Abstract
Total hip arthroplasty and hip preservation surgeries have substantially increased
over the past few decades. Musculoskeletal imaging and interventions are cornerstones
of comprehensive postoperative care and surveillance in patients undergoing established
and more recently introduced hip surgeries. Hence the radiologist's role continues
to evolve and expand. A strong understanding of hip joint anatomy and biomechanics,
surgical procedures, expected normal postoperative imaging appearances, and postoperative
complications ensures accurate imaging interpretation, intervention, and optimal patient
care. This article presents surgical principles and procedural details pertinent to
postoperative imaging evaluation strategies after common hip surgeries, such as radiography,
ultrasonography, computed tomography, and magnetic resonance imaging. We review and
illustrate the expected postoperative imaging appearances and complications following
chondrolabral repair, acetabuloplasty, osteochondroplasty, periacetabular osteotomy,
realigning and derotational femoral osteotomies, and hip arthroplasty.
Keywords
magnetic resonance imaging - computed tomography - hip - surgery - arthroplasty