Revision surgery. A practical approach to problems and com- plications of total hip arthroplasty. Based on the study of long term results and operative techniques evolved over 20 years experience in this field of work.
Revision surgery. A practical approach to problems and com- plications of total hip arthroplasty. Based on the study of long term results and operative techniques evolved over 20 years experience in this field of work.
1 Introduction.- Section I: Complications Leading to Revision Surgery.- 2 Haematoma.- 3 Problems Arising from an Inadequate Exposure.- 4 Trochanteric Osteotomy and Problems Resulting from It.- 5 Dislocation.- 6 Infection.- 7 Loosening of the Components.- 8 The Socket: Changes at the Bone-Cement Interface.- 9 Loosening of the Socket.- 10 Wear of the Socket.- 11 Tissue Reaction to High-Density Polyethylene Wear Particles.- 12 Metal Backing of the Socket.- 13 Loosening of the Stem.- 14 Fracture of the Stem.- 15 Fracture of the Shaft of the Femur.- 16 Heterotopic Ossification.- Section II: Practical Approach to Revision Surgery.- 17 Timing of Revision Surgery.- 18 Assessment of the Patient.- 19 Instrumentation for Revision Surgery.- 20 Selection of Components.- 21 Revision Surgery: The Technique.- 22 Revision with Trochanteric Non-union: Reattachment of the Un-united Trochanter.- 23 The Femur.- 24 Loss of Bone Stock.- 25 Wound Closure.- 26 Post-operative Management.- Section III: The Ultimate Challenge of Surgery.- 27 Girdlestone Pseudarthrosis for a Failed Total Hip Arthroplasty.- 28 Pulmonary Embolism.- Section IV: Conclusions.- 29 Conclusions.- References.
1 Introduction.- Section I: Complications Leading to Revision Surgery.- 2 Haematoma.- 3 Problems Arising from an Inadequate Exposure.- 4 Trochanteric Osteotomy and Problems Resulting from It.- 5 Dislocation.- 6 Infection.- 7 Loosening of the Components.- 8 The Socket: Changes at the Bone-Cement Interface.- 9 Loosening of the Socket.- 10 Wear of the Socket.- 11 Tissue Reaction to High-Density Polyethylene Wear Particles.- 12 Metal Backing of the Socket.- 13 Loosening of the Stem.- 14 Fracture of the Stem.- 15 Fracture of the Shaft of the Femur.- 16 Heterotopic Ossification.- Section II: Practical Approach to Revision Surgery.- 17 Timing of Revision Surgery.- 18 Assessment of the Patient.- 19 Instrumentation for Revision Surgery.- 20 Selection of Components.- 21 Revision Surgery: The Technique.- 22 Revision with Trochanteric Non-union: Reattachment of the Un-united Trochanter.- 23 The Femur.- 24 Loss of Bone Stock.- 25 Wound Closure.- 26 Post-operative Management.- Section III: The Ultimate Challenge of Surgery.- 27 Girdlestone Pseudarthrosis for a Failed Total Hip Arthroplasty.- 28 Pulmonary Embolism.- Section IV: Conclusions.- 29 Conclusions.- References.
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