Approach to the Foot
A systematic assessment of foot radiographs for the manifestations of arthropathies is important, because the foot may be an early site of involvement in a systemic arthropathy such as rheumatoid…
Approach to the Hip
The assessment of hip pain depends on a systematic review of a quality anteroposterior (AP) view of the pelvis. The femurs should be internally rotated approximately 15 degrees, the pelvis…
Megaprosthesis for Severe Femoral Bone Loss: Heavy Metal
Chapter Preview CHAPTER SYNOPSIS This chapter outlines the role and technique of proximal femoral replacement in the armamentarium of the reconstructive hip surgeon. Simply stated, when the proximal 25% to…
Impaction Grafting of the Femur
Chapter Preview CHAPTER SYNOPSIS This chapter describes the technique of femoral impaction grafting. The basic science, technique development, procedures, and experience of the Exeter group are discussed. IMPORTANT POINTS 1…
Periprosthetic Fractures around Total Hip Arthroplasty: Evaluation and Management
Chapter Preview Chapter Synopsis Periprosthetic fracture around hip arthroplasty is a difficult problem that is increasing in prevalence. This chapter describes the problem, discusses classification schemes, and summarizes modern alternatives…
Triflange Acetabular Components: Last Hurrah
Chapter Preview CHAPTER SYNOPSIS This chapter describes the indications, component design, surgical technique, and long-term results for acetabular reconstruction with a flanged acetabular component. The triflange cup is indicated in…
Tapered, Fluted Femoral Fixation
Chapter Preview CHAPTER SYNOPSIS The tapered, fluted revision hip stem has solved a serious problem in revision arthroplasty. By using the remaining intact diaphyseal bone stock for fixation, these stems…
Liner Exchange and Surgical Treatment of Osteolysis
Chapter Preview Chapter Synopsis Osteolysis of the bone surrounding total hip replacements is a relatively common and potentially serious complication. This chapter reviews the etiology of osteolysis around total hip…
Hemispheric Press-Fit Components: The Workhorse
Chapter Preview CHAPTER SYNOPSIS Acetabular revision with uncemented hemispheric components has demonstrated excellent mid- and long-term results. Clinical success and surgeon familiarity with hemisphere cup insertion techniques make this the…
Cemented Long Stems for Revision Total Hip Arthroplasty: Do’s and Don’ts
Chapter Preview CHAPTER SYNOPSIS: 1 Cemented femoral revision serves as an option for patients who are elderly, are low demand, have poor femoral bone stock, are at high risk for…
