Complications of total hip arthroplasty

Last revised by Dr Mostafa El-Feky on 13 Sep 2022

Complications of total hip arthroplasty are common and it is essential for the radiologist to be aware of them in the assessment of radiographs of total hip replacements. Complications are many and can occur at various time intervals following the initial surgery:

A standardized list of complications post total hip arthroplasty was developed by consensus by The Hip Society. This enables consistent standardized reporting of complications 8.

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Cases and figures

  • Case 1: dislocation of stem
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  • Case 2: dislocation of cup
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  • Case 3: loosening with herniating cement
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  • Case 4: creep with protrusio acetabuli
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  • Case 5: particle disease
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  • Case 6: dislocation from component dissociation
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  • Case 7: loosening of stem
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  • Case 8: loose right femoral stem
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  • Case 9: abductor tear and bursitis
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  • Case 10: protrusion acetabuli
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  • Case 11: fractured stem
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  • Case 12: dislocation
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  • Case 13: cortical hypertrophy
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  • Case 14
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  • Case 15
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  • Case 16: periprosthetic fracture
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