Revision arthroplasty is being performed with increasing frequency and the
cases are becoming increasingly complex. A key component to successful revi
sion surgery is the surgical exposure. This is influenced by the surgeon's
experience, the reason for revision, the type of components to be revised,
the type of bone defects, and the previous exposures used, In simple revisi
ons one of the standard hip approaches with which the surgeon is familiar o
ften will suffice. However, with more complex cases an extensile or special
ized approach may be necessary, No one approach is suitable for all cases a
nd the surgeon must be familiar with several approaches, their relative ind
ications, and possible complications.