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Book Details
Abstract
Techniques in Revision Hip and Knee Arthroplasty is the one authoritative volume that gives you an efficient, problem-based approach to revision arthroplasty of both the hip and knee. Dr. Giles Scuderi and other leading experts from North America and Western Europe present their favored surgical procedures and post-surgical management strategies in this straightforward, heavily illustrated, video-intensive reference. It’s your one-stop, go-to guide for successful revision surgery for a myriad of complications, such as implant loosening, polyethylene wear, osteolysis, or infection of the hip and knee.
- Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.
- Get expert guidance on implant choice, management of complications (including infection and wound healing), and failure of mechanisms, as well as step-by-step surgical techniques.
- Quickly find the exact information you need with a straightforward "just what you need to know" approach, including surgical tips and pearls.
- Stay up to date with new insights regarding anatomic landmarks, recommended reconstruction options in revision surgery, including management of bone defects and instability.
- Access an abundance of surgical videos at Expert Consult.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| IFC | IFC | ||
| Techniques in Revision Hip and Knee Arthroplasty | iii | ||
| Copyright | iv | ||
| Contributors | v | ||
| Preface | xiii | ||
| Contents | xv | ||
| Video Contents | xix | ||
| Section I - EVALUATION OF THE PAINFUL TOTAL KNEE ARTHROPLASTY | 1 | ||
| Chapter 1 - The Economics of Total Hip and Knee Arthroplasty | 2 | ||
| Introduction | 2 | ||
| Costs of Total Joint Arthroplasty | 2 | ||
| New Payment Methodologies | 4 | ||
| Summary | 5 | ||
| References | 5 | ||
| Chapter 2 - History and Physical Examination for the Painful Total Knee Arthroplasty | 7 | ||
| Algorithm | 7 | ||
| Introduction | 7 | ||
| Patient History | 7 | ||
| Review of Prior Records | 9 | ||
| Physical Examination | 9 | ||
| Outcome Measures | 11 | ||
| Summary | 11 | ||
| References | 11 | ||
| Chapter 3 - Aspiration and Serology Testing | 13 | ||
| Introduction | 13 | ||
| Serologic Testing | 13 | ||
| Synovial Fluid Analysis | 14 | ||
| Summary | 16 | ||
| References | 16 | ||
| Chapter 4 - Imaging in the Failed Total Knee Arthroplasty | 18 | ||
| Introduction | 18 | ||
| Radiographic Assessment | 18 | ||
| Computed Tomography | 20 | ||
| Magnetic Resonance Imaging | 20 | ||
| Nuclear Medicine Scans | 22 | ||
| Summary | 23 | ||
| References | 24 | ||
| Chapter 5 - An Algorithmic Approach to the Painful Total Knee Arthroplasty | 26 | ||
| Algorithm | 26 | ||
| Introduction | 26 | ||
| Differential Diagnosis | 27 | ||
| Clinical Evaluation | 27 | ||
| Physical Examination | 28 | ||
| Laboratory Tests | 28 | ||
| Imaging Studies | 28 | ||
| Treatment | 29 | ||
| References | 29 | ||
| Section II - SURGICAL APPROACHES | 31 | ||
| Chapter 6 - Medial Arthrotomy | 32 | ||
| Chapter Preview | 32 | ||
| Introduction | 32 | ||
| Indication and Contraindications | 32 | ||
| Surgical Techniques | 33 | ||
| Postoperative Care | 38 | ||
| Complications | 38 | ||
| Summary | 38 | ||
| References | 39 | ||
| Suggested Readings | 39 | ||
| Chapter 7 - Quadriceps Snip | 40 | ||
| Algorithm | 40 | ||
| Chapter Preview | 41 | ||
| Introduction | 42 | ||
| Indications | 43 | ||
| Contraindications | 43 | ||
| Equipment | 43 | ||
| Surgical Technique | 43 | ||
| Complications | 43 | ||
| Outcomes | 44 | ||
| Postoperative Care | 44 | ||
| Summary | 44 | ||
| References | 44 | ||
| Suggested Readings | 44 | ||
| Chapter 8 - V-Y Quadriceps Turndown | 45 | ||
| Introduction | 45 | ||
| Surgical Technique | 46 | ||
| Rehabilitation | 47 | ||
| Surgical Outcome | 47 | ||
| Summary | 48 | ||
| References | 48 | ||
| Chapter 9 - Tibial Tubercle Osteotomy | 49 | ||
| Algorithm | 49 | ||
| Chapter Preview | 49 | ||
| Introduction | 49 | ||
| Indications and Contraindications | 49 | ||
| Equipment | 50 | ||
| Surgical Techniques | 50 | ||
| Complications | 50 | ||
| Outcomes | 51 | ||
| Postoperative Care | 52 | ||
| Summary | 52 | ||
| References | 52 | ||
| Suggested Readings | 52 | ||
| Chapter 10 - Exposures for Revision Knee Arthroplasty | 53 | ||
| Introduction | 53 | ||
| Indications and Contraindications | 54 | ||
| Equipment | 55 | ||
| Surgical Techniques | 55 | ||
| Complications | 60 | ||
| Outcomes | 60 | ||
| Postoperative Care | 61 | ||
| Summary | 62 | ||
| Future Considerations | 62 | ||
| References | 62 | ||
| Suggested Readings | 62 | ||
| Section III - IMPLANT REMOVAL | 63 | ||
| Chapter 11 - Implant Removal in Revision Total Knee Arthroplasty | 64 | ||
| Algorithm | 64 | ||
| Chapter Preview | 64 | ||
| Introduction | 64 | ||
| Equipment | 65 | ||
| Surgical Technique | 65 | ||
| Summary | 69 | ||
| Suggested Readings | 69 | ||
| Section IV - PRINCIPLES OF REVISION TOTAL KNEE ARTHROPLASTY | 71 | ||
| Chapter 12 - Principles of Revision Total Knee Arthroplasty | 72 | ||
| Algorithm | 72 | ||
| Chapter Preview | 72 | ||
| Introduction | 74 | ||
| Equipment | 74 | ||
| Surgical Technique | 75 | ||
| Complications | 77 | ||
| Outcomes | 77 | ||
| Postoperative Care | 77 | ||
| Summary | 77 | ||
| Future Considerations | 77 | ||
| References | 78 | ||
| Suggested Readings | 78 | ||
| Chapter 13 - Revising the Failed Unicompartmental Knee Arthroplasty | 79 | ||
| Chapter Preview | 79 | ||
| Introduction | 79 | ||
| Indications and Contraindications | 80 | ||
| Equipment | 81 | ||
| Anatomy and Approaches | 81 | ||
| Examination and Imaging | 81 | ||
| Surgical Procedure | 81 | ||
| Controversies | 83 | ||
| Complications | 84 | ||
| Outcomes | 84 | ||
| Postoperative Care | 85 | ||
| Summary | 85 | ||
| Future Considerations | 85 | ||
| References | 85 | ||
| Suggested Readings | 85 | ||
| Section V - MANAGEMENT OF THE STIFF KNEE | 87 | ||
| Chapter 14 - Manipulation | 88 | ||
| Chapter Preview | 88 | ||
| Introduction | 88 | ||
| Indications and Contraindications | 90 | ||
| Equipment | 90 | ||
| Surgical Techniques | 90 | ||
| Complications | 90 | ||
| Outcomes | 90 | ||
| Postoperative Care | 91 | ||
| Summary | 91 | ||
| Future Considerations | 91 | ||
| References | 91 | ||
| Suggested Readings | 91 | ||
| Chapter 15 - Nonrevision Surgery | 92 | ||
| Algorithm | 92 | ||
| Chapter Preview | 93 | ||
| Introduction | 94 | ||
| Indications and Contraindications | 94 | ||
| Surgical Techniques | 95 | ||
| Complications | 97 | ||
| Outcomes | 98 | ||
| Postoperative Care | 98 | ||
| Summary | 99 | ||
| Future Considerations | 99 | ||
| References | 99 | ||
| Chapter 16 - Revision Total Knee Arthroplasty | 100 | ||
| Chapter Preview | 100 | ||
| Introduction | 100 | ||
| Causes | 101 | ||
| Evaluation | 102 | ||
| Indications and Contraindications | 102 | ||
| Surgical Technique | 103 | ||
| Complications | 105 | ||
| Outcomes | 105 | ||
| Postoperative Care | 106 | ||
| Summary | 107 | ||
| Future Considerations | 107 | ||
| References | 107 | ||
| Section VI - MANAGEMENT OF INSTABILITY | 109 | ||
| Chapter 17 - Balancing the Gaps | 110 | ||
| Algorithm | 110 | ||
| Surgical Concepts | 110 | ||
| Summary | 112 | ||
| References | 112 | ||
| Chapter 18 - Use of Constrained Implants | 114 | ||
| Algorithm | 114 | ||
| Chapter Preview | 114 | ||
| Introduction | 116 | ||
| Indications and Contraindications | 116 | ||
| Equipment | 116 | ||
| Surgical Techniques | 116 | ||
| Complications | 117 | ||
| Outcomes | 117 | ||
| Postoperative Care | 117 | ||
| Summary | 118 | ||
| Future Considerations | 118 | ||
| References | 118 | ||
| Suggested Readings | 118 | ||
| Chapter 19 - Management of Knee Instability: Use of Hinged Implants | 119 | ||
| Algorithm | 119 | ||
| Chapter Preview | 120 | ||
| Introduction | 120 | ||
| Indications and Contraindications | 120 | ||
| Equipment | 121 | ||
| Surgical Techniques | 122 | ||
| Complications | 126 | ||
| Outcomes | 126 | ||
| Postoperative Care | 128 | ||
| Summary | 128 | ||
| Future Considerations | 128 | ||
| References | 128 | ||
| Suggested Readings | 129 | ||
| Section VII - MANAGEMENT OF BONE DEFECTS | 131 | ||
| Chapter 20 - Classification of Bone Defects | 132 | ||
| Introduction | 132 | ||
| Preoperative Assessment | 132 | ||
| Bone Loss Classification | 132 | ||
| Bone Loss Management | 133 | ||
| Summary | 138 | ||
| References | 139 | ||
| Chapter 21 - Management of Bone Defects Using Bone Graft | 141 | ||
| Chapter Preview | 142 | ||
| Introduction | 142 | ||
| Indication and Contraindications | 143 | ||
| Equipment | 143 | ||
| Surgical Techniques | 146 | ||
| Complications | 147 | ||
| Outcomes | 147 | ||
| Postoperative Care | 147 | ||
| Summary | 148 | ||
| Future Considerations | 148 | ||
| References | 148 | ||
| Suggested Readings | 148 | ||
| Chapter 22 - Bone Graft | 149 | ||
| Chapter Preview | 149 | ||
| Introduction | 150 | ||
| Surgical Technique | 150 | ||
| Outcomes | 155 | ||
| Summary | 156 | ||
| Future Considerations | 157 | ||
| References | 157 | ||
| Suggested Readings | 158 | ||
| Algorithm | 159 | ||
| Chapter Preview | 159 | ||
| Introduction | 159 | ||
| Indications and Contraindications | 160 | ||
| Equipment | 160 | ||
| Surgical Techniques | 160 | ||
| Complications | 163 | ||
| Outcomes | 163 | ||
| Postoperative Care | 164 | ||
| Summary | 164 | ||
| References | 164 | ||
| Suggested Readings | 164 | ||
| Chapter 23 - Prosthetic Augmentation | 165 | ||
| Introduction | 165 | ||
| Classification of Bone Loss and Reconstructive Options | 165 | ||
| Relative Indications and Contraindications | 165 | ||
| Surgical Technique | 165 | ||
| Complications | 166 | ||
| Postoperative Care | 166 | ||
| Case Examples | 167 | ||
| Outcomes | 168 | ||
| Summary | 171 | ||
| References | 171 | ||
| Suggested Readings | 171 | ||
| Introduction | 172 | ||
| Surgical Technique | 172 | ||
| Clinical Results | 174 | ||
| References | 174 | ||
| Section VIII - MANAGEMENT OF THE EXTENSOR MECHANISM | 175 | ||
| Chapter 24 - Patella Instability | 176 | ||
| Chapter Preview | 176 | ||
| Introduction | 178 | ||
| Clinical Presentation and Indications for Surgery | 178 | ||
| Equipment | 179 | ||
| Preoperative Planning | 179 | ||
| Anatomy and Approaches | 179 | ||
| Examination and Imaging | 179 | ||
| Surgical Procedure | 180 | ||
| Controversies | 182 | ||
| Complications | 183 | ||
| Outcomes | 184 | ||
| Postoperative Care | 184 | ||
| Summary | 184 | ||
| Future Considerations | 184 | ||
| References | 185 | ||
| Suggested Readings | 186 | ||
| Chapter 25 - Patellar Component Loosening | 187 | ||
| Algorithm | 187 | ||
| Chapter Preview | 188 | ||
| Introduction | 188 | ||
| Indications and Contraindications | 189 | ||
| Equipment | 189 | ||
| Surgical Techniques | 189 | ||
| Complications | 190 | ||
| Outcomes | 190 | ||
| Postoperative Care | 192 | ||
| Summary | 192 | ||
| References | 192 | ||
| Suggested Readings | 192 | ||
| Chapter 26 - Patellar Bone Loss | 193 | ||
| Chapter Preview | 193 | ||
| Introduction | 193 | ||
| Indications and Contraindications | 196 | ||
| Preoperative Evaluation | 196 | ||
| Surgical Techniques | 197 | ||
| Complications | 197 | ||
| Outcomes | 197 | ||
| Pearls and Pitfalls | 197 | ||
| Postoperative Care | 198 | ||
| Summary | 198 | ||
| References | 198 | ||
| Suggested Readings | 198 | ||
| Introduction | 199 | ||
| Indications and Contraindications | 199 | ||
| Equipment | 200 | ||
| Surgical Technique | 200 | ||
| Complications | 201 | ||
| Outcomes | 201 | ||
| Postoperative Care | 202 | ||
| Summary | 202 | ||
| Future Considerations | 203 | ||
| References | 203 | ||
| Suggested Readings | 203 | ||
| Chapter 27 - Acute and Chronic Patellar Tendon Ruptures After Total Knee Arthroplasty | 204 | ||
| Chapter Preview | 204 | ||
| Introduction | 204 | ||
| Indications and Contraindications | 206 | ||
| Physical Examination and Imaging | 206 | ||
| Allograft Options | 206 | ||
| ?Procedure for Extensor Mechanism Reconstruction (Video 27.1) | 207 | ||
| Postoperative Care | 209 | ||
| Outcomes | 210 | ||
| Summary | 210 | ||
| References | 211 | ||
| Suggested Readings | 211 | ||
| Chapter 28 - Acute and Chronic Quadriceps Tendon Ruptures After Total Knee Arthroplasty | 212 | ||
| Chapter Preview | 212 | ||
| Introduction | 212 | ||
| Surgical Repair of Acute Rupture of the Quadriceps Tendon | 213 | ||
| Surgical Repair of Chronic Rupture of the Quadriceps Tendon | 214 | ||
| Complications | 216 | ||
| Outcomes | 216 | ||
| References | 217 | ||
| Suggested Readings | 217 | ||
| Section IX - MANAGEMENT OF PERIPROSTHETIC FRACTURES | 219 | ||
| Chapter 29 - Periprosthetic Fractures | 220 | ||
| Introduction | 220 | ||
| Classification | 220 | ||
| References | 221 | ||
| Introduction | 222 | ||
| Classification | 222 | ||
| References | 222 | ||
| Chapter Preview | 223 | ||
| Introduction | 223 | ||
| Indications and Contraindications | 223 | ||
| Treatment Options: Fixation With a Locking Plate | 226 | ||
| Equipment | 226 | ||
| Surgical Technique | 227 | ||
| Controversies | 228 | ||
| Postoperative Care | 228 | ||
| References | 228 | ||
| Suggested Readings | 228 | ||
| Chapter 30 - Periprosthetic Fractures Associated With Total Knee Arthroplasty | 229 | ||
| Chapter Preview | 231 | ||
| Introduction | 232 | ||
| Indications and Contraindications | 232 | ||
| Preoperative Considerations | 232 | ||
| Equipment | 233 | ||
| Surgical Technique | 233 | ||
| Complications | 237 | ||
| Outcomes | 238 | ||
| Postoperative Care | 238 | ||
| Summary | 238 | ||
| References | 239 | ||
| Suggested Readings | 239 | ||
| Chapter 31 - Classification and Treatment of Patella Fractures | 240 | ||
| Algorithm | 240 | ||
| Chapter Preview | 240 | ||
| Introduction | 240 | ||
| Indications and Contraindications | 241 | ||
| Examination and Imaging | 241 | ||
| Equipment | 243 | ||
| Surgical Techniques | 243 | ||
| Controversies | 244 | ||
| Complications | 244 | ||
| Outcomes | 244 | ||
| Postoperative Care | 245 | ||
| Summary | 245 | ||
| Future Considerations | 245 | ||
| References | 246 | ||
| Suggested Readings | 246 | ||
| Section X - MANAGEMENT OF THE INFECTED TOTAL KNEE ARTHROPLASTY | 247 | ||
| Chapter 32 - Overview of the Microbiology | 248 | ||
| Introduction | 248 | ||
| Biofilm | 248 | ||
| Organism Profile | 249 | ||
| Emergence of Antibiotic Resistance | 250 | ||
| Classification | 251 | ||
| Microbiologic Management of Periprosthetic Joint Infection | 251 | ||
| Conclusion | 252 | ||
| References | 252 | ||
| Chapter 33 - Two-Stage Revision | 254 | ||
| Chapter Preview | 254 | ||
| Introduction | 255 | ||
| Indications and Contraindications | 255 | ||
| Controversies | 258 | ||
| Complications | 259 | ||
| Outcomes | 259 | ||
| Postoperative Care | 261 | ||
| Summary | 262 | ||
| Future Considerations | 262 | ||
| References | 262 | ||
| Suggested Readings | 262 | ||
| Chapter Preview | 263 | ||
| Introduction | 263 | ||
| Indications and Contraindications | 264 | ||
| Materials | 264 | ||
| Surgical Techniques | 266 | ||
| Controversies | 268 | ||
| Complications | 269 | ||
| Outcomes | 269 | ||
| Postoperative Care | 269 | ||
| Summary | 269 | ||
| Future Considerations | 269 | ||
| References | 269 | ||
| Suggested Readings | 270 | ||
| Chapter 34 - Irrigation and Débridement With Component Retention for Acute Periprosthetic Total Knee Arthroplasty Infections | 271 | ||
| Chapter Preview | 272 | ||
| Introduction | 272 | ||
| Indications and Contraindications | 273 | ||
| Equipment | 274 | ||
| Surgical Techniques | 274 | ||
| Complications | 276 | ||
| Outcomes | 276 | ||
| Postoperative Care | 277 | ||
| Summary | 277 | ||
| Future Considerations | 277 | ||
| References | 278 | ||
| Suggested Readings | 279 | ||
| Chapter 35 - One-Stage Revision | 280 | ||
| Chapter Preview | 280 | ||
| Introduction | 280 | ||
| Indications and Contraindications | 282 | ||
| Equipment | 282 | ||
| Surgical Technique | 282 | ||
| Complications and Revisions | 283 | ||
| Outcomes | 283 | ||
| Postoperative Care | 283 | ||
| Summary | 283 | ||
| Future Considerations | 284 | ||
| References | 284 | ||
| Suggested Readings | 285 | ||
| Section XI - WOUND COMPLICATIONS | 287 | ||
| Chapter 36 - Wound Management | 288 | ||
| Chapter Preview | 288 | ||
| Introduction | 289 | ||
| Indications and Contraindications | 292 | ||
| Surgical Techniques | 293 | ||
| Controversies | 294 | ||
| Complications | 294 | ||
| Outcomes | 294 | ||
| Postoperative Care | 295 | ||
| Summary | 295 | ||
| Future Considerations | 295 | ||
| References | 295 | ||
| Suggested Readings | 296 | ||
| Chapter 37 - Soft Tissue Coverage | 297 | ||
| Introduction | 297 | ||
| Indications and Contraindications | 298 | ||
| Equipment | 300 | ||
| Surgical Techniques | 301 | ||
| Controversies | 303 | ||
| Complications | 303 | ||
| Outcomes | 303 | ||
| Postoperative Care | 305 | ||
| Summary | 305 | ||
| Future Considerations | 305 | ||
| References | 305 | ||
| Suggested Readings | 306 | ||
| Section XII - PREOPERATIVE EVALUATION OF THE FAILED TOTAL HIP ARTHROPLASTY | 307 | ||
| Chapter 38 - Evaluation of the Failed Total Hip Arthroplasty: History and Physical Examination | 308 | ||
| Algorithm | 308 | ||
| Chapter Preview | 310 | ||
| Introduction | 310 | ||
| Indication and Contraindications | 310 | ||
| Equipment | 310 | ||
| Evaluation Techniques | 311 | ||
| Complications | 317 | ||
| Summary | 318 | ||
| Future Considerations | 318 | ||
| References | 318 | ||
| Suggested Readings | 319 | ||
| Chapter 39 - Mechanisms of Failure: Indications for Revision Total Hip Arthroplasty | 320 | ||
| Introduction | 320 | ||
| Indications for Revision Surgery | 321 | ||
| Summary | 325 | ||
| Future Considerations | 325 | ||
| References | 326 | ||
| Chapter 40 - Magnetic Resonance Imaging of the Painful Total Hip Arthroplasty | 327 | ||
| Introduction | 327 | ||
| Imaging Techniques | 327 | ||
| Imaging for Postoperative Complications | 327 | ||
| Summary | 332 | ||
| References | 335 | ||
| Chapter 41 - Radiographic Evaluation of the Symptomatic Total Hip Arthroplasty | 336 | ||
| Introduction | 336 | ||
| Radiographic Evaluation | 336 | ||
| Component Position | 338 | ||
| Radiographic Osseous Changes | 338 | ||
| Acetabulum | 338 | ||
| Femur | 340 | ||
| Special Circumstances: Infection | 341 | ||
| Radionuclide Imaging | 342 | ||
| Summary | 342 | ||
| References | 342 | ||
| Section XIII - ASSESSMENT OF BONE LOSS | 343 | ||
| Chapter 42 - Acetabular Bone Loss: Case Presentations | 344 | ||
| Introduction | 346 | ||
| Indications for Revision | 346 | ||
| Surgical Techniques | 346 | ||
| Postoperative Care | 347 | ||
| Summary | 348 | ||
| References | 348 | ||
| Chapter 43 - Acetabular Bone Loss Classification | 349 | ||
| Introduction | 349 | ||
| Indications for Revision | 349 | ||
| Imaging | 349 | ||
| Acetabular Bone Loss Classification Systems | 349 | ||
| Summary | 351 | ||
| References | 353 | ||
| Suggested Readings | 353 | ||
| Chapter 44 - Recommended Acetabular Reconstruction Options | 354 | ||
| Algorithm | 354 | ||
| Introduction | 355 | ||
| Surgical Techniques | 355 | ||
| Summary | 358 | ||
| References | 358 | ||
| Suggested Readings | 358 | ||
| Chapter 45 - Surgical Techniques: Socket Removal | 359 | ||
| Introduction | 359 | ||
| Indications and Contraindications | 359 | ||
| Surgical Techniques | 359 | ||
| Outcomes | 361 | ||
| Summary | 361 | ||
| References | 361 | ||
| Suggested Readings | 362 | ||
| Section XIV - FEMORAL BONE LOSS | 363 | ||
| Chapter 46 - Femoral Bone Loss Classification | 364 | ||
| Chapter Preview | 364 | ||
| Clinical/Surgical Pitfalls | 364 | ||
| Introduction | 364 | ||
| Indication and Contraindications | 364 | ||
| Imaging and Templating | 364 | ||
| Classification Systems | 365 | ||
| Controversies | 367 | ||
| Summary | 367 | ||
| Future Considerations | 368 | ||
| References | 368 | ||
| Suggested Reading | 368 | ||
| Chapter 47 - Femoral Component Removal | 369 | ||
| Chapter Preview | 369 | ||
| Introduction | 369 | ||
| Indications and Contraindications | 369 | ||
| Equipment | 369 | ||
| Surgical Techniques | 369 | ||
| Controversies | 372 | ||
| Postoperative Care | 372 | ||
| Summary | 372 | ||
| References | 372 | ||
| Suggested Readings | 372 | ||
| Chapter 48 - Femoral Reconstruction Options in Revision Hip Arthroplasty | 373 | ||
| Algorithm | 373 | ||
| Introduction | 373 | ||
| Indications for Revision | 373 | ||
| Surgical Techniques | 375 | ||
| Summary | 376 | ||
| References | 378 | ||
| Section XV - SURGICAL APPROACHES | 381 | ||
| Chapter 49 - Posterolateral Approach to the Hip | 382 | ||
| Chapter Preview | 382 | ||
| Introduction | 382 | ||
| Indications and Contraindications | 383 | ||
| Surgical Technique | 383 | ||
| Complications | 386 | ||
| Postoperative Care | 386 | ||
| Summary | 386 | ||
| References | 387 | ||
| Chapter 50 - Direct Lateral Approach to the Hip | 388 | ||
| Chapter Preview | 388 | ||
| Introduction | 388 | ||
| Indications and Contraindications | 388 | ||
| Equipment | 388 | ||
| Surgical Technique | 389 | ||
| Postoperative Care | 390 | ||
| Complications and Outcomes | 390 | ||
| Summary | 390 | ||
| References | 390 | ||
| Chapter 51 - Direct Anterior Approach to Revision Total Hip Arthroplasty | 392 | ||
| Chapter Preview | 392 | ||
| Introduction | 393 | ||
| Indications and Contraindications | 394 | ||
| Equipment | 395 | ||
| Surgical Technique | 395 | ||
| Complications | 400 | ||
| Postoperative Care | 401 | ||
| Summary | 402 | ||
| Future Considerations | 403 | ||
| References | 403 | ||
| Suggested Readings | 403 | ||
| Chapter 52 - Extended Trochanteric Osteotomy for Femoral Revision | 404 | ||
| Chapter Preview | 404 | ||
| Introduction | 405 | ||
| Indications and Contraindications | 405 | ||
| Equipment | 406 | ||
| Surgical Technique | 406 | ||
| Complications | 411 | ||
| Outcomes | 412 | ||
| Postoperative Care | 412 | ||
| Summary | 412 | ||
| Suggested Readings | 412 | ||
| Chapter 53 - Exposure for Revision Total Hip Arthroplasty | 413 | ||
| Anterolateral Approach With a Cortical Window | 417 | ||
| References | 421 | ||
| Suggested Readings | 421 | ||
| Section XVI - THE ACETABULUM | 423 | ||
| Chapter 54 - Management of Cavitary Defects | 424 | ||
| Chapter Preview | 424 | ||
| Introduction | 424 | ||
| Indications and Contraindications | 424 | ||
| Equipment | 424 | ||
| Surgical Techniques | 424 | ||
| Controversies | 426 | ||
| Complications | 426 | ||
| Postoperative Care | 426 | ||
| Summary | 426 | ||
| Future Considerations | 426 | ||
| References | 426 | ||
| Suggested Readings | 427 | ||
| Chapter 55 - Management of Segmental and Column Defects | 428 | ||
| Chapter Preview | 428 | ||
| Introduction | 428 | ||
| Equipment | 430 | ||
| Surgical Techniques | 430 | ||
| Complications | 430 | ||
| Postoperative Care | 430 | ||
| References | 430 | ||
| Suggested Readings | 430 | ||
| Chapter 56 - Management of Protrusio Defects | 431 | ||
| Chapter Preview | 431 | ||
| Introduction | 431 | ||
| Indications and Contraindications | 431 | ||
| Equipment | 432 | ||
| Surgical Techniques | 432 | ||
| Complications | 433 | ||
| Postoperative Care | 433 | ||
| Summary | 433 | ||
| Future Considerations | 433 | ||
| References | 433 | ||
| Suggested Readings | 433 | ||
| Chapter 57 - Landmarks to Determine the Anatomic Hip Center of Rotation | 434 | ||
| Introduction | 434 | ||
| Surgical Technique | 434 | ||
| Summary | 436 | ||
| References | 437 | ||
| Chapter 58 - Acetabular Reconstruction With a Jumbo Socket | 438 | ||
| Chapter Preview | 438 | ||
| Introduction | 438 | ||
| Indications and Contraindications | 439 | ||
| Equipment | 440 | ||
| Surgical Technique | 440 | ||
| Complications | 442 | ||
| Outcomes | 442 | ||
| Postoperative Care | 442 | ||
| Summary | 442 | ||
| Future Considerations | 442 | ||
| References | 443 | ||
| Suggested Readings | 443 | ||
| Chapter 59 - Acetabular Reconstruction | 444 | ||
| Algorithm | 445 | ||
| Introduction | 448 | ||
| Surgical Techniques | 448 | ||
| Complications | 452 | ||
| Postoperative Care | 453 | ||
| References | 453 | ||
| Algorithm | 454 | ||
| Introduction | 454 | ||
| Indications and Contraindications | 454 | ||
| Equipment | 454 | ||
| Surgical Techniques | 456 | ||
| Outcomes | 457 | ||
| Summary | 459 | ||
| Future Considerations | 459 | ||
| References | 463 | ||
| Suggested Readings | 463 | ||
| Section XVII - REVISION OF THE FEMUR | 465 | ||
| Chapter 60 - Cemented Femoral Revision in Total Hip Arthroplasty | 466 | ||
| Algorithm | 466 | ||
| Chapter Preview | 467 | ||
| Introduction | 467 | ||
| Indications and Contraindications | 470 | ||
| Equipment | 470 | ||
| Surgical Techniques | 470 | ||
| Complications | 472 | ||
| Outcomes | 472 | ||
| Postoperative Care | 473 | ||
| Summary | 473 | ||
| Future Considerations | 473 | ||
| References | 473 | ||
| Suggested Readings | 474 | ||
| Section XVIII - MODULAR CEMENTLESS FIXATION | 475 | ||
| Chapter 61 - Femoral Revision Arthroplasty With a Modular Cementless Prosthesis | 476 | ||
| Introduction | 478 | ||
| Indications and Contraindications | 479 | ||
| Equipment | 480 | ||
| Outcomes | 480 | ||
| Complications | 481 | ||
| Summary | 482 | ||
| References | 482 | ||
| Chapter 62 - Proximal Porous-Coated Modular Stems: Surgical Technique | 483 | ||
| Introduction | 483 | ||
| Equipment | 483 | ||
| Surgical Technique | 485 | ||
| Postoperative Care | 488 | ||
| Summary | 488 | ||
| References | 489 | ||
| Section XIX - MANAGEMENT OF FEMORAL BONE LOSS IN REVISION TOTAL HIP ARTHROPLASTY | 491 | ||
| Chapter 63 - Case Presentations: Extensively Porous-Coated, Cylindrical Stems | 492 | ||
| Chapter 64 - Surgical Techniques: Extensively Porous-Coated, Cylindrical Stems | 495 | ||
| Introduction | 495 | ||
| Indications and Contraindications | 495 | ||
| Equipment | 495 | ||
| Surgical Techniques | 495 | ||
| Controversies | 497 | ||
| Complications | 497 | ||
| Outcomes | 497 | ||
| Postoperative Care | 497 | ||
| Summary | 497 | ||
| Future Considerations | 497 | ||
| References | 498 | ||
| Suggested Readings | 498 | ||
| Chapter 65 - Modular, Fluted, Tapered, Grit-Blasted Titanium Stems for Femoral Revision | 499 | ||
| Chapter Preview | 499 | ||
| Introduction | 499 | ||
| Indications and Contraindications | 500 | ||
| Equipment | 500 | ||
| Surgical Techniques | 500 | ||
| Controversies | 503 | ||
| Complications | 503 | ||
| Outcomes | 503 | ||
| Postoperative Care | 504 | ||
| Summary | 504 | ||
| Future Considerations | 504 | ||
| References | 504 | ||
| Suggested Readings | 505 | ||
| Chapter 66 - Megaprosthesis of the Hip | 506 | ||
| Introduction | 506 | ||
| Indications and Contraindications | 507 | ||
| Equipment | 507 | ||
| Surgical Technique | 508 | ||
| Intraoperative assessment confirmed the anterior column deficiency and adequate bone support in the ilium, posterior column, and... | 508 | ||
| Complications | 508 | ||
| Outcomes | 508 | ||
| Postoperative Care | 510 | ||
| Summary | 510 | ||
| References | 510 | ||
| Section XX - SPECIAL CONSIDERATIONS | 511 | ||
| Section 67 - Conversion of Prior Surgery to Total Hip Arthroplasty | 512 | ||
| Chapter Preview | 512 | ||
| Introduction | 512 | ||
| Indications and Contraindications | 513 | ||
| Equipment | 513 | ||
| Surgical Techniques | 514 | ||
| Postoperative Care | 517 | ||
| Outcomes | 518 | ||
| Summary | 518 | ||
| References | 519 | ||
| Chapter 68 - Instability After Total Hip Arthroplasty | 520 | ||
| Chapter Preview | 520 | ||
| Introduction | 521 | ||
| Algorithm | 521 | ||
| Indications and Contraindications | 522 | ||
| Surgical Technique | 523 | ||
| Postoperative Care | 524 | ||
| Summary | 525 | ||
| References | 525 | ||
| Chapter 69 - Management of Wear and Osteolysis | 526 | ||
| Algorithms | 526 | ||
| Chapter Preview | 526 | ||
| Introduction | 527 | ||
| Indications and Contraindications | 527 | ||
| Preoperative Considerations | 528 | ||
| Equipment | 528 | ||
| Surgical Techniques | 529 | ||
| Outcomes | 529 | ||
| Postoperative Care | 530 | ||
| Summary and Future Considerations | 530 | ||
| References | 530 | ||
| Suggested Readings | 532 | ||
| Chapter 70 - Management of Thigh Pain in Cementless Arthroplasty | 533 | ||
| Introduction | 533 | ||
| Indications and Contraindications | 534 | ||
| Equipment | 534 | ||
| Surgical Techniques | 535 | ||
| Controversies | 536 | ||
| Complications | 536 | ||
| Outcomes | 537 | ||
| Summary | 537 | ||
| Future Considerations | 537 | ||
| References | 537 | ||
| Suggested Readings | 537 | ||
| Chapter 71 - Periprosthetic Femoral Fractures Associated With Total Hip Arthroplasty | 538 | ||
| Algorithms | 539 | ||
| Chapter Preview | 540 | ||
| Introduction | 540 | ||
| Indications and Contraindications | 541 | ||
| Equipment | 541 | ||
| Surgical Technique | 541 | ||
| Complications | 547 | ||
| Outcomes | 548 | ||
| Postoperative Care | 549 | ||
| Summary | 550 | ||
| References | 550 | ||
| Suggested Readings | 550 | ||
| Chapter 72 - Revision Arthroplasty for Periprosthetic Femoral Fracture | 551 | ||
| Introduction | 551 | ||
| Surgical Technique | 551 | ||
| Procedure | 552 | ||
| Postoperative Care | 554 | ||
| Outcomes | 554 | ||
| References | 557 | ||
| Chapter 73 - Revision of Articular Bearing Complications | 558 | ||
| Chapter Preview | 558 | ||
| Introduction | 562 | ||
| Indications for Revision | 563 | ||
| Examination and Imaging | 564 | ||
| Surgical Technique | 567 | ||
| Complications | 568 | ||
| Outcomes | 568 | ||
| Postoperative Care | 569 | ||
| Summary | 569 | ||
| References | 569 | ||
| Suggested Readings | 571 | ||
| Introduction | 572 | ||
| Ceramic-on-Ceramic Squeaking | 572 | ||
| Ceramic Bearing Surface Fracture | 574 | ||
| Summary | 576 | ||
| References | 576 | ||
| Section XXI - MANAGEMENT OF THE INFECTED TOTAL HIP ARTHROPLASTY | 579 | ||
| Chapter 74 - History and Diagnostic Testing | 580 | ||
| Introduction | 580 | ||
| Examination and Imaging | 580 | ||
| Summary | 583 | ||
| References | 584 | ||
| Chapter 75 - Single-Stage Revision Total Hip Arthroplasty | 586 | ||
| Introduction | 587 | ||
| Indications and Contraindications | 588 | ||
| Classification of Periprosthetic Infection | 589 | ||
| Examination and Imaging | 589 | ||
| Surgical Technique | 589 | ||
| Postoperative Care | 590 | ||
| Outcomes | 591 | ||
| Summary | 591 | ||
| References | 591 | ||
| Chapter 76 - Two-Stage Revision Total Hip Arthroplasty | 592 | ||
| Introduction | 592 | ||
| Indications and Contraindications | 593 | ||
| Equipment and Personnel | 593 | ||
| Surgical Technique | 595 | ||
| Postoperative Care | 597 | ||
| Outcomes | 597 | ||
| Summary | 597 | ||
| References | 597 | ||
| Selected Readings | 597 | ||
| Index | 599 | ||
| IBC | IBC |