Does previous osteotomy compromise total hip arthroplasty? A systematic review

Stephen Duncan, Scott Wingerter, Angela Keith, Susan A. Fowler, John Clohisy

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Hip osteotomy surgery has increased over the past several years, yet the impact of these procedures on subsequent total hip arthroplasty (THA) remains controversial. The purpose of this study was to perform a systematic review of the literature to determine the clinical results, procedure complications, and survivorship of THA following previous hip osteotomy. Ten studies met inclusion criteria. The operative time and estimated blood loss were higher in the post-osteotomy cohorts; while the clinical results and survivorship between groups were similar. THA following previous pelvic and femoral osteotomy provides pain relief and improved function with similar complication rates, clinical outcomes, and survivorship compared to hips undergoing routine primary THA. These procedures can be technically more demanding with increased operative times and intraoperative blood loss.

Original languageEnglish
Pages (from-to)79-85
Number of pages7
JournalJournal of Arthroplasty
Issue number1
StatePublished - Jan 1 2015


  • Aseptic loosening
  • Dislocation
  • Femoral osteotomy
  • Pelvic osteotomy
  • Total hip arthroplasty


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