Total hip replacement is one of the most common adult reconstructive p
rocedures performed today. Even though training in total hip replaceme
nt has become fairly common in many orthopedic residency programs, com
plications can still occur during surgery. Preoperative planning and c
lose attention to detail may prevent intraoperative problems. Awarenes
s of the potential downfalls allows the surgeon to properly prepare fo
r surgery, avoid intraoperative complications, and manage unavoidable
problems when they do arise.