Preoperative Planning for Revision Hip Arthroplasty

Revision after primary total hip arthroplasty is usually much more difficult than the first time, and the results are typically not as satisfactory as that after most primary total hip arthroplasties. Revision requires more operative time and more blood loss, and there are higher incidences of infection, thromboembolism, dislocation, nerve palsy and perforation/fracture of the femur. The complexities of revision surgery underscore the importance of precise technique when performing primary arthroplasties. Thoughtful and thorough preoperative planning will certainly provides the patient with the best opportunity for long-term success.