Complications of total hip arthroplasty

Changed by Andrew Murphy, 1 Dec 2016

Updates to Article Attributes

Body was changed:

Show markup changes

Complications of hip joint replacements are common and are essential for the radiologist to be aware in assessment of the radiographs with hip prostheses. They are many and can occur at various time intervals following the initial surgery:

aseptic loosening: considered to be the most common indication for revision surgery ^{1-2, 4}
infection of hip prostheses
particle disease / histiocytic reaction / aggressive granulomatosis
fracture
- ~~periprothesthetic~~periprosthetic fracture
- cement fracture
- stem fracture
dislocation (~5% of all replacements ⁴)
- dislocation of femoral head out of cup: component dissociation
- dislocation of entire acetabular cup
- dislocation of stem
malpositioning
- creep: can lead to protrusio acetabuli
- polyethylene wear eccentric position of the femoral head component within the acetabular component
heterotopic bone formation
metal-on-metal pseudotumour
pseudobursae formation ²
abductor tendon tears
stress shielding
trochanteric bursitis

~~-<li><a href="/articles/periprothesthetic-fracture">periprothesthetic fracture</a></li>~~
+<li><a href="/articles/periprothesthetic-fracture">periprosthetic fracture</a></li>
~~-<a title="polyethylene wear" href="/articles/polyethylene-wear">polyethylene wear</a> eccentric position of the femoral head component within the acetabular component</li>~~
+<a href="/articles/polyethylene-wear">polyethylene wear</a> eccentric position of the femoral head component within the acetabular component</li>

ADVERTISEMENT: Supporters see fewer/no ads

{"current_user":null,"inclusions":[{"imageId":373985,"studyId":9752,"caseSlug":"hip-prosthesis-1","caption":"Case 1: dislocation of stem","thumbnail":"https://prod-images-static.radiopaedia.org/images/373985/65baf58e8da10b02ee648674fc225c_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":25521,"studyId":7810,"caseSlug":"dislocated-hip-prosthesis","caption":"Case 2: dislocation of cup","thumbnail":"https://prod-images-static.radiopaedia.org/images/25521/9d07b91de31773325278ed4bae98da_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":382101,"studyId":9930,"caseSlug":"hip-prosthesis-loosening","caption":"Case 3: loosening with herniating cement","thumbnail":"https://prod-images-static.radiopaedia.org/images/382101/8d22dee9e0d2f9b617c055ba475e0e_big_gallery.jpg","isStack":false,"diagnosticCertainty":"probable"},{"imageId":494561,"studyId":10640,"caseSlug":"protrusio-acetabuli-3","caption":"Case 4: creep with protrusio acetabuli","thumbnail":"https://prod-images-static.radiopaedia.org/images/494561/a250038b06919c7d0539992e2259e4_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":933685,"studyId":13733,"caseSlug":"particle-disease-total-hip-replacement-2","caption":"Case 5: particle disease","thumbnail":"https://prod-images-static.radiopaedia.org/images/933685/a442e697bd3213a9ac7debb6d135b8_big_gallery.jpg","isStack":false,"diagnosticCertainty":null},{"imageId":1458461,"studyId":15329,"caseSlug":"dislocated-total-hip-replacement","caption":"Case 6: dislocation from component dissociation","thumbnail":"https://prod-images-static.radiopaedia.org/images/1458461/dadcdddbacadb3b54add6073ca4276_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":5297815,"studyId":26442,"caseSlug":"loosening-of-hip-prosthesis","caption":"Case 7: loosening of stem","thumbnail":"https://prod-images-static.radiopaedia.org/images/5297815/6d7d1488c2c41952e5363542ab2584_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":7650284,"studyId":30712,"caseSlug":"loose-right-total-hip-prosthesis","caption":"Case 8: loose right femoral stem","thumbnail":"https://prod-images-static.radiopaedia.org/images/7650284/9dd48dd845250594593923a9f53c82_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":12013195,"studyId":36972,"caseSlug":"abductor-tendon-tear-and-bursitis-after-total-hip-arthroplasty","caption":"Case 9: abductor tear and bursitis","thumbnail":"https://prod-images-static.radiopaedia.org/images/12013195/75f0eade2ca2659ac5474e70ad45c5_big_gallery.jpg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":16606273,"studyId":42870,"caseSlug":"acetabular-protrusion","caption":"Case 10: protrusion acetabuli","thumbnail":"https://prod-images-static.radiopaedia.org/images/16606273/f635c222386468f55bff81a6741c4b495b781fb24d3cd38c10ca8a463ffb3109_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":37127070,"studyId":66450,"caseSlug":"fractured-femoral-prosthetic-stem","caption":"Case 11: fractured stem","thumbnail":"https://prod-images-static.radiopaedia.org/images/37127070/3a005c7fb9bbed41b37efbda0d9e0b_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":52110864,"studyId":85663,"caseSlug":"dislocation-of-hip-replacement","caption":"Case 12: dislocation ","thumbnail":"https://prod-images-static.radiopaedia.org/images/52110864/c2a7e29420554180f74b7ff0ff873c_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":54496837,"studyId":103592,"caseSlug":"cortical-hypertrophy-in-total-hip-arthroplasty-with-cementless-stem","caption":"Case 13: cortical hypertrophy","thumbnail":"https://prod-images-static.radiopaedia.org/images/54496837/1_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":56473582,"studyId":114408,"caseSlug":"dislocated-right-hip-prosthesis","caption":"Case 14","thumbnail":"https://prod-images-static.radiopaedia.org/images/56473582/dislocated_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":58805567,"studyId":122469,"caseSlug":"hip-prosthesis-dislocation-3","caption":"Case 15","thumbnail":"https://prod-images-static.radiopaedia.org/images/58805567/0._big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":59277170,"studyId":124863,"caseSlug":"periprosthetic-fracture","caption":"Case 16: periprosthetic fracture","thumbnail":"https://prod-images-static.radiopaedia.org/images/59277170/39246cdc609903ce07cc62d7326870a82c653299de74443919fa5869722d8625_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":59543804,"studyId":126063,"caseSlug":"hip-prosthesis-dislocation-4","caption":"Case 17","thumbnail":"https://prod-images-static.radiopaedia.org/images/59543804/3b69c1bd5c58be1192800afdd2bf926c5e31add480a35215cae89df3d55b7a95_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":59714556,"studyId":126814,"caseSlug":"dislocated-tumour-prosthesis","caption":"Case 18: dislocated tumor prosthesis","thumbnail":"https://prod-images-static.radiopaedia.org/images/59714556/54975f8f4dfb6d111d008c998e4310bb98239f27e6e96fb5417b85a1f6fa4bd6_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"}],"ddx_inclusions":[],"lang":"us"}

Updating… Please wait.

Unable to process the form. Check for errors and try again.

Thank you for updating your details.

Complications of total hip arthroplasty

Updates to Article Attributes

See also

Articles

By Section:

By System:

Cases

Radiopaedia.org