A Growing Problem
Acetabular fractures in the elderly are most frequently the result of low-energy trauma and present unique management challenges to orthopedic surgeons. Evaluation and treatment should be performed in a multidisciplinary…
Total Hip Arthroplasty After Previous Fracture Surgery
Total hip arthroplasty can be a very effective salvage treatment for both failed fracture surgery and hip arthritis that may occur after prior fracture surgery. The rate of complications is…
Modes of Failure in Metal-on-Metal Total Hip Arthroplasty
Use of large-head metal-on-metal (MoM) bearing surfaces in total hip arthroplasty (THA) has created new and unique modes of failure for this type of articulation. These unique modes are in…
The Current Trends for Lateral Unicondylar Knee Arthroplasty
Unicompartmental osteoarthritis of the knee is a relatively common disease that is seen in 40% of the population. Although disease isolated to the medial compartment of the knee is more…
Adult Reconstruction
Giles R. Scuderi, MD, Editor In this issue of Orthopedic Clinics of North America , we cover two current and relevant topics in joint arthroplasty: lateral unicompartmental knee arthroplasty and…
Soft Tissue Masses for the General Orthopedic Surgeon
Soft tissue sarcomas are a rare, heterogeneous group of malignancies that should be included in the differential diagnosis for any patient presenting with a soft tissue mass. This article reviews…
PET Imaging in Sarcoma
PET imaging has been evaluated in five areas of sarcoma diagnosis and treatment: biopsy guidance, therapeutic monitoring, tumor detection and grading, tumor staging, and prognostication. Current evidence does not include…
Durability of Highly Cross-Linked Polyethylene in Total Hip and Total Knee Arthroplasty
This article reviews the history of the development of highly cross-linked polyethylene and provides an in-depth review of the clinical results regarding the durability of highly cross-linked polyethylene (HXLPE) used…
Pain Management Strategies in Hand Surgery
Modern anesthetic agents have allowed for the rapid expansion of ambulatory surgery, particularly in hand surgery. The choice between general anesthesia, peripheral regional blocks, regional intravenous anesthesia (Bier block), local…
Glenoid Bone Loss in Anatomic Shoulder Arthroplasty
Despite major advances in total shoulder arthroplasty, management of severe posterior glenoid bone loss remains controversial. Several companies have provided alternative treatment options for type C glenoids associated with posterior…
