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Modern Techniques in Total Hip Arthroplasty: From Primary to Complex
Ran Schwarzkopf
CHAPTER 1:
Early Development of Total Hip Arthroplasty
CHAPTER 2:
Total Hip Arthroplasty—Templating
INTRODUCTION
RADIOGRAPHS
Femoral, Acetabular and Combined Offset
Leg-Length Discrepancy
DIGITAL TEMPLATING ALGORITHM
Authors' Preferred Technique
Step 1: Establishing Magnification
Step 2: Determining Pelvic Axis and Hip Length
Step 3: Determining Femoral Shaft Axis, Head Size and Center of Rotation
Step 4: Orienting and Sizing the Acetabular Component
Step 5: Orienting and Sizing the Femoral Component
Step 6: Determining the Level of Neck Resection and Other Measures
SUMMARY
CHAPTER 3:
Direct Anterior Approach for Total Hip Arthroplasty
INTRODUCTION
INDICATIONS
DIFFICULT PATIENTS
EXAMINATION AND IMAGING
AUTHORS' PREFERRED TECHNIQUE
Prepping and Draping
Exposure
Femoral Neck Osteotomy
Acetabular Exposure
Acetabular Preparation
Femoral Exposure
Femoral Preparation
Trialing and Implantation
Closure
Postoperative Care
COMPLICATIONS
Dislocation
Fracture
Lateral Femoral Cutaneous Nerve
OUTCOMES
CONCLUSION
CHAPTER 4:
The Modified Lateral Approach for Total Hip Replacement
INTRODUCTION
AUTHORS' PREFERRED TECHNIQUE: MODIFIED DALL TECHNIQUE
Prepping and Draping
Exposure
Dislocation and Acetabular Preparation
Femoral Preparation
Closure
CHAPTER 5:
Posterolateral Approach to the Hip
INTRODUCTION
THE POSTEROLATERAL APPROACH
The Mini-incision Posterolateral Approach
AUTHORS' PREFERRED SURGICAL TECHNIQUE
POSTOPERATIVE MANAGEMENT
COMPLICATIONS
SUMMARY
CHAPTER 6:
The Northern Approach for Total Hip Arthroplasty
INTRODUCTION
DIRECT ANTERIOR APPROACH
ANTERIOR LATERAL APPROACH
LATERAL APPROACH
POSTERIOR APPROACH
THE AUTHOR's PREFERRED APPROACH (MINIMALLY INVASIVE APPROACH TO THE HIP: THE NORTHERN APPROACH)
CONCLUSION
ACKNOWLEDGMENT
CHAPTER 7:
Cemented Total Hip Arthroplasty
INTRODUCTION
BASIC PRINCIPLES OF CEMENTATION
CEMENTED FEMORAL STEM DESIGN
CEMENTED ACETABULAR DESIGN
AUTHORS' PREFERRED TECHNIQUE OF CEMENTATION OF THE FEMORAL STEM
AUTHORS' PREFERRED TECHNIQUE FOR ACETABULAR CUP CEMENTATION
SURGICAL PEARLS AND PITFALLS
General
Cementation
Acetabulum
Femur
CHAPTER 8:
Uncemented Total Hip Arthroplasty
INTRODUCTION
HISTORY
SURGICAL TECHNIQUES
Preoperative Planning
Implant Selection
Approach
Dislocation of the Hip and Osteotomy of the Femoral Neck
Acetabulum Preparation and Cup Implantation
Femoral Preparation and Stem Implantation
Soft Tissue Repair
Postoperative Care
Complication
Outcomes
CHAPTER 9:
Computer-Assisted Hip Arthroplasty
INTRODUCTION
GENERAL PRINCIPLES OF COMPUTER-ASSISTED NAVIGATION: IMAGE-BASED AND IMAGE-FREE SYSTEMS
Tracking Methods
PROCEDURAL OVERVIEW OF COMPUTER-ASSISTED SURGERY IN TOTAL HIP ARTHROPLASTY
Image-Free Computer-Assisted Surgery
Fluoroscopic Computer-Assisted Surgery
Computed Tomography-Based Computer-Assisted Surgery
RESULTS OF FREE-HAND VERSUS IMAGE-BASED VERSUS IMAGELESS NAVIGATION SYSTEMS
MINIMALLY INVASIVE TOTAL HIP ARTHROPLASTY WITH COMPUTER-ASSISTED SURGERY
SPECIFIC INSTRUCTIONS ON PERFORMING CT IMAGE-BASED COMPUTER-ASSISTED SURGERY
RETURN TO MECHANICAL NAVIGATION
CONCLUSION
CHAPTER 10:
Proximal Femoral Reconstruction in Hip Arthroplasty
INTRODUCTION
INDICATIONS
PREOPERATIVE PLANNING
AUTHORS' PREFERRED SURGICAL TECHNIQUE
Position
Incision and Exposure
Abductor Detachment
Exposure of the Anterolateral Aspect of Femur
Access to the Posterior Hip and Hip Dislocation
Adductor Release
Proximal Femoral Reconstruction
Prosthetic Reconstruction
Allograft Prosthetic Composite Reconstruction
Soft Tissue Reconstruction
POSTOPERATIVE MANAGEMENT
COMPLICATIONS
OUTCOMES
CONCLUSION
CHAPTER 11:
Treating the Degenerative Dysplastic Hip
INTRODUCTION
INDICATIONS
EVALUATION
CLASSIFICATION
TREATMENT AND OUTCOMES
SURGICAL TECHNIQUE
Exposure
Crowe I
Crowe II, III and IV
Acetabulum
Crowe I
Crowe II, III and IV
Femur
Crowe I and II
Crowe III and IV
COMPLICATIONS
AUTHOR's TECHNIQUE HIGHLIGHTS
Acetabulum
Femur
CHAPTER 12:
Acetabular Protrusio
INTRODUCTION
CLASSIFICATION/TYPES
NATURAL HISTORY/ETIOLOGY
Primary Protrusio Acetabuli
Secondary Protrusio Acetabuli
DIAGNOSIS
History and Physical Examination
Clinical Presentation
Radiographic Evaluation
Laboratory Studies
TREATMENT
Conservative Treatment
Operative Treatment
Indications
Basic Principles of Protrusio Deformity Surgical Reconstruction
Preoperative Planning
Implant Considerations
Authors' Preferred Surgical Approach
Cup Placement
Principles of Bone Grafting
Revision Total Hip Arthroplasty
POSTOPERATIVE MANAGEMENT
COMPLICATIONS
OUTCOMES
FUTURE RESEARCH DIRECTIONS
ILLUSTRATIVE CASE
CHAPTER 13:
Treatment of Total Hip Arthroplasty Periprosthetic Femoral Fractures
INTRODUCTION
INDICATIONS
EXAMINATION AND IMAGING
CLASSIFICATION
Type A
Type B
Type C
TREATMENT
Vancouver Type ALT
Vancouver Type AGT
Vancouver Type B
Type B1
Strut Grafts
Bone Grafts
Authors' Preferred Treatment
Positioning
Step 1
Step 2
Step 3
Postoperative Care
Type B2
Type B3
Vancouver Type C
COMPLICATIONS
OUTCOMES
CONCLUSION
ACKNOWLEDGMENT
CHAPTER 14:
Total Hip Replacement for Treatment of Acetabular Fractures
INTRODUCTION
INDICATIONS FOR COMBINED OPEN REDUCTION INTERNAL FIXATION AND TOTAL HIP ARTHROPLASTY FOR MANAGEMENT OF ACETABULAR FRACTURES
EXAMINATION/IMAGING
SURGICAL TREATMENT OF ACUTE ACETABULAR FRACTURES WITH TOTAL HIP ARTHROPLASTY
COMPLICATIONS
CONCLUSION
CHAPTER 15:
Total Hip Arthroplasty for Treatment of Displaced Femoral Neck Fractures
AUTHORS' PREFERRED TECHNIQUE
SUMMARY
CHAPTER 16:
Conversion Total Hip Arthroplasty for Treatment of Failed Hip Fracture Fixation
INTRODUCTION
CLINICAL EVALUATION
History and Physical Examination
Radiographic Evaluation
PREOPERATIVE PLANNING
Medical Optimization
Preoperative Templating
Implant Selection
Case Preparation and Technical Considerations
ARTHROPLASTY TREATMENT OPTIONS AND CLINICAL RESULTS
Available Treatment Options
Failed Open Reduction Internal Fixation of Femoral Neck Fractures
Hemiarthroplasty
Total Hip Arthroplasty
Failed Open Reduction Internal Fixation of Intertrochanteric Fractures
AUTHORS' PREFERRED TREATMENT
SUMMARY
Disclaimer
CHAPTER 17:
Complications after Total Hip Replacement
INTRODUCTION
VENOUS THROMBOEMBOLIC DISEASE
INSTABILITY
Patient-Related
Surgical Technique and Component Position
Treatment and Prevention
LIMB-LENGTH DISCREPANCY
PERIPROSTHETIC FRACTURES
POSTOPERATIVE INFECTION
Epidemiology
Classification
Risk Factors
Etiology
Prevention
Clinical Evaluation and Workup
Treatment
PERIPHERAL NERVE INJURY
VASCULAR INJURY
CONCLUSION
CHAPTER 18:
Pain Management and Regional Anesthesia for Total Hip Arthroplasty
HISTORY OF PAIN MANAGEMENT FOR TOTAL JOINT ARTHROPLASTY
PAIN
THE MULTIMODAL ANALGESIA CONCEPT
Peripheral Nerve Block as Part of Multimodal Analgesia
REGIONAL ANESTHESIA FOR TOTAL HIP ARTHROPLASTY
Benefits of Neuraxial Block for Total Hip Arthroplasty
Complications of Neuraxial Anesthesia
EVIDENCE-BASED MEDICINE
SUMMARY
INDEX
TOC
Index
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