Surgical issues in total hip replacement of post-traumatic outcomes around the hip

Abstract

The increase in life expectancy and aging of the population will lead to an increased number of patients who will need revision surgery to treat surgical failures or medium- and long-term complications of fractures involving the hip joint. The purpose of this article is to identify the causes of the failure of primary surgery and to provide the elements to identify the main critical issues that the surgeon will face. The effort of the orthopedic surgeon must be aimed at restoration of hip joint function through a well-planned surgical procedure conducted in the least invasive way possible in order to minimize the impact of surgery on the patient’s physiology. Restoration of the biomechanical parameters of the hip is essential to obtain a stable and functional implant for patients who are often at their last chance. In this scenario, it is fundamental that the surgeon dealing with these procedures has skills in both hip prosthesis and trauma surgery.