Total Hip Replacement Complications: Difference between revisions
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* Particle disease / histiocytic reaction / aggressive granulomatosis | * Particle disease / histiocytic reaction / aggressive granulomatosis | ||
* Fracture: periprosthetic fracture; cement fracture; stem fracture | * 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 | * [[THR Dislocation|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]] | * [[Heterotopic Ossification|Heterotopic bone formation]] | ||
Revision as of 10:23, 7 January 2023
Original Editor - lucinda hampton
Top Contributors - Lucinda hampton, Rana Samy Algarhy, Kim Jackson and Vidya Acharya
Introduction[edit | edit source]
Total hip replacements in experienced hands provide very effective outcomes, however one must be aware of the potential complications of the procedure. These can be divided into general and procedure specific, and may occur during the surgery, immediately after the surgery or after weeks, months, or years after the surgery.
Common Complications[edit | edit source]
The most common systemic complication is a deep vein thrombosis. Infection is the most dreaded complication. Leg length discrepancy is a common causes of patient dissatisfaction.[1] Other complications include:
- Aseptic loosening: considered to be the most common indication for revision surgery
- 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.[2]
Resources[edit | edit source]
Orthopaedic surgeon Mr Nick de Roeck talks about possible complications that can occur with hip replacement surgery.
References[edit | edit source]
- ↑ Park C, Merchant I. Complications of total hip replacement. InTotal Hip Replacement-An Overview 2018 Nov 5. IntechOpen. Available:https://www.intechopen.com/chapters/61241 (accessed 8.12.2022)
- ↑ Radiopedia Complications of total hip arthroplasty Available: https://radiopaedia.org/articles/complications-of-total-hip-arthroplasty?lang=gb (accessed 7.12.2022)
- ↑ Top doctors UK. What are the possible complications of hip replacement surgery?. Available from: https://www.youtube.com/watch?v=2K0XPZ2vA0Q [last accessed 7.12.2022]
