Median Parapatellar Approach
Median Parapatellar Approach Timothy S. Brown Michael J. Taunton Key Concepts Supine positioning, with a nonsterile leg holder to help maintain knee flexion and a nonsterile post to prevent passive…
Exposure of the Problem Knee: Stiffness, Previous Incisions
Exposure of the Problem Knee: Stiffness, Previous Incisions Kevin I. Perry Key Concepts Previous incisions or soft tissue coverage (Figure 47.1A and B) around a knee increase the risks of…
Preoperative Planning/Templating/Limb Alignment for Primary Total Knee Arthroplasty
Preoperative Planning/Templating/Limb Alignment for Primary Total Knee Arthroplasty Timothy B. Alton Mark W. Pagnano Introduction Preoperative planning in total knee arthroplasty helps surgeons visualize the bone cuts and decrease intraoperative…
Heterotopic Bone
Heterotopic Bone Joshua S. Bingham MICHAEL J. Taunton Key Concepts Radiographically evident heterotopic ossification (HO) around the hip and knee is an important clinical finding that must be carefully considered…
Hip Instability
Hip Instability Brian P. Chalmers Robert T. Trousdale Key Concepts Careful patient evaluation is important to identify clinical and physical risk factors that place a patient at risk for instability….
Abductor Muscle Repair/Reconstruction
Abductor Muscle Repair/Reconstruction Adam Hart Rafael J. Sierra Key Concepts Abductor deficiency following total hip replacement is a major problem that may lead to pain, Trendelenburg gait, and instability. Multiple…
Periprosthetic Femur Fracture
Periprosthetic Femur Fracture Brian P. Chalmers Matthew P. Abdel Key Concepts The key to fracture management is accurately determining if the femoral component is well-fixed or loose because most well-fixed…
Fluted Tapered Modular Stems
Fluted Tapered Modular Stems Nicholas M. Hernandez Matthew P. Abdel Key Concepts Modular fluted tapered (MFT) stems have become popular in the last decade because of favorable reported results, ease…
Infection: Two-Stage Techniques
Infection: Two-Stage Techniques Timothy S. Brown Kevin I. Perry Key Concepts Two-stage exchange for chronic periprosthetic joint infection (PJI) of the hip is the gold standard treatment in North America….
Pelvic Discontinuity
Pelvic Discontinuity Matthew P. Abdel Key Concepts Pelvic discontinuity is a separation of the ilium superiorly from the ischiopubic segment inferiorly (Figure 41.1). When performing a revision total hip arthroplasty…
