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…
Evaluation and Treatment of Infected Total Hip Arthroplasty
Chapter Preview Chapter Synopsis Patients with infection after total hip arthroplasty can present with a wide spectrum of symptoms and findings. Evaluation of the patient with a potentially infected total…
Component Removal: Tricks of the Trade
Chapter Preview Chapter synopsis Revision hip arthroplasty begins with extrication of the retained components before surgical reconstruction. Although the removal of loose implants may be relatively straightforward, the removal of…
Allograft-Prosthesis Composites
Chapter Preview CHAPTER SYNOPSIS The role of allograft-prosthesis composites in revision hip arthroplasty is controversial. Allograft-prosthesis composites are indicated only in the most complex cases of severe femoral bone loss…
Mini Lateral Approach Total Hip Arthroplasty: The Anterolateral Approach (Modified Hardinge)
Chapter Preview Chapter Synopsis This chapter describes the technique for minimally invasive lateral approach total hip arthroplasty. The technique described is the modified Hardinge surgical approach, performed with the patient…
Infected Total Hip Arthroplasty: Future Problems and Potential Solutions
Chapter Preview Important Points: 1 Mild pain is the most common presenting symptom of patients with an infected total hip arthroplasty, whereas radiographs commonly are negative. 2 Erythrocyte sedimentation rate…
Diaphyseal Fixation: Providing Durable Femoral Revisions with Extensively Porous Coated Stems
Chapter Preview Chapter synopsis Most femoral revisions involve weak or sclerotic metaphyseal host bone. Designed to bypass defective proximal bone, extensively porous coated stems provide long-term durability in all but…
