BOOK
Surgical Treatment of Hip Arthritis: Reconstruction, Replacement, and Revision E-Book
William Hozack | Javad Parvizi | Benjamin Bender
(2009)
Additional Information
Book Details
Abstract
Surgical Treatment of Hip Arthritis: Reconstruction, Replacement, and Revision, by William J. Hozack, MD, is a state-of-the-art reference that addresses the challenging issues you face in this rapidly growing segment of orthopaedic practice. Inside, you’ll find top surgical management strategies for all types of hip arthroplasty presented by leaders from around the world, along with discussions of possible complications, risks and benefits to specific patient populations, and more. Best of all, this resource also offers access to a companion website where you will find the full text of the book, completely searchable.
- Includes online access to the full text at expertconsult.com for convenient anytime, anywhere reference.
- Presents state-of-the-art surgical management strategies for hip arthritis—from reconstruction to replacement to revision—by experts worldwide, for comprehensive guidance in one convenient resource.
- Offers current information on computer-assisted navigation techniques and minimally invasive techniques, to equip you with the latest surgical options.
- Provides extensive discussions of the management of a full range of complications to help you overcome the challenges you’ll face.
- Addresses the rationale for and management of revision surgery, given specific patient problems and intraoperative issues, enabling you to make the best informed surgical decisions.
- Presents more than 600 illustrations, including original line art, radiologic images, and full-color intraoperative photos, that show you exactly what to look for and how to proceed.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | cover | ||
| Half title page | i | ||
| Title page | iii | ||
| Copyright page | iv | ||
| Dedication | v | ||
| Preface | vii | ||
| Contributors | ix | ||
| Table of contents | xiii | ||
| Part I: Diagnosis and Evaluation | 1 | ||
| Chapter 1: HISTORY | 3 | ||
| PHYSICAL EXAMINATION | 4 | ||
| GENERAL TESTS | 5 | ||
| SPECIFIC DIAGNOSES | 5 | ||
| References | 8 | ||
| Chapter 2: ARTHROPLASTY | 9 | ||
| LOOSENING | 10 | ||
| DISLOCATION | 13 | ||
| INFECTION | 13 | ||
| PERIPROSTHETIC FRACTURE | 15 | ||
| ACETABULAR LINER WEAR | 15 | ||
| PARTICLE DISEASE | 15 | ||
| HETEROTOPIC BONE FORMATION | 16 | ||
| PSEUDOBURSAE | 16 | ||
| ILIOPSOAS IMPINGEMENT | 17 | ||
| SUMMARY | 17 | ||
| References | 17 | ||
| Chapter 3: CROSS-SECTIONAL IMAGING MODALITIES | 19 | ||
| INJURY-SPECIFIC IMAGING | 21 | ||
| References | 28 | ||
| Chapter 4: \rSURVIVORSHIP ANALYSIS | 30 | ||
| ARTHROPLASTY REGISTERS | 30 | ||
| METHODS OF EARLY PREDICTION OF FAILURE | 31 | ||
| SUBJECTIVE OUTCOME MEASURES | 32 | ||
| FREQUENTLY EMPLOYED OUTCOME MEASURES | 32 | ||
| INTERPRETING RESULTS OF SUBJECTIVE OUTCOME MEASURES | 35 | ||
| IDENTIFICATION OF MODIFIABLE PATIENT FACTORS | 35 | ||
| SUMMARY | 36 | ||
| References | 36 | ||
| Part II: Reconstruction | 37 | ||
| Chapter 5: LABRAL TEARS | 39 | ||
| CHONDRAL LESIONS | 40 | ||
| LOOSE BODIES | 41 | ||
| SYNOVIAL CONDITIONS | 41 | ||
| AFTER TOTAL HIP ARTHROPLASTY | 42 | ||
| AFTER TRAUMA | 42 | ||
| CONTRAINDICATIONS | 42 | ||
| SURGICAL TECHNIQUE | 42 | ||
| COMPLICATIONS | 43 | ||
| OUTCOMES | 43 | ||
| SUMMARY | 43 | ||
| References | 44 | ||
| Chapter 6: \rCONCEPT OF FEMOROACETABULAR IMPINGEMENT AND CLINICAL PRESENTATION | 45 | ||
| TYPES OF FEMOROACETABULAR IMPINGEMENT AND PATHOPHYSIOLOGY | 46 | ||
| DIAGNOSTIC TESTING | 47 | ||
| BACKGROUND WORK | 49 | ||
| SURGICAL HIP DISLOCATION | 53 | ||
| RESULTS OF SURGICAL HIP DISLOCATION AND HIP OSTEOPLASTY | 58 | ||
| COMPLICATIONS OF SURGICAL HIP DISLOCATION | 61 | ||
| FUTURE CONSIDERATIONS | 61 | ||
| References | 61 | ||
| Chapter 7: \rINDICATIONS AND CONTRAINDICATIONS | 64 | ||
| PREOPERATIVE PLANNING | 64 | ||
| DESCRIPTION OF TECHNIQUES | 66 | ||
| PERIOPERATIVE MANAGEMENT | 71 | ||
| COMPLICATIONS | 72 | ||
| References | 72 | ||
| Chapter 8: Periacetabular Osteotomy | 73 | ||
| ANATOMY | 74 | ||
| PATHOGENESIS | 75 | ||
| PREDISPOSING ILLNESSES | 75 | ||
| PATIENT HISTORY AND PHYSICAL FINDINGS | 76 | ||
| IMAGING AND OTHER DIAGNOSTIC STUDIES | 76 | ||
| SURGICAL MANAGEMENT | 77 | ||
| POSTOPERATIVE MANAGEMENT | 79 | ||
| OUTCOMES | 79 | ||
| COMPLICATIONS | 79 | ||
| References | 82 | ||
| Part III: Replacement | 85 | ||
| Chapter 9: Indications for Primary Total Hip Arthroplasty | 87 | ||
| INDICATIONS | 87 | ||
| IMPLANT SURVIVORSHIP | 90 | ||
| BILATERAL TOTAL HIP ARTHROPLASTY | 91 | ||
| CONTRAINDICATIONS | 91 | ||
| SUMMARY | 91 | ||
| References | 92 | ||
| Chapter 10: Preoperative Planning for Primary Total Hip Arthroplasty | 93 | ||
| CLINICAL EVALUATION | 93 | ||
| PREOPERATIVE PREPARATION | 94 | ||
| SPECIAL CONSIDERATIONS | 94 | ||
| IMPLANT SELECTION | 95 | ||
| RADIOGRAPHIC EVALUATION AND TEMPLATING | 95 | ||
| SUMMARY | 98 | ||
| References | 98 | ||
| Chapter 11: The Direct Anterior Approach | 99 | ||
| INDICATIONS AND CONTRAINDICATIONS | 99 | ||
| PREOPERATIVE PLANNING | 100 | ||
| TECHNIQUE | 100 | ||
| POSTOPERATIVE MANAGEMENT | 107 | ||
| COMPLICATIONS | 107 | ||
| Suggested Readings | 107 | ||
| Chapter 12: The Anterolateral Minimal/Limited Incision Intermuscular Approach | 108 | ||
| INDICATIONS AND CONTRAINDICATIONS | 109 | ||
| PREOPERATIVE PLANNING | 109 | ||
| TECHNIQUE | 109 | ||
| POSTOPERATIVE MANAGEMENT | 112 | ||
| COMPLICATIONS | 112 | ||
| SUMMARY | 113 | ||
| Suggested Readings | 113 | ||
| Chapter 13: The Direct Lateral Approach | 114 | ||
| INDICATIONS AND CONTRAINDICATIONS | 114 | ||
| PREOPERATIVE PLANNING | 115 | ||
| TECHNIQUE | 115 | ||
| PERIOPERATIVE AND POSTOPERATIVE MANAGEMENT | 120 | ||
| COMPLICATIONS | 120 | ||
| SUMMARY | 120 | ||
| Suggested Readings | 120 | ||
| References | 120 | ||
| Chapter 14: Posterior and Posteroinferior Approaches | 122 | ||
| INDICATIONS AND CONTRAINDICATIONS | 122 | ||
| PREOPERATIVE PLANNING | 123 | ||
| POSTERIOR APPROACH | 123 | ||
| POSTEROINFERIOR APPROACH | 127 | ||
| PERIOPERATIVE AND POSTOPERATIVE MANAGEMENT | 130 | ||
| COMPLICATIONS | 130 | ||
| References | 130 | ||
| Chapter 15: The Dual-Incision Approach | 131 | ||
| INDICATIONS AND CONTRAINDICATIONS | 131 | ||
| PREOPERATIVE PLANNING | 132 | ||
| TECHNIQUE | 132 | ||
| PERIOPERATIVE AND POSTOPERATIVE MANAGEMENT | 135 | ||
| COMPLICATIONS | 136 | ||
| References | 136 | ||
| Chapter 16: The Cemented All-Polyethylene Acetabular Component | 137 | ||
| INDICATIONS AND CONTRAINDICATIONS | 137 | ||
| PREOPERATIVE PLANNING | 138 | ||
| TECHNIQUE | 138 | ||
| PERIOPERATIVE AND POSTOPERATIVE MANAGEMENT | 140 | ||
| COMPLICATIONS | 140 | ||
| SUMMARY | 141 | ||
| Suggested Readings | 142 | ||
| Chapter 17: The Cemented Stem | 143 | ||
| INDICATIONS AND CONTRAINDICATIONS | 143 | ||
| PREOPERATIVE PLANNING | 143 | ||
| TECHNIQUE | 144 | ||
| POSTOPERATIVE MANAGEMENT | 149 | ||
| COMPLICATIONS | 149 | ||
| SUMMARY | 150 | ||
| References | 150 | ||
| Chapter 18: Cementless Acetabular Fixation | 151 | ||
| DESIGN | 151 | ||
| INGROWTH | 151 | ||
| GEOMETRY | 152 | ||
| SURFACE AND COATINGS | 152 | ||
| FIXATION | 153 | ||
| INTERFACE | 153 | ||
| INDICATIONS | 154 | ||
| TECHNICAL CONSIDERATIONS | 154 | ||
| References | 155 | ||
| Chapter 19: The Cementless Tapered Stem | 156 | ||
| COMPONENT DESIGN | 156 | ||
| INDICATIONS AND CONTRAINDICATIONS | 157 | ||
| PREOPERATIVE PLANNING | 157 | ||
| TECHNIQUE | 157 | ||
| PERIOPERATIVE MANAGEMENT | 158 | ||
| COMPLICATIONS | 158 | ||
| Suggested Readings | 158 | ||
| References | 158 | ||
| Chapter 20: The Cementless Tapered Stem: Ream-and-Broach Technique | 159 | ||
| COMPONENT DESIGN | 159 | ||
| PREOPERATIVE PLANNING | 159 | ||
| TECHNIQUE | 160 | ||
| POSTOPERATIVE MANAGEMENT | 161 | ||
| SUMMARY | 162 | ||
| Suggested Readings | 163 | ||
| Chapter 21: The Fully Coated Cementless Femoral Stem | 164 | ||
| INDICATIONS AND CONTRAINDICATIONS | 165 | ||
| PREOPERATIVE PLANNING | 165 | ||
| TECHNIQUE | 166 | ||
| POSTOPERATIVE MANAGEMENT | 169 | ||
| COMPLICATIONS | 169 | ||
| SUMMARY | 170 | ||
| References | 171 | ||
| Chapter 22: The Cementless Modular Stem | 172 | ||
| CLINICAL APPLICATION | 173 | ||
| PREOPERATIVE PLANNING/SURGICAL TECHNIQUE | 175 | ||
| RESULTS | 176 | ||
| SUMMARY | 176 | ||
| References | 179 | ||
| Chapter 23: Metal-on-Metal Hip Resurfacing Arthroplasty | 180 | ||
| INDICATIONS AND CONTRAINDICATIONS | 180 | ||
| PREOPERATIVE PLANNING | 181 | ||
| TECHNIQUE | 181 | ||
| PERIOPERATIVE MANAGEMENT | 185 | ||
| COMPLICATIONS | 185 | ||
| SUMMARY | 186 | ||
| Suggested Readings | 186 | ||
| References | 187 | ||
| Chapter 24: Deformity | 188 | ||
| DEVELOPMENTAL DYSPLASIA OF THE HIP | 188 | ||
| PREVIOUS INTERTROCHANTERIC OSTEOTOMY | 190 | ||
| SURGICAL CONSIDERATIONS FOR CORRECTIVE OSTEOTOMY ASSOCIATED WITH PRIMARY TOTAL HIP ARTHROPLASTY | 191 | ||
| FEMORAL DEFORMITY ASSOCIATED WITH FAILED TOTAL HIP ARTHROPLASTY | 192 | ||
| SUMMARY | 194 | ||
| References | 194 | ||
| Chapter 25: Total Hip Arthroplasty in Patients with Metabolic Diseases | 196 | ||
| METABOLIC DISEASES | 196 | ||
| INDICATIONS AND CONTRAINDICATIONS | 198 | ||
| PREOPERATIVE PLANNING | 199 | ||
| TECHNIQUE | 199 | ||
| POSTOPERATIVE MANAGEMENT | 201 | ||
| COMPLICATIONS | 201 | ||
| Suggested Readings | 202 | ||
| References | 202 | ||
| Chapter 26: Preoperative Rehabilitation | 203 | ||
| PREOPERATIVE REHABILITATION PROGRAM | 203 | ||
| PREOPERATIVE PHYSICAL THERAPY VISIT | 204 | ||
| SUMMARY | 204 | ||
| References | 204 | ||
| Chapter 27: Anesthesia for Hip Surgery | 206 | ||
| GENERAL ANESTHESIA | 206 | ||
| NEURAXIAL ANESTHESIA | 207 | ||
| PRE-EMPTIVE ANALGESIA AND POSTOPERATIVE PAIN | 208 | ||
| LUMBAR PLEXUS BLOCKADE | 208 | ||
| ANESTHETIC CONTRAINDICATIONS | 209 | ||
| MAJOR MORBIDITY AND MORTALITY | 209 | ||
| MINOR MORBIDITY | 209 | ||
| POSTOPERATIVE DELIRIUM | 210 | ||
| DIFFICULT AIRWAY | 210 | ||
| PREVENTION OF VENOUS THROMBOEMBOLISM | 211 | ||
| ANTICOAGULATION AND SPINAL HEMATOMA | 211 | ||
| BLOOD LOSS | 212 | ||
| PRACTICE PATTERNS | 213 | ||
| References | 214 | ||
| Chapter 28: Pain Control | 216 | ||
| PRINCIPLES OF ACUTE PAIN PHYSIOLOGY | 216 | ||
| TECHNIQUES OF PAIN MANAGEMENT | 217 | ||
| GENERAL VERSUS REGIONAL ANESTHESIA | 217 | ||
| PARENTERAL OPIOID ANALGESICS | 217 | ||
| NEURAXIAL ANALGESIA | 218 | ||
| PERIPHERAL NERVE BLOCKADE | 218 | ||
| ACETAMINOPHEN | 219 | ||
| NONSTEROIDAL ANTI-INFLAMMATORY DRUGS | 220 | ||
| ORAL OPIOIDS | 220 | ||
| TRAMADOL | 220 | ||
| N-METHYL-d-ASPARTATE (NMDA) RECEPTOR ANTAGONISTS | 220 | ||
| a2-AGONISTS | 220 | ||
| CORTICOSTEROIDS | 221 | ||
| OTHER ANALGESIC TECHNIQUES | 221 | ||
| MISCELLANEOUS FACTORS | 221 | ||
| IMPORTANCE OF PATIENT EDUCATION | 221 | ||
| MULTIMODAL ANALGESIA | 221 | ||
| References | 223 | ||
| Chapter 29: The Rapid Recovery Program for Total Hip Arthroplasty | 225 | ||
| SURGICAL FACTORS | 225 | ||
| PATIENT FACTORS | 226 | ||
| NURSING ISSUES | 228 | ||
| AGGRESSIVE POSTOPERATIVE PHYSICAL THERAPY | 228 | ||
| PROPER PAIN MANAGEMENT | 228 | ||
| PRE-EMPTIVE ANALGESIA | 228 | ||
| MODIFIED ANESTHESIA PROGRAM | 229 | ||
| DISCHARGE | 230 | ||
| SUMMARY | 230 | ||
| References | 230 | ||
| Part IV: Revision | 233 | ||
| Chapter 30: Evaluation of the Painful Total Hip Arthroplasty | 235 | ||
| DIFFERENTIAL DIAGNOSIS | 235 | ||
| HISTORY | 235 | ||
| PHYSICAL EXAMINATION | 236 | ||
| LABORATORY TESTS | 236 | ||
| ASPIRATION | 237 | ||
| RADIOGRAPHY | 237 | ||
| ARTHROGRAPHY | 238 | ||
| RADIONUCLIDE ARTHROGRAPHY | 238 | ||
| NUCLEAR IMAGING | 238 | ||
| COMPUTED TOMOGRAPHY | 238 | ||
| MAGNETIC RESONANCE IMAGING | 239 | ||
| POSITRON EMISSION TOMOGRAPHY | 239 | ||
| SUMMARY | 239 | ||
| References | 239 | ||
| Chapter 31: Indications for Revision Total Hip Arthroplasty | 241 | ||
| INDICATIONS FOR REVISION TOTAL HIP ARTHROPLASTY | 242 | ||
| SUMMARY | 246 | ||
| References | 246 | ||
| Chapter 32: Preoperative Radiographic Evaluation and Classification of Defects | 247 | ||
| EVALUATION | 247 | ||
| CLASSIFICATION OF DEFECTS | 250 | ||
| Suggested Reading | 255 | ||
| References | 255 | ||
| Chapter 33: Revision Total Hip Arthroplasty: Preoperative Planning | 256 | ||
| HISTORY AND PHYSICAL EXAMINATION | 256 | ||
| RADIOGRAPHIC EVALUATION | 257 | ||
| CLASSIFICATION OF BONE DEFICIENCIES | 258 | ||
| TEMPLATING | 258 | ||
| ORDERING EQUIPMENT AND PARTS | 260 | ||
| SUMMARY | 260 | ||
| References | 260 | ||
| Chapter 34: Revision Total Hip Replacement: Posterior Approach | 261 | ||
| INDICATIONS AND CONTRAINDICATIONS | 261 | ||
| PREOPERATIVE PLANNING | 262 | ||
| TECHNIQUE | 262 | ||
| PERIOPERATIVE MANAGEMENT | 265 | ||
| COMPLICATIONS | 265 | ||
| References | 266 | ||
| Chapter 35: Surgical Approach: Direct Anterior Revision | 267 | ||
| INDICATIONS AND CONTRAINDICATIONS | 267 | ||
| TECHNIQUE | 268 | ||
| PERIOPERATIVE MANAGEMENT | 271 | ||
| COMPLICATIONS | 271 | ||
| Suggested Readings | 271 | ||
| Chapter 36: Surgical Approach to the Hip: Direct Lateral | 272 | ||
| INDICATIONS AND CONTRAINDICATIONS | 272 | ||
| PREOPERATIVE PLANNING | 273 | ||
| TECHNIQUE | 273 | ||
| PERIOPERATIVE MANAGEMENT | 276 | ||
| COMPLICATIONS | 276 | ||
| References | 277 | ||
| Chapter 37: Extended Trochanteric Osteotomy: Posterior Approach | 278 | ||
| INDICATIONS | 278 | ||
| PREOPERATIVE PLANNING | 279 | ||
| SURGICAL TECHNIQUE | 280 | ||
| CLINICAL RESULTS AND COMPLICATIONS | 283 | ||
| SUMMARY | 283 | ||
| References | 283 | ||
| Chapter 38: Extended Trochanteric Osteotomy: Anterior Approach | 284 | ||
| INDICATIONS AND CONTRAINDICATIONS | 284 | ||
| PREOPERATIVE PLANNING | 285 | ||
| TECHNIQUE | 285 | ||
| PERIOPERATIVE MANAGEMENT | 286 | ||
| COMPLICATIONS | 286 | ||
| Suggested Reading | 288 | ||
| Chapter 39: Component Removal: Acetabulum | 289 | ||
| INDICATIONS AND CONTRAINDICATIONS | 289 | ||
| PREOPERATIVE PLANNING | 290 | ||
| TECHNIQUES | 292 | ||
| Suggested Reading | 295 | ||
| References | 295 | ||
| Chapter 40: Femoral Component Removal | 296 | ||
| INDICATIONS | 296 | ||
| CONTRAINDICATIONS | 297 | ||
| TECHNIQUE | 297 | ||
| PERIOPERATIVE MANAGEMENT | 302 | ||
| COMPLICATIONS | 302 | ||
| References | 303 | ||
| Chapter 41: Cement Extraction Techniques | 304 | ||
| PREOPERATIVE PLANNING | 304 | ||
| INSTRUMENTATION | 304 | ||
| SEGMENTAL CEMENT EXTRACTION SYSTEMS | 307 | ||
| ULTRASONIC CEMENT REMOVAL DEVICES | 307 | ||
| SURGICAL TECHNIQUES | 309 | ||
| References | 311 | ||
| Chapter 42: Monolithic Extensively Porous-Coated Femoral Revision | 312 | ||
| INDICATIONS AND CONTRAINDICATIONS | 313 | ||
| PREOPERATIVE PLANNING | 313 | ||
| SURGICAL TECHNIQUE | 315 | ||
| PERIOPERATIVE MANAGEMENT | 316 | ||
| COMPLICATIONS | 316 | ||
| Suggested Reading | 317 | ||
| References | 317 | ||
| Chapter 43: Surgical Options for Femoral Reconstruction: The Use of Modular Stems | 318 | ||
| BIOMECHANICS OF MODULAR STEMS | 319 | ||
| INDICATIONS AND PREOPERATIVE PLANNING | 320 | ||
| SURGICAL TECHNIQUE | 322 | ||
| RESULTS AND COMPLICATIONS | 324 | ||
| SUMMARY | 324 | ||
| References | 325 | ||
| Chapter 44: Surgical Options for Femoral Reconstruction Impaction Grafting | 327 | ||
| INDICATIONS | 327 | ||
| CONTRAINDICATIONS | 328 | ||
| PREOPERATIVE PLANNING | 328 | ||
| SURGICAL TECHNIQUE | 329 | ||
| REPAIR OF DIAPHYSEAL DEFECTS | 330 | ||
| PROPHYLACTIC WIRING OF THE FEMUR | 330 | ||
| PERIOPERATIVE MANAGEMENT | 334 | ||
| COMPLICATIONS | 334 | ||
| References | 335 | ||
| Chapter 45: Revision Total Hip Arthroplasty: Megaprosthesis Proximal Femoral Replacement and Total Femur Replacement | 336 | ||
| INDICATIONS | 337 | ||
| CONTRAINDICATIONS | 337 | ||
| PREOPERATIVE PLANNING | 338 | ||
| SURGICAL TECHNIQUE | 338 | ||
| POSTOPERATIVE MANAGEMENT | 341 | ||
| RESULTS | 341 | ||
| COMPLICATIONS | 342 | ||
| SUMMARY | 342 | ||
| References | 342 | ||
| Chapter 46: Surgical Options for Femoral Reconstruction: Allograft-Prosthesis Composites | 344 | ||
| INDICATIONS, CONTRAINDICATIONS, AND PITFALLS | 345 | ||
| PREOPERATIVE PLANNING | 345 | ||
| TECHNIQUE | 346 | ||
| PERIOPERATIVE MANAGEMENT | 349 | ||
| RESULTS | 349 | ||
| COMPLICATIONS | 352 | ||
| References | 352 | ||
| Chapter 47: Jumbo Cups | 353 | ||
| INDICATIONS AND CONTRAINDICATIONS | 353 | ||
| PREOPERATIVE PLANNING | 354 | ||
| TECHNIQUE | 354 | ||
| PERIOPERATIVE MANAGEMENT | 356 | ||
| COMPLICATIONS | 356 | ||
| RESULTS | 356 | ||
| Suggested Reading | 356 | ||
| References | 356 | ||
| Chapter 48: Use of a Modular Acetabular Reconstruction System | 357 | ||
| INDICATIONS AND CONTRAINDICATIONS | 357 | ||
| PREOPERATIVE PLANNING AND TECHNIQUE | 358 | ||
| SUMMARY | 359 | ||
| Suggested Reading | 361 | ||
| Chapter 49: Impaction Bone Grafting of the Acetabulum | 363 | ||
| INDICATIONS AND CONTRAINDICATIONS | 364 | ||
| PREOPERATIVE PLANNING | 364 | ||
| OPERATIVE TECHNIQUE | 365 | ||
| PERIOPERATIVE MANAGEMENT | 368 | ||
| COMPLICATIONS AND PITFALLS | 368 | ||
| CLINICAL RESULTS | 368 | ||
| References | 369 | ||
| Chapter 50: Reconstruction of Acetabular Bone Deficiencies Using the Antiprotrusio Cage | 370 | ||
| RELEVANT SURGICAL ANATOMY | 370 | ||
| CLASSIFICATION OF ACETABULAR BONE DEFECTS | 371 | ||
| CAGE DESIGNS | 373 | ||
| INDICATIONS FOR THE USE OF ANTIPROTRUSIO CAGES | 373 | ||
| PREOPERATIVE PLANNING | 373 | ||
| IMAGING | 373 | ||
| LABORATORY TESTS | 373 | ||
| SURGICAL APPROACH | 373 | ||
| CAGE INSERTION TECHNIQUE | 374 | ||
| UNCEMENTED CUP-CAGE CONSTRUCT | 374 | ||
| POSTOPERATIVE CARE | 374 | ||
| OUTCOMES | 374 | ||
| ADVANTAGES | 375 | ||
| DISADVANTAGES | 375 | ||
| COMPLICATIONS | 375 | ||
| References | 375 | ||
| Chapter 51: Surgical Options for Acetabular Reconstruction: Custom Components | 377 | ||
| INDICATIONS | 377 | ||
| THE IMPLANT | 377 | ||
| OPERATIVE TECHNIQUE | 379 | ||
| RESULTS WITH THE CUSTOM TRIFLANGED ACETABULAR COMPONENT | 379 | ||
| DISCUSSION | 381 | ||
| Suggested Reading | 382 | ||
| References | 382 | ||
| Chapter 52: Lesional Treatment of Osteolysis | 383 | ||
| INDICATIONS AND CONTRAINDICATIONS | 384 | ||
| PREOPERATIVE PLANNING | 385 | ||
| TECHNIQUE | 386 | ||
| PERIOPERATIVE MANAGEMENT | 387 | ||
| COMPLICATIONS | 388 | ||
| References | 389 | ||
| Chapter 53: Venous Thromboembolic Disease after Total Hip Arthroplasty | 398 | ||
| PATHOGENESIS | 398 | ||
| EPIDEMIOLOGY | 399 | ||
| PROPHYLACTIC REGIMENS AFTER TOTAL HIP ARTHROPLASTY | 400 | ||
| CHEMOPROPHYLACTIC REGIMENS | 400 | ||
| MECHANICAL PROPHYLAXIS | 403 | ||
| THE EFFECTS OF REGIONAL ANESTHESIA ON THROMBOGENESIS | 404 | ||
| DURATION OF THROMBOPROPHYLAXIS | 404 | ||
| PROPHYLAXIS FOR THE HIGH-RISK PATIENT | 405 | ||
| POSTOPERATIVE SCREENING FOR DEEP VENOUS THROMBOSIS | 405 | ||
| RECOMMENDATIONS | 405 | ||
| References | 406 | ||
| Chapter 54: Periprosthetic Infection | 390 | ||
| INDICATIONS AND CONTRAINDICATIONS | 390 | ||
| PREOPERATIVE PLANNING | 391 | ||
| TECHNIQUE | 392 | ||
| PERIOPERATIVE MANAGEMENT | 396 | ||
| COMPLICATIONS | 397 | ||
| Suggested Reading | 397 | ||
| References | 397 | ||
| Chapter 55: Neurovascular Injury | 407 | ||
| ANATOMY | 407 | ||
| PERIPHERAL NERVE INJURIES ASSOCIATED WITH TOTAL HIP ARTHROPLASTY | 407 | ||
| ETIOLOGY OF PERIPHERAL NERVE INJURIES IN TOTAL HIP ARTHROPLASTY | 408 | ||
| INTRAOPERATIVE MONITORING, DIAGNOSIS, AND TREATMENT | 410 | ||
| VASCULAR INJURIES | 410 | ||
| ETIOLOGY AND RISK FACTORS FOR VASCULAR INJURIES | 411 | ||
| PREVENTION | 411 | ||
| TREATMENT | 411 | ||
| SUMMARY | 412 | ||
| References | 412 | ||
| Chapter 56: Management of Postoperative Hematomas | 414 | ||
| ETIOLOGY | 414 | ||
| DISSECTION TECHNIQUE | 414 | ||
| CLOSED WOUND DRAINAGE | 414 | ||
| ANTICOAGULATION | 415 | ||
| DIAGNOSIS | 415 | ||
| MANAGEMENT | 415 | ||
| SUMMARY | 416 | ||
| References | 416 | ||
| Chapter 57: Periprosthetic Hip Fractures | 417 | ||
| RISK FACTORS | 417 | ||
| CLASSIFICATION OF FEMORAL FRACTURES | 417 | ||
| MANAGEMENT OPTIONS | 418 | ||
| ACETABULAR FRACTURES | 426 | ||
| SUMMARY | 426 | ||
| References | 427 | ||
| Chapter 58: Dislocation | 429 | ||
| TREATMENT OF FIRST DISLOCATION | 429 | ||
| EVALUATION AND TREATMENT OF RECURRENT DISLOCATION | 430 | ||
| COMPONENT REVISION | 430 | ||
| MODULAR REVISION | 430 | ||
| SOFT-TISSUE AUGMENTATION | 432 | ||
| CONVERSION TO BIPOLAR ARTHROPLASTY | 432 | ||
| CONSTRAINED COMPONENTS | 432 | ||
| References | 436 | ||
| Chapter 59: Treatment of Leg Length Discrepancy after Total Hip Arthroplasty | 437 | ||
| PREVALENCE | 437 | ||
| ETIOLOGY | 437 | ||
| CLINICAL PRESENTATION | 438 | ||
| TREATMENT | 438 | ||
| SPECIFIC SITUATIONS | 439 | ||
| SUMMARY | 439 | ||
| References | 441 | ||
| Part V: Current Controversies | 443 | ||
| Chapter 60: Computerized Hip Navigation | 445 | ||
| THEORY | 446 | ||
| EVIDENCE | 447 | ||
| INDICATIONS AND LIMITATIONS | 448 | ||
| OPERATING ROOM SETUP | 449 | ||
| TECHNIQUE | 449 | ||
| ACETABULAR PREPARATION AND CUP INSERTION WITH NAVIGATION | 450 | ||
| STEM INSERTION | 451 | ||
| THE FUTURE | 453 | ||
| SUMMARY | 454 | ||
| References | 455 | ||
| Chapter 61: Cross-Linked Polyethylene | 456 | ||
| BASIC SCIENCE | 457 | ||
| CLINICAL STUDIES COMPARING CROSS-LINKED AND CONVENTIONAL POLYETHYLENE | 460 | ||
| CURRENT CONTROVERSIES | 463 | ||
| SUMMARY | 464 | ||
| References | 465 | ||
| Chapter 62: Bearing Surface: Metal on Metal | 468 | ||
| TRIBOLOGY | 468 | ||
| CLINICAL PERFORMANCE | 471 | ||
| BIOLOGICAL RESPONSE | 473 | ||
| References | 475 | ||
| Chapter 63: Ceramic-on-Ceramic Bearings in Total Hip Arthroplasty | 478 | ||
| BASIC SCIENCE | 479 | ||
| CLINICAL STUDIES | 482 | ||
| SUMMARY | 483 | ||
| References | 484 | ||
| Chapter 64: New Developments in Alternative Hip Bearing Surfaces | 485 | ||
| CARBON FIBER POLYMERIC COMPOSITES | 485 | ||
| COMPLIANT BEARINGS | 489 | ||
| SUMMARY | 491 | ||
| References | 491 | ||
| Chapter 65: Minimally Invasive Total Hip Arthroplasty | 493 | ||
| APPROACHES | 493 | ||
| SUMMARY | 501 | ||
| References | 501 | ||
| Chapter 66: Current Controversies: Robotics for Total Hip Arthroplasty | 502 | ||
| RATIONALE AND INDICATIONS | 503 | ||
| LIMITATIONS OF THE CURRENT TECHNIQUES IN TOTAL HIP ARTHROPLASTY | 503 | ||
| CLINICAL APPLICATIONS OF ROBOTIC TECHNIQUES | 503 | ||
| PREOPERATIVE PLANNING | 504 | ||
| ROBOTIC TECHNIQUES | 504 | ||
| COMPLICATIONS | 505 | ||
| FUTURE DIRECTIONS | 505 | ||
| SUMMARY | 507 | ||
| Index | 508 |