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Selected Instructional Course Lecture   |    
Preoperative Planning for Revision Total Hip Arthroplasty
Robert L. Barrack, MD1; R. Stephen J. Burnett, MD, FRCS(C)1
1 Department of Orthopaedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, Campus Box 8233, One Barnes-Jewish Hospital Plaza, Suite 11300 West Pavilion, St. Louis, MO 63110. E-mail address for R.L. Barrack: barrackr@msnotes.wustl.edu
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The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. One or more of the authors received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity (Smith and Nephew). No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in March 2006 in Instructional Course Lectures, Volume 55. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Dec 01;87(12):2800-2811
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Extract

Perioperative complications and unexpected surgical findings are much more common in revision total hip arthroplasty than they are in primary total hip arthroplasty. There are often problems during surgery that require special instruments, implants, bone grafts, or other accessories that may not be available unless the potential need for these items was anticipated. Anticipation of possible complications also is crucial so that the patient can provide informed consent. Preoperatively, patients and their families should be counseled regarding the specific additional risks associated with revision total hip arthroplasty. Preoperative planning is the first and most important step in performing a revision total hip arthroplasty. An organized approach reduces operative time, minimizes risks, decreases stress, and increases the success rate.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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