Surgical considerations to avoid adverse mechanics

Graeme Nicol, Jens Vanbiervliet, George Grammatopoulos


Surgeons performing hip resurfacing arthroplasty (HRA) or planning to do so need to understand the surgical considerations that can help them avoid adverse mechanics and therefore possibly avoidable complications. We review the key features that must be considered when selecting patients for HRA, the importance of implant selection, surgical factors to minimise wear including both femoral and acetabular positioning and also surgical approach.