Minimizing Postop Complications of THA

    Get expert advice on how to avoid and manage intra- and postoperative complications, such as nerve injury, fracture, dislocation, and leg length discrepancy, associated with total hip arthroplasty.

    With long-term outcome studies reporting more than 90% implant survival at 15 to 20 years of follow-up, total hip arthroplasty (THA) is generally a successful procedure with low complication rates.

    Complications do occur though, and some of them are caused by surgical errors. Four presentations from the ICJR’s annual Winter Hip & Knee Course offer advice on how to identify and mitigate surgical risk factors, and, if these errors do occur, how to manage the error to minimize post-operative complications.

    Nerve Injury: Sciatic and Femoral Palsies in THA
    Jason M. Jennings, MD

    Nerve injury in THA is clinically evident in up to 3.7% of cases, but up to 70% of patients have subclinical evidence of nerve injury, says Jason M. Jennings, MD, from Colorado Joint Replacement in Denver.

    In this presentation, Dr. Jennings reviews the etiology, risk factors, and surgical technique associated with nerve injury, as well as outcome studies addressing nerve injury in THA.

    Click image below to watch the presentation.

    The Patient Dislocated in Recovery
    R. Michael Meneghini, MD

    “Prevention is key! Ensure adequate intraoperative stability,” says R. Michael Meneghini, MD, about instability and dislocation post-THA.

    In this presentation, Dr. Meneghini, from Indiana University School of Medicine in Fishers, Indiana, reviews incidence, technique, and treatment options for dislocating THA.

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    Drapes Came off and the Leg was Long!
    Gwo-Chin Lee, MD

    Is equal leg length always achievable…and should it be functional or actual leg length? How is leg length discrepancy minimized and managed?

    These are the complex questions addressed by Gwo-Chin Lee, from the University of Pennsylvania in Philadelphia. In this presentation, he references personal experience and the current literature.

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    Acetabular Fracture
    George J. Haidukewych, MD

    With an incidence of 0.4%, intraoperative acetabular fracture during THA is rare compared to femur fracture. But they do happen, and their occurrence often depends on surgical technique and choice of cup design.

    In this presentation George J. Haidukewych, MD, from Orlando Health Orthopedic Institute in Florida, reviews the causes, classification, and treatment choices for both femoral and acetabular fractures.

    Click image below to watch the presentation.