Fluted Tapered Modular Stems
Fluted Tapered Modular Stems Nicholas M. Hernandez Matthew P. Abdel Key Concepts Modular fluted tapered (MFT) stems have become popular in the last decade because of favorable reported results, ease…
Infection: Two-Stage Techniques
Infection: Two-Stage Techniques Timothy S. Brown Kevin I. Perry Key Concepts Two-stage exchange for chronic periprosthetic joint infection (PJI) of the hip is the gold standard treatment in North America….
Pelvic Discontinuity
Pelvic Discontinuity Matthew P. Abdel Key Concepts Pelvic discontinuity is a separation of the ilium superiorly from the ischiopubic segment inferiorly (Figure 41.1). When performing a revision total hip arthroplasty…
Extended Greater Trochanteric Osteotomies
Extended Greater Trochanteric Osteotomies Alan K. Sutak Daniel J. Berry Key Concepts Extended greater trochanteric osteotomies provide wide access to the femoral canal and hip joint. The most common indications…
Metal Wear or Corrosion
Metal Wear or Corrosion Adam Hart Michael J. Taunton Key Concepts Metal ions leading to an adverse local tissue reaction (ALTR) as exemplified in Figure 37.1 may be generated from…
Proximal Femoral Replacement With Tumor Prosthesis; Total Femur Replacement
Proximal Femoral Replacement With Tumor Prosthesis; Total Femur Replacement Kevin I. Perry Key Concepts Massive bone loss of the femur after total hip arthroplasty (THA) can occur secondary to osteolysis,…
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…
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…
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…
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,…
