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Abstract
Revision surgery for total hip arthroplasty (THA) is a challenging procedure performed after the failure of a primary arthroplasty. It is necessary in cases of loosening, wear or instability of the prosthesis, infection or periprosthetic fracture. This study aims to analyze the indications for revision surgery, the results obtained and the main considerations in the management of these patients and the complications of revision surgery in total hip arthroplasty, in order to contribute to a better understanding and approach to this important surgical intervention. This is a bibliographic review, using qualitative premises, with the PubMed, Scopus and Web of Science databases. To better refine the research, the health descriptors “Hip Arthroplasty”, “Internal Fixation of Fractures” and “Hip Prosthesis” were used. The work in question also included the establishment of inclusion and exclusion criteria and a time frame between 2000 and 2008. Revision surgery in THA requires a careful and individualized approach, taking into account the cause of the prosthesis failure, the patient’s bone condition and the presence of infection. Indications for revision surgery include aseptic loosening, infection, periprosthetic fracture, polyethylene wear and prosthesis instability. The results of revision surgery can vary depending on the cause of the prosthesis failure and the patient’s condition. In general, revision surgery can improve patients’ pain, function and quality of life, but the success of the procedure depends on a number of factors, including the surgeon’s skill, the appropriate choice of revision materials and the patient’s adherence to the post-operative rehabilitation program. Complications of revision surgery in THA include infection, periprosthetic fracture, dislocation of the prosthesis, deep vein thrombosis and nerve damage. It is important that patients are carefully assessed and followed up after the procedure to minimize the risk of complications and ensure satisfactory results. It is concluded that revision surgery for total hip arthroplasty is a complex procedure that can significantly improve patients’ quality of life after the failure of a primary arthroplasty. It is essential that the procedure is performed by an experienced surgeon and that patients are properly followed up after surgery to ensure positive results.
References
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