"Techniques in Revision Hip and Knee Arthroplasty is the one authoritative volume that gives you an efficient, problem-based approach to revision arthroplasty of both the hip and knee. Dr. Giles Scuderi and other leading experts from North America and Western Europe present their favored surgical procedures and post-surgical management strategies in this straightforward, heavily illustrated, video-intensive reference. It's your one-stop, go-to guide for successful revision surgery for a myriad of complications, such as implant loosening, polyethylene wear, osteolysis, or infection of the hip and knee.
Get expert guidance on implant choice, management of complications (including infection and wound healing), and failure of mechanisms, as well as step-by-step surgical techniques.
Quickly find the exact information you need with a straightforward ""just what you need to know"" approach, including surgical tips and pearls.
Stay up to date with new insights regarding anatomic landmarks, recommended reconstruction options in revision surgery, including management of bone defects and instability.
Access the fully searchable contents of the book and an abundance of surgical videos online at Expert Consult."
Section 1: Evaluation of the Painful Total Knee Arthroplasty 1. The Economics of Total Knee Arthroplasty 2. History and Physical Examination for the Painful Total Knee Arthroplasty 3. Aspiration and Serology Tests 4. Imaging in the Failed Total Knee Arthroplasty 5. An Algorithmic Approach to the Painful Total Knee Arthroplasty Section 2: Surgical Approaches 6. Medial Arthrotomy 7. Quadriceps Snip 8. V-Y Quadriceps Turndown 9. Tibial Tubercle Osteotomy 10. Exposure for Revision Knee Arthroplasty Section 3: Implant Removal 11. Implant Removal Section 4: Principles of Revision TKA 12. Principles of Revision Total Knee Arthroplasty 13. Revising the Failed Unicompartmental Knee Arthroplasty Section 5: Management of the Stiff Knee 14. Manipulation 15. Nonrevision Surgery 16. Revision Total Knee Arthroplasty Section 6: Management of Instability 17. Balancing the Gaps 18. Use of Constrained Implants 19. Management of Knee Instabililty: Use of Hinged Implants Section 7: Management of Bone Defects 20. Classification of Bone Defects 21. Management of Bone Defects Using Bone Graft 22. Bone Graft 22A - Impaction Bone Graft 22B - Structural Bone Graft 23. Prosthetic Augmentation 23A - Metaphyseal Fixation 23B - Case Presentation: Knee Megaprosthesis Section 8: Management of the Extensor Mechanism 24. Patella Instability 25. Patella Component Loosening 26. Patellar Bone Loss 26A - Patellar Bone Grafting 26B - Management of Patellar Bone Loss: Patella Augmentation 27. Acute and Chronic Patellar Tendon Ruptures After Total Knee Arthroplasty 28. Acute and Chronic Quadriceps Tendon Ruptures After Total Knee Arthroplasty Section 9: Management of Periprosthetic Fractures 29. Periprosthetic Fractures 29A - Classification of Periprosthetic Femur Fractures Occurring With Total Knee Arthroplasty 29B - Classification of Periprosthetic Tibia Fractures Occurring With Total Knee Arthroplasty 29C - Periprosthetic Fractures: Treatment Options After Total Knee Arthroplasty 30. Periprosthetic Fractures Associated With Total Knee Arthroplasty 31. Classification and treatment of Patella Fractures Section 10: Management of the Infected Total Knee Arthroplasty 32. Overview of the Microbiology 33. Two Stage Revision 33A - Articulating Spacer in Two-Stage Revisions 33B - Static Spacer in Two-Stage Revisions 34. Irrigation and Debridement With Component Retention for Acute Periprosthetic Total Knee Arthroplasty Infections 35. One Stage Revision Section 11: Wound Complications 36. Wound Management 37. Soft Tissue Coverage Section 12: Preoperative Evaluation of the Failed Total Hip Arthroplasty 38. Evaluation of Failed Total Hip Arthroplasty: History and Physical Exam 39. Mechanisms of Failure: Indications for Revision Total Hip Arthroplasty 40. Magnetic Resonance Imaging of the Painful Total Hip Arthroplasty 41. Radiographic Evaluation of the Symptomatic Total Hip Arthroplasty Section 13: Assessment of Bone Loss 42. Acetabular Bone Loss: Case Presentations 43. Acetabular Bone Loss Classification 44. Recommended Acetabular Reconstruction Options 45. Surgical Techniques: Socket Removal Section 14: Femoral Bone Loss 46. Femoral Bone Loss 47. Femoral Component Removal 48. Femoral Reconstruction Options In Revision Hip Arthroplasty Section 15: Surgical Approaches 49. Posterolateral Approach to the Hip 50. Direct Lateral Approach to the Hip 51. Direct Anterior Approach to Revision Total Hip Arthroplasty 52. Extended Trochanteric Osteotomy for Femoral Revision 53. Exposure for Revision Total Hip Arthroplasty Section 16: The Acetabulum 54. Management of Cavitary Defects 55. Management of Segmental and Column Defects 56. Management of Protrusio Defects 57. Landmarks to Determine Anatomic Hip Center of Rotation 58. Acetabular Reconstruction With a Jumbo Socket 59. Acetabular Reconstruction 59A - Options for Acetabular Revision 59B - Surgical Techniques: Metal Augments Section 17: Revision of the Femur 60. Cemented Femoral Revision in Total Hip Arthroplasty Section 18: Modular Cementless Fixation 61. Femoral Revision Arthroplasty With a Modular Cementless Prothesis 62. Proximal Porous Coated Modular Stems: Surgical Technique Section 19: Management of Femoral Bone Loss in Revision Total Hip Arthroplasty 63. Case Presentations: Extensively Porous-Coated, Cylindrical Stems 64. Surgical Techniques: Extensively Porous-Coated, Cylindrical Stems 65. Modular, Fluted, Tapered, Grit-Blasted Titanium Stems for Femoral Revision 66. Megaprosthesis of the Hip Section 20: Special Considerations 67. Conversion of Prior Surgery to Total Hip Arthroplsty 68. Instability After Total Hip Arthroplasty 69. Management of Wear and Osteolysis 70. Management of Thigh Pain in Cementless Arthroplasty 71. Periprosthetic Femur Fractures Associated with Total Hip Arthroplasty 72. Revision Arthroplasty for Periprosthetic Femoral Fractures 73. Revision of Articular Bearing Complications 73A - Revisions of Metal-on-Metal Bearing Surfaces in Hip Arthroplasty 73B - Ceramic-Ceramic Bearing Surfaces Section 21: Management of the Infected Total Hip Arthroplasty 74. History and Diagnostic Testing 75. One-Stage Revision Total Hip Arthroplasty 76. Two-Stage Revision Total Hip Arthroplasty
Reviews for Techniques in Revision Hip and Knee Arthroplasty
As the number of primary total joint arthroplasties has increased exponentially in recent years, there has been a similar increase in the number of revisions. This book provides an expert, organized approach for dealing with these revision cases. Each chapter addresses a specific issue that has led to the failure of the implant and then describes a direct, methodical approach to the revision surgical correction. The photographs reproduce nicely. The diagrams and algorithms are particularly well conceived. The index is very thorough, an element that is frequently ignored. -Samuel J. Chmell, MD(University of Illinois at Chicago College of Medicine) Doody Review: 84/100
