Metal Wear or Corrosion
Metal Wear or Corrosion Adam Hart Michael J. Taunton Key Concepts Metal ions leading to an adverse local tissue reaction (ALTR) as exemplified in Figure 37.1 may be generated from…
Proximal Femoral Replacement With Tumor Prosthesis; Total Femur Replacement
Proximal Femoral Replacement With Tumor Prosthesis; Total Femur Replacement Kevin I. Perry Key Concepts Massive bone loss of the femur after total hip arthroplasty (THA) can occur secondary to osteolysis,…
Custom Triflange Implants
Custom Triflange Implants Matthew W. Tetreault Michael J. Taunton Key Concepts Custom triflange acetabular components provide a unique solution for bridging large acetabular defects that exceed the limits of defect-matching…
Fully Porous Coated Stems
Fully Porous Coated Stems Tad M. Mabry Key Concepts Meticulous preoperative planning and templating are essential to the success of revision femoral reconstruction using fully porous coated stems. Liberal use…
Cup-Cage Constructs
Cup-Cage Constructs David G. Lewallen Ashton H. Goldman Key Concepts Major acetabular bone loss may make it difficult or even impossible to achieve stable fixation of a large uncemented porous…
Periprosthetic Osteolysis
Periprosthetic Osteolysis Cory G. Couch Michael J. Taunton Key Concepts Osteolysis can have a number of etiologies including infection, tumors, and inflammatory reactions related to particulate debris. In joint replacement,…
Hip Dysplasia
Hip Dysplasia Adam Hart Daniel J. Berry Key Concepts Hip dysplasia entails a spectrum of deformity, which must be evaluated preoperatively and addressed at the time of surgery. The acetabulum…
Cortical Strut Bone Grafts
Cortical Strut Bone Grafts David G. Lewallen Key Concepts Cortical strut grafting of the femur during revision total hip arthroplasty (THA) can help reconstruct bone defects and restore bone stock,…
Allograft Prosthetic Composite
Allograft Prosthetic Composite David G. Lewallen Key Concepts Large segment allograft prosthetic composites (APCs) are used for reconstruction of the femur when other methods of managing femoral bone loss are…
Impaction Bone Grafting With Cemented Stems
Impaction Bone Grafting With Cemented Stems Ashton H. Goldman Rafael J. Sierra Key Concepts The most common indication for impaction grafting is the stove-pipe Paprosky type IV femur in a…
