**Preoperative Planning**

**Chapter 1**

**Provisional chapter**

**Preoperative Planning of Total Hip Arthroplasty**

**Preoperative Planning of Total Hip Arthroplasty**

DOI: 10.5772/intechopen.76368

Preoperative planning is a crucial step towards a successful hip replacement. It is approached in five easy steps that includes a comprehensive history and examination, ordering weight bearing standardized radiographs, assessment of patients for fitness in the pre-assessment clinic, choosing the best implants as per individual case basis along with choosing method of implantation and templating the radiographs before starting the procedure to replicate the patient joint anatomy for the best patient outcome and to restore hip joint biomechanics. This further allows anticipating difficulties and pitfalls prior to surgery and thereby reduc-

Total hip arthroplasty (THA) provides an excellent pain relief and improvement in functional capacity along with improvement in the objective performance scores in patients with established debilitating arthritis of the hip joint. The success of the above treatment is multifactorial including proper patient selection, preoperative procedure planning and surgeons ability to perform a satisfactory procedure that restores the biomechanics of the hip joint [1, 2]. The outcome is limited by the fact that no single prosthesis is suitable for all patients due to personal patient factors including variation in bone quality, bone anatomy, patient activity level and the postoperative expectations of the patient. However, with thorough preoperative planning, these goals are achievable while minimizing perioperative risks and complications.

A famous quote of an American polymath, a scientist Benjamin Franklin is, "By failing to prepare, you are preparing to fail." This is why preoperative planning is a vital step in the actual

ing the risk of complications associated with the hip replacement surgery. **Keywords:** preoperative, planning, hip arthroplasty, results, templating

> © 2016 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

© 2018 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use,

distribution, and reproduction in any medium, provided the original work is properly cited.

Additional information is available at the end of the chapter

Additional information is available at the end of the chapter

http://dx.doi.org/10.5772/intechopen.76368

Aamir H. Shaikh

Aamir H. Shaikh

**Abstract**

**1. Introduction**

total hip arthroplasty.

#### **Preoperative Planning of Total Hip Arthroplasty Preoperative Planning of Total Hip Arthroplasty**

DOI: 10.5772/intechopen.76368

#### Aamir H. Shaikh Aamir H. Shaikh

Additional information is available at the end of the chapter Additional information is available at the end of the chapter

http://dx.doi.org/10.5772/intechopen.76368

**Abstract**

Preoperative planning is a crucial step towards a successful hip replacement. It is approached in five easy steps that includes a comprehensive history and examination, ordering weight bearing standardized radiographs, assessment of patients for fitness in the pre-assessment clinic, choosing the best implants as per individual case basis along with choosing method of implantation and templating the radiographs before starting the procedure to replicate the patient joint anatomy for the best patient outcome and to restore hip joint biomechanics. This further allows anticipating difficulties and pitfalls prior to surgery and thereby reducing the risk of complications associated with the hip replacement surgery.

**Keywords:** preoperative, planning, hip arthroplasty, results, templating

## **1. Introduction**

Total hip arthroplasty (THA) provides an excellent pain relief and improvement in functional capacity along with improvement in the objective performance scores in patients with established debilitating arthritis of the hip joint. The success of the above treatment is multifactorial including proper patient selection, preoperative procedure planning and surgeons ability to perform a satisfactory procedure that restores the biomechanics of the hip joint [1, 2]. The outcome is limited by the fact that no single prosthesis is suitable for all patients due to personal patient factors including variation in bone quality, bone anatomy, patient activity level and the postoperative expectations of the patient. However, with thorough preoperative planning, these goals are achievable while minimizing perioperative risks and complications.

A famous quote of an American polymath, a scientist Benjamin Franklin is, "By failing to prepare, you are preparing to fail." This is why preoperative planning is a vital step in the actual total hip arthroplasty.

© 2016 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. © 2018 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
