The Incision Point

The Incision Point

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The 30% Mystery: Why So Many Revision THAs Fall Into the "Other" Category

How to look beyond the top three revision diagnoses and identify subtle culprits like iliopsoas impingement or abductor deficiency.

Dr. Michael Meneghini's avatar
Dr. Michael Meneghini
Jul 29, 2026
∙ Paid

Despite being one of the most successful surgical procedures in medicine, total hip arthroplasty (THA) continues to have a percentage of patients who fail to have a pain-free result. As the number of THAs continues to increase, the overall burden of revision THA will subsequently continue to increase. When a patient presents with a painful hip replacement, the standard differential diagnosis typically covers the major culprits, but what happens when the joint visually appears perfect?

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