Extract
Perioperative complications and unexpected surgical findings are much more
common in revision total hip arthroplasty than they are in primary total hip
arthroplasty. There are often problems during surgery that require special
instruments, implants, bone grafts, or other accessories that may not be
available unless the potential need for these items was anticipated.
Anticipation of possible complications also is crucial so that the patient can
provide informed consent. Preoperatively, patients and their families should
be counseled regarding the specific additional risks associated with revision
total hip arthroplasty. Preoperative planning is the first and most important
step in performing a revision total hip arthroplasty. An organized approach
reduces operative time, minimizes risks, decreases stress, and increases the
success rate.