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A Journal on Orthopedics and Traumatology

Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2012 April;63(2):125-40

language: English

Perioperative complications after total hip arthroplasty

Schwarzkopf R. 1, Alvarado C. 2

1 Division of Adult Reconstruction Surgery Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA;
2 Division of Adult Reconstruction Surgery Department of Orthopedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA


Total hip arthroplasty has become the standard treatment for end stage osteoarthritis. It is one of the most successful surgeries in the orthopedic armamentarium. It has been demonstrated as an effective way to decrease pain, improve quality of life and restore function in old and young patients alike. However, postoperative complications are still a risk associated with joint arthroplasty, which most significantly impacts patients’ results and the total cost of care. As the number of patients that undergo total hip arthroplasty increases, it is our goal to try and minimize the incidence of perioperative complications. Perioperative complication after total hip arthroplasty includes both surgical complications such as: neurovascular injury, limb-length discrepancy, instability, and periprosthetic fracture, as well as medical complication such as: postoperative infection, deep vein thrombosis, pulmonary embolism, postoperative anemia, and cardiopulmonary complications. It is the objective of this review to discuss the different perioperative complications that occur after total hip arthroplasty, and to layout the treatment and preventive measures that can be taken in order to limit their occurrence and decrease the associated morbidity.

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