The Journal of Bone and Joint Surgery (American). 2008;90:1134-1142.
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Revision Total Hip Arthroplasty for Instability: Surgical Techniques and Principles

Javad Parvizi, MD, FRCS1, Elizabeth Picinic, BS1 and Peter F. Sharkey, MD1

1 Rothman Institute at Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107. E-mail address for J. Parvizi: parvj@aol.com
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The first 150 words of the full text of this article appear below.


   Introduction
 

Look for this and other related articles in Instructional Course Lectures, Volume 58, which will be published by the American Academy of Orthopaedic Surgeons in February 2009:
  • "Perioperative Management of Total Hip Arthroplasty: Blood Preservation in Total Joint Arthroplasty," by Charles R. Clark, MD

 
Total hip arthroplasty is one of the most successful orthopaedic procedures and is highly effective in relieving pain and improving function1-3. Unfortunately, some patients are faced with complications, with dislocation being one of the most common4-8. Dislocation occurs after 0.3% to 10% of primary total hip arthroplasties and after up to 28% of revision total hip arthroplasties4-26. The risk of dislocation is influenced by the surgical approach, the underlying diagnosis, the surgical technique, the lifetime of the prosthesis, and the patient's compliance with restrictions6,7,25,27-31. An improved understanding of the etiology of dislocation and refinements in surgical techniques have led to a . . . [Full Text of this Article]


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