia Complications of total hip arthroplasty Available: https://radiopaedia.org/articles/complications-of-total-hip-arthroplasty?lang=gb (accessed 7.12.2022)