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A Systematic Approach to the Preoperative Workup of Contemporary Modes of Failure for Total Hip Arthroplasty.

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Τίτλος: A Systematic Approach to the Preoperative Workup of Contemporary Modes of Failure for Total Hip Arthroplasty.
Συγγραφείς: Sanghavi S; From the Department of Arthroplasty (Sanghavi), Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India, the Department of Orthopaedic Surgery (Sculco), Hospital for Special Surgery, New York, NY, the Northland District Health Board (Kelly), Department of Orthopaedic Surgery, Whangarei, New Zealand, and the Department of Orthopaedic Surgery (Sheth), Pennsylvania Hospital, Philadelphia, PA., Sculco P, Kelly V, Sheth N
Πηγή: The Journal of the American Academy of Orthopaedic Surgeons [J Am Acad Orthop Surg] 2026 Oct 01; Vol. 34 (19), pp. e2669-e2678. Date of Electronic Publication: 2026 Aug 11.
Τύπος έκδοσης: Journal Article; Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 9417468 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1940-5480 (Electronic) Linking ISSN: 1067151X NLM ISO Abbreviation: J Am Acad Orthop Surg Subsets: MEDLINE
Imprint Name(s): Publication: 2016- : Philadelphia : Wolters Kluwer
Original Publication: Rosemont, IL : American Academy of Orthopaedic Surgeons, c1993-
Ιατρικοί όροι (MeSH): Arthroplasty, Replacement, Hip*/adverse effects , Prosthesis Failure*/etiology , Preoperative Care*/methods, Humans ; Reoperation ; Treatment Failure
Περίληψη: Identifying the correct etiology of total hip arthroplasty (THA) failure is the critical first step in determining the most appropriate course of treatment. In many cases, the cause of failure may not be evident. Thus, a systematic approach to the failed THA is paramount to identifying the correct diagnosis. Many studies provide a detailed understanding of why THAs fail. However, a concomitant methodology to distinguish one failure modality from another is not readily available. In addition, the diagnosis of one mode of failure may lead a surgeon to inadvertently overlook other potential coexisting mode(s) of failure. In this article, we present a systematic approach for determining the cause of THA failure. The essence of this review article lies in the comprehensive worksheet that provides a clear framework to evaluate patients presenting with a failed or painful THA, especially in the absence of obvious causes. A systematic approach minimizes the chances of excluding pertinent information and concomitant modes of failure, which may lead to an inaccurate diagnosis and high likelihood of failure following revision surgery. This simple guide is intended to help residents, fellows, and surgeons in practice to avoid overlooking concomitant etiologies in a failed THA and thereby improve the chances of successful outcomes.
(Copyright © 2026 by the American Academy of Orthopaedic Surgeons.)
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Entry Date(s): Date Created: 20260811 Date Completed: 20260918 Latest Revision: 20260918
Update Code: 20260919
DOI: 10.5435/JAAOS-D-25-00823
PMID: 42579522
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1940-5480
DOI:10.5435/JAAOS-D-25-00823