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Review
. 2023 Jan;52(1):35-47.
doi: 10.1007/s00132-022-04282-1. Epub 2022 Jul 16.

[Pitfalls in revision hip arthroplasty]

[Article in German]
Carsten Perka  1 , Rudolf Ascherl  2
Affiliations
Review

[Pitfalls in revision hip arthroplasty]

[Article in German]
Carsten Perka et al. Orthopadie (Heidelb). 2023 Jan.

Abstract
in English, German

Significant key points for a successful revision surgery in hip arthroplasty are as follows: identification of the implants, preoperative clinical diagnoses, planning (including alternatives) as well as establishing a surgical strategy, selection of revision implants and provision with special tools, secure fixation of acetabular and femoral components and the reconstruction of a stable joint without risk of dislocation or impingement. It seems to be obvious that most problems can be avoided by clear and concise decision-making. Some tips and tricks are also presented.

Die Eckpunkte für eine erfolgreiche Revisionsendoprothetik sind Identifikation der Implantate, präoperative klinische Diagnostik, Planung (einschließlich Alternativen) und Strategie, Weichteilmanagement, Auswahl der Revisionsimplantate und Bereitstellung von speziellen Instrumentarien, die sichere Fixation der azetabulären und femoralen Komponenten sowie abschließend die Herstellung stabiler Gelenkverhältnisse ohne Risiko für Luxation oder Impingement. Bei der Analyse von Komplikationen fällt immer wieder auf, wie sehr Probleme bei richtiger perioperativer Entscheidungsfindung vermeidbar gewesen wären. Tipps und Tricks für die Revisionsendoprothetik werden im nachfolgend dargestellt.

Keywords: Complications; Hip revision arthroplasty; Hip surgery; Technical tipps; Total hip replacement.

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References

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