PREOPERATIVE TOTAL HIP REPLACEMENT DIFFICULTY SCORE

摘要

The goal of developing a total hip replacement (THR) score system is to standardize the pre-operative evaluation of the THR candidate and guide the surgeon in decision-making. The less experienced surgeon can utilize the score to select less difficultcases at the initial learning curve. The score is based on signalment, history, physical exam and preoperative radiographs and is designed to guide the surgeon in THR decision-making. This system is primarily intended to score the technical difficulty of the case and potentially to predict complications. Simple questions that the score should answer are:1. Is the stem preparation going to be difficult?2. Is this case appropriate for a more advanced THR surgeon?3. Could the technical difficulty of this case predispose to postop complications?