Custom Triflange Implants

Dec 14, 2019 by in ORTHOPEDIC Comments Off on 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…

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Fully Porous Coated Stems

Dec 14, 2019 by in ORTHOPEDIC Comments Off on 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…

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Cup-Cage Constructs

Dec 14, 2019 by in ORTHOPEDIC Comments Off on 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…

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Periprosthetic Osteolysis

Dec 14, 2019 by in ORTHOPEDIC Comments Off on 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,…

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Hip Dysplasia

Dec 14, 2019 by in ORTHOPEDIC Comments Off on 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…

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Cortical Strut Bone Grafts

Dec 14, 2019 by in ORTHOPEDIC Comments Off on 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,…

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Allograft Prosthetic Composite

Dec 14, 2019 by in ORTHOPEDIC Comments Off on 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…

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Impaction Bone Grafting With Cemented Stems

Dec 14, 2019 by in ORTHOPEDIC Comments Off on 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…

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Cemented Stems

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Cemented Stems

Cemented Stems Cory G. Couch Robert T. Trousdale Key Concepts Cement-in-cement revision technique refers to a revision method in which a femoral component is removed from an intact cement mantle…

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High Hip Dysplasia

Dec 14, 2019 by in ORTHOPEDIC Comments Off on High Hip Dysplasia

High Hip Dysplasia Daniel J. Berry Key Concepts In high hip dislocation the femoral head is in a false acetabulum superior to the true acetabulum (Figure 16.1A). The goal is…

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