Soft-Tissue Balancing in Total Hip Arthroplasty. Issue 2 (February 2021)

• Record Type: Journal Article
• Authors: Boe, Richard A.; Selemon, Nicolas A.; Eachempati, Krishna Kiran; Paprosky, Wayne G.; Sheth, Neil P.
• Is Part Of: JBJS reviews. Volume 9:Issue 2(2021)
• Publication Date: 2021-02
• Subjects: Bones -- Surgery -- Periodicals; Joints -- Surgery -- Periodicals; Orthopedics -- Periodicals; Orthopedics; General Surgery; Bone Diseases; Joint Diseases; Bones -- Surgery; Joints -- Surgery; Orthopedics; Periodicals; Electronic journals; Periodicals; 617.47
• DOI: 10.2106/JBJS.RVW.20.00116
• Languages: English
• ISSNs: 2329-9185

Abstract

Abstract : Appropriate total hip arthroplasty (THA) reconstruction must simultaneously address component position, restoration of biomechanics, and soft-tissue balance. Preoperative planning for complex THA cases should include radiographic templating, a detailed case plan that contains backup implant options, and a thorough understanding of the patient's preoperative examination. Using a systematic approach to soft-tissue balancing in THA enhances the ability to intraoperatively execute the preoperative plan. In patients with preexisting deformities (e.g., dysplasia or prior surgery), increased attention to abductor function is necessary when assessing acetabular component placement and offset.