Soft-Tissue Balancing in Total Hip Arthroplasty

JBJS Rev. 2021 Feb 15;9(2):e20.00116. doi: 10.2106/JBJS.RVW.20.00116.

Abstract

»: Appropriate total hip arthroplasty (THA) reconstruction must simultaneously address component position, restoration of biomechanics, and soft-tissue balance.

»: Preoperative planning for complex THA cases should include radiographic templating, a detailed case plan that contains backup implant options, and a thorough understanding of the patient's preoperative examination.

»: Using a systematic approach to soft-tissue balancing in THA enhances the ability to intraoperatively execute the preoperative plan.

»: In patients with preexisting deformities (e.g., dysplasia or prior surgery), increased attention to abductor function is necessary when assessing acetabular component placement and offset.

MeSH terms

  • Acetabulum / surgery
  • Arthroplasty, Replacement, Hip*
  • Biomechanical Phenomena
  • Hip Joint / surgery
  • Humans