Editors Matthew S Austin MD
Gregg R Klein MD
March 2014 Volume 1 Number 1
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Cover images: (Left) Posterior soft tissue repiar for posterior approach. Courtesy: Michael P Ast, Amar S Ranawatt. (Middle) Well-centered anteroposterior pelvic radiograph. Courtesy: Clint J Wooten, Rafael J Sierra. (Right) Intraoperative appearance of medical unicompartmental knee arthroplasty cemented into place. Courtesy: Jess H Lonner.
WORLD CLINICS ORTHOPEDICS: Current Controversies in Joint Replacement
March 2014, Volume 1, Number 1
ISSN: 2348-702X
9789351520030
Printed in India
5Dedication
Matthew S Austin
Dedicated to my parents for their constant support, love, and
inspiration throughout my life
Gregg R Klein
To my wife, Julie, and our daughters, Samantha and Sydney, for
their love, patience, and never-ending support
Also dedicated to the memory of my father, Allan Klein, for his
love, guidance, and encouragement
Drs Austin and Klein would also like to express their sincere
appreciation to the talented contributors to World Clinics in
Orthopedics, without whom this wonderful work would not have
been possible
7Contributors
Editors
- Matthew S Austin md
- Associate Professor of Orthopedic Surgery
- Rothman Institute
- Philadelphia, Pennsylvania, USA
- Gregg R Klein md
- Vice-Chairman
- Department of Orthopedic Surgery
- Hackensack University Medical Center
- Hackensack, New Jersey, USA
Contributing Authors
- Michael P Ast md
- Fellow, Adult Reconstruction and Joint Replacement Surgery
- Department of Orthopedic Surgery
- Hospital for Special Surgery
- New York, New York, USA
- Eldridge D Batuyong md frcsc
- Adult Reconstruction Fellow
- Department of Orthopedics, Stanford University
- Palo Alto, California, USA
- Keith Berend md
- Associate
- Joint Implant Surgeons and White Fence Surgical Suites
- New Albany, Ohio, USA
- Michael P Bolognesi md
- Associate Professor
- Department of Orthopedic Surgery
- Duke University Medical Center
- Durham, North Carolina, USA
- Davide E Bonasia md
- Orthopedic Surgeon
- Department of Orthopedics
- University of Turin, CTO Hospital
- Torino, Italy
- Matteo Bruzzone md
- Assistant Attending Surgeon
- Department of Orthopedics and Traumatology
- Orthopedic Division, University of Turin – Mauriziano Umberto I Hospital
- Torino, Italy
- Chris D Bryce md
- Mezona Division
- OrthoArizona
- Gilbert, Arizona, USA
- Umberto Cottino md
- Resident
- Department of Orthopedics and Traumatology
- University of Turin
- Torino, Italy
- Craig J Della Valle md
- Professor
- Department of Orthopedic Surgery
- Rush University Medical Center
- Chicago, Illinois, USA
- Federico Dettoni md
- Assistant Attending Surgeon
- Department of Orthopedics and Traumatology
- Orthopedic Division University of Turin – Mauriziano Umberto I Hospital
- Torino, Italy
- Timothy E Ekpo do
- Adult Hip and Knee Reconstruction Fellow
- Joint Implant Surgeons and White Fence Surgical Suites
- New Albany, Ohio, USA
- David Fabi md
- Adult Reconstruction Specialist, San Diego
- Orthopedic Associates Medical Group
- San Diego, California, USA
- Nitin Goyal md
- Arthroplasty Surgeon
- Anderson Orthopedic Research Institute and Inova Joint Replacement Center
- Mount Vernon Hospital
- Alexandria, Virginia, USA
- Mark Hartzband md
- Director, Hip and Knee Service
- Department of Orthopedic Surgery
- Hackensack University Medical Center
- Hackensack, New Jersey, USA
- Erin Honcharuk BS
- Medical Student
- Department of Orthopedic Surgery
- Rutgers Robert Wood Johnson Medical School
- The State University of New Jersey
- New Brunswick, New Jersey, USA
- James I Huddleston III md
- Associate Professor
- Department of Orthopedic Surgery
- Stanford University Medical Center
- Stanford, California, USA
- Anna C Irwin do
- Resident
- Department of Anesthesiology
- Thomas Jefferson University Hospital
- Philadelphia, Pennsylvania, USA
- Akio Kobayashi md phd
- Deputy Director
- Chief of Joint Arthroplasty Center
- Shiraniwa Hospital
- Ikoma City, Nara, Japan
- Cameron K Ledford md
- Resident, Department of Orthopedic Surgery
- Duke University Medical Center
- Durham, North Carolina, USA
- Gwo-Chin Lee md
- Assistant Professor
- Department of Orthopedic Surgery
- University of Pennsylvania
- Philadelphia, Pennsylvania, USA
- Brett R Levine md ms
- Assistant Professor and Residency Program Director
- Department of Orthopedics, Rush University Medical Center
- Chicago, Illinois, USA
- Harlan Levine md
- Co-Director, Hip and Knee Service
- Department of Orthopedic Surgery
- Hackensack University Medical Center
- Hackensack, New Jersey, USA
- William J Long md frcsc
- Attending Orthopedic Surgeon
- Insall Scott Kelly Institute
- Lenox Hill Hospital, St. Francis Hospital
- New York, New York, USA
- Jess H Lonner md
- Attending Orthopedic Surgeon
- Rothman Institute
- Associate Professor of Orthopedic Surgery
- Thomas Jefferson University
- Philadelphia, Pennsylvania, USA
- James E Murphy md
- Clinical Instructor
- Department of Orthopedics
- Geisinger Wyoming Valley Medical Center
- Wilkes-Barre, Pennsylvania, USA
- Michael P Nett md
- Surgeon
- Department of Orthopedic Surgery
- Southside Hospital
- Bay Shore, New York, USA
- Federica Olivero md
- Medical Student
- Department of Orthopedics and Traumatology
- University of Turin
- Torino, Italy
- Antonio Pastrone md
- Resident
- Department of Orthopedics and Traumatology
- Orthopedic Division University of Turin – Mauriziano Umberto I Hospital
- University of Turin
- Torino, Italy
- Amar S Ranawat md
- Associate Professor of Orthopedic Surgery
- Adult Reconstruction and Joint Replacement Division
- Hospital for Special Surgery
- New York, New York, USA
- Roberto Rossi md
- Professor
- Department of Orthopedics and Traumatology
- University of Turin
- Torino, Italy
- Eric S Schwenk md
- Clinical Instructor
- Department of Anesthesiology
- Jefferson Medical College
- Thomas Jefferson University Hospital
- Philadelphia, Pennsylvania, USA
- Rafael J Sierra md
- Associate Professor
- Department of Orthopedic Surgery
- Mayo Clinic
- Rochester, Minnesota, USA
- Mohan S Tripathi md
- Orthopedic Surgery Resident
- Department of Orthopedic Surgery
- Rutgers Robert Wood Johnson Medical School
- The State University of New Jersey
- New Brunswick, New Jersey, USA
- Alexander R Vap md
- Resident
- Department of Orthopedic Surgery
- Duke University Medical Center
- Durham, North Carolina, USA
- Eugene R Viscusi md
- Professor
- Department of Anesthesiology
- Director, Acute Pain Management
- Thomas Jefferson University Hospital
- Philadelphia, Pennsylvania, USA
- Steven T Woolson md
- Clinical Professor
- Department of Orthopedic Surgery
- Stanford University Medical Center
- Stanford, California, USA
- Clint J Wooten md
- Chief Resident
- Department of Orthopedics
- Mayo Clinic
- Rochester, Minnesota, USA
World Clinics in Orthopedics is intended as a practical resource for both orthopedic surgeons in practice and in training. It is a detailed overview of the newest information in the field of orthopedics, arranged by subspecialty.
We have sought to provide the reader with the most pertinent and recent developments written by thought leaders in each of the major orthopedic subspecialties: spine, hip preservation, hip and knee arthroplasty, sports medicine, shoulder and elbow, foot and ankle, hand and wrist, oncology, trauma, pediatrics, and basic science. Furthermore, we are excited to have contributions from internationally renowned surgeons in Europe, Asia, and Central and South America. This lends a truly international perspective to this work and alerts the reader to challenges faced by surgeons the world over.
It is our sincerest hope that World Clinics in Orthopedics will serve as a compendium of the newest in orthopedic knowledge. We hope that you, the reader, will find this as a unique, practical source for the latest information as you care for your patients.
Matthew S Austin md
Associate Professor of Orthopedic Surgery
Rothman Institute
Philadelphia, Pennsylvania, USA
Gregg R Klein md
Vice-Chairman
Department of Orthopedic Surgery
Hackensack University Medical Center
Hackensack, New Jersey, USA
15Abbreviations
3D
Three-dimensional
ACL
Anterior cruciate ligament
ALVAL
Aseptic lymphocytic vasculitis-associated lesion
AP
Anteroposterior
ASIS
Anterior superior iliac spine
AVN
Avascular necrosis
BMI
Body mass index
CI
Confidence interval
COC
Ceramic-on-ceramic
COP
Ceramic-on-polyethylene
COX-2
Cyclooxygenase-2
CPE
Conventional polyethylene
CR
Cruciate-retaining
CRP
C-reactive protein
CT
Computed tomography
DAA
Direct anterior approach
DVT
Deep vein thrombosis
ESI-TOF-MS
Electron spray ionization time-of-flight mass spectrometry
ESR
Erythrocyte sedimentation rate
FAI
Femoral acetabular impingement
FDA
Food and Drug Administration
FNB
Femoral nerve block
FRR
Failure rate ratio
HHS
Harris hip score
HOOS
Hip disability and osteoarthritis outcome scores
HXPE
Highly cross-linked polyethylene
IL
Interleukin
LCE
Lateral center-edge
LFCN
Lateral femoral cutaneous nerve
MI
Minimal incision
MIS
Minimally invasive surgery
MOM
Metal-on-metal
MOP
Metal-on-polyethylene
MRI
Magnetic resonance imaging
MRSA
Methicillin-resistant Staphylococcus aureus
NSAID
Nonsteroidal anti-inflammatory drug
OA
Osteoarthritis
ON
Osteonecrosis
OR
Operating room
PA
Posteroanterior
PAO
Periacetabular osteotomy
PCL
Posterior cruciate ligament
PCR
Polymerase chain reaction
PDPH
Postdural puncture headache
PE
Pulmonary embolism
PFA
Patellofemoral arthroplasty
PGE2
Prostaglandin E2
PMN
Polymorphonuclear neutrophil
POM
Polythylene-on-metal
PRN
Pro re nata
PROSTALAC
Prosthesis with Antibiotic-loaded Acrylic Cement
PS
Posterior stabilized
PSI
Patient-specific instrumentation
RCT
Randomized clinical trial
RMS
Root mean square
ROM
Range of motion
RR
Relative risk
RSA
Radiostereometric analysis
SCFE
Slipped capital femoral epiphysis
SD
Standard deviation
SF-36
Short Form 36
TAA
Total ankle arthroplasty
TFL
Tensor fascia lata
THA
Total hip arthroplasty
THR
Total hip replacement
TJA
Total joint arthroplasty
TKA
Total knee arthroplasty
TKR
Total knee replacement
16TSS
Tissue-sparing surgery
UHMWPE
Ultrahigh molecular weight polyethylene
UKA
Unicompartmental knee arthroplasty
VAS
Visual analog scale
VMO
Vastus medialis obliquus
VTE
Venous thromboembolism
WBC
White blood cell
WOMAC
Western Ontario and McMaster Universities Arthritis Index