Unexplained (+/− pain) |
Absence of: |
• Intraoperative loosening of components |
• Infection (see below) |
• Gross malalignment (see below) |
• Component size mismatch |
• Fracture (on imaging/seen intraoperatively) |
Acetabular loosening |
Intraoperative diagnosis (preoperative imaging has a high false negative rate) |
Femoral loosening |
Intraoperative diagnosis (preoperative imaging has a high false negative rate) |
Infection |
Positive if: |
• Postoperative cultures positive for infection |
Negative if: |
• Preoperative CRP less than 10 mg/L or |
• Preoperative CRP greater than 10 mg/L, but postoperative culture was negative for infection |
Dislocation |
Patient reported (+/- radiographic evidence) |
Periprosthetic fracture |
Radiographic evidence |
Malalignment |
Imaging (CT or x-ray) shows: |
• Cup inclination greater than 70° |
• Cup version associated with impingement |
Component mismatch |
Postoperative assessment of components |