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

• Section 1: Evaluation of the Painful Total Knee Arthroplasty1. The Economics of Total Knee Arthroplasty2. History and Physical Examination for the Painful Total Knee Arthroplasty3. Aspiration and Serology Tests4. Imaging in the Failed Total Knee Arthroplasty5. An Algorithmic Approach  to the Painful Total Knee ArthroplastySection 2: Surgical Approaches6. Medial Arthrotomy 7. Quadriceps Snip8. V-Y Quadriceps Turndown9. Tibial Tubercle Osteotomy10. Exposure for Revision Knee ArthroplastySection 3: Implant Removal11. Implant Removal Section 4: Principles of Revision TKA12. Principles of Revision Total Knee Arthroplasty13. Revising the Failed Unicompartmental Knee ArthroplastySection 5: Management of the Stiff Knee14. Manipulation15. Nonrevision Surgery16. Revision Total Knee ArthroplastySection 6: Management of Instability17. Balancing the Gaps18. Use of Constrained Implants19. Management of Knee Instabililty: Use of Hinged ImplantsSection 7: Management of Bone Defects20. Classification of Bone Defects21. Management of Bone Defects Using Bone Graft22. Bone Graft22A - Impaction Bone Graft22B - Structural Bone Graft23. Prosthetic Augmentation23A - Metaphyseal Fixation23B - Case Presentation: Knee Megaprosthesis Section 8: Management of the Extensor Mechanism24. Patella Instability25. Patella Component Loosening26. Patellar Bone Loss26A - Patellar Bone Grafting26B - Management of Patellar Bone Loss: Patella Augmentation27. Acute and Chronic Patellar Tendon Ruptures After Total Knee Arthroplasty28. Acute and Chronic Quadriceps Tendon Ruptures After Total Knee ArthroplastySection 9: Management of Periprosthetic Fractures29. Periprosthetic Fractures29A - Classification of Periprosthetic Femur Fractures Occurring With Total Knee Arthroplasty 29B - Classification of Periprosthetic Tibia Fractures Occurring With Total Knee Arthroplasty29C - Periprosthetic Fractures: Treatment Options After Total Knee Arthroplasty30. Periprosthetic Fractures Associated With Total Knee Arthroplasty31. Classification and treatment of Patella FracturesSection 10: Management of the Infected Total Knee Arthroplasty32. Overview of the Microbiology33. Two Stage Revision33A - Articulating Spacer in Two-Stage Revisions33B - Static Spacer in Two-Stage Revisions34. Irrigation and Debridement With Component Retention for Acute Periprosthetic Total Knee Arthroplasty Infections35. One Stage RevisionSection 11: Wound Complications36. Wound Management37. Soft Tissue CoverageSection 12: Preoperative Evaluation of the Failed Total Hip Arthroplasty38. Evaluation of Failed Total Hip Arthroplasty: History and Physical Exam39. Mechanisms of Failure: Indications for Revision Total Hip Arthroplasty40. Magnetic Resonance Imaging of the Painful Total Hip Arthroplasty41. Radiographic Evaluation of the Symptomatic Total Hip ArthroplastySection 13: Assessment of Bone Loss42. Acetabular Bone Loss: Case Presentations43. Acetabular Bone Loss Classification44. Recommended Acetabular Reconstruction Options45. Surgical Techniques: Socket RemovalSection 14: Femoral Bone Loss46. Femoral Bone Loss47. Femoral Component Removal48. Femoral Reconstruction Options In Revision Hip ArthroplastySection 15: Surgical Approaches49. Posterolateral Approach to the Hip50. Direct Lateral Approach to the Hip51. Direct Anterior Approach to Revision Total Hip Arthroplasty52. Extended Trochanteric Osteotomy for Femoral Revision53. Exposure for Revision Total Hip ArthroplastySection 16: The Acetabulum54. Management of Cavitary Defects55. Management of Segmental and Column Defects56. Management of Protrusio Defects57. Landmarks to Determine Anatomic Hip Center of Rotation58. Acetabular Reconstruction With a Jumbo Socket59. Acetabular Reconstruction59A - Options for Acetabular Revision59B - Surgical Techniques: Metal AugmentsSection 17: Revision of the Femur 60. Cemented Femoral Revision in Total Hip ArthroplastySection 18: Modular Cementless Fixation61. Femoral Revision Arthroplasty With a Modular Cementless Prothesis62. Proximal Porous Coated Modular Stems: Surgical TechniqueSection 19: Management of Femoral Bone Loss in Revision Total Hip Arthroplasty63. Case Presentations: Extensively Porous-Coated, Cylindrical Stems64. Surgical Techniques: Extensively Porous-Coated, Cylindrical Stems65. Modular, Fluted, Tapered, Grit-Blasted Titanium Stems for Femoral Revision66. Megaprosthesis of the HipSection 20: Special Considerations67. Conversion of Prior Surgery to Total Hip Arthroplsty68. Instability After Total Hip Arthroplasty69. Management of Wear and Osteolysis70. Management of Thigh Pain in Cementless Arthroplasty71. Periprosthetic Femur Fractures Associated with Total Hip Arthroplasty 72. Revision Arthroplasty for Periprosthetic Femoral Fractures73. Revision of Articular Bearing Complications 73A - Revisions of Metal-on-Metal Bearing Surfaces in Hip Arthroplasty73B - Ceramic-Ceramic Bearing SurfacesSection 21: Management of the Infected Total Hip Arthroplasty74. History and Diagnostic Testing75. One-Stage Revision Total Hip Arthroplasty76. Two-Stage Revision Total Hip Arthroplasty