Management of Cavitary Defects
Chapter Preview Chapter Synopsis This chapter describes the appropriate treatment of cavitary defects. Important Points • Cavitary defects are contained defects. • The defects may be successfully treated with a…
Extended Trochanteric Osteotomy for Femoral Revision
CASE STUDY A 50-year-old man with no significant medical history underwent primary left total hip arthroplasty (THA) 9 years earlier. He returned to the medical office with a new limp…
Magnetic Resonance Imaging of the Painful Total Hip Arthroplasty
Introduction Magnetic resonance imaging (MRI) has proved extremely useful for evaluating the painful hip prosthesis. MRI with excellent soft tissue contrast offers significant advantages over computed tomography and plain radiography…
Radiographic Evaluation of the Symptomatic Total Hip Arthroplasty
CASE STUDY A 50-year-old man underwent left total hip replacement to treat osteoarthritis. Because of his age and activity level, a large resurfacing socket was used to maximize stability and…
Posterolateral Approach to the Hip
CASE STUDY A 42-year-old man presented with bilateral hip pain 1 year after undergoing staged, bilateral total hip arthroplasties (THAs). The patient had his right hip replaced first, with good…
Acetabular Bone Loss: Case Presentations
CASE STUDIES Case 1 A 39-year-old man had a right total hip arthroplasty (THA) in 1996 at the age of 26 for degenerative changes of the hip caused by osteomyelitis…
Recommended Acetabular Reconstruction Options
Algorithm Treatment algorithm for acetabular revision proposed by Paprosky. Introduction Numerous steps and technical issues are involved in performing an acetabular revision. Success depends on intimate contact between the implant…
Femoral Reconstruction Options in Revision Hip Arthroplasty
CASE STUDY An 81-year-old woman presented with pain in the right hip and thigh that was associated with progressive difficulty in ambulating and putting weight on the right leg. She…
Direct Lateral Approach to the Hip
Chapter Preview Chapter Synopsis The direct lateral or transgluteal approach for total hip arthroplasty (THA) is used by clinicians worldwide. Clinical outcomes and potential complications are similar to those for…
Surgical Techniques: Socket Removal
Introduction Removing a solidly fixed, cemented or cementless acetabular component with minimal bone loss while avoiding further structural damage to the pelvis can be technically challenging as well as time…
