Techniques in Revision Hip and Knee Arthroplasty

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.




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Section I. Evaluation of the Painful Total Knee Arthroplasty
Chapter 1. The Economics of Total Hip and Knee Arthroplasty
Chapter 2. History and Physical Examination for the Painful Total Knee Arthroplasty
Chapter 3. Aspiration and Serology Testing
Chapter 4. Imaging in the Failed Total Knee Arthroplasty
Chapter 5. An Algorithmic Approach to the Painful Total Knee Arthroplasty
Section II. Surgical Approaches
Chapter 6. Medial Arthrotomy
Chapter 7. Quadriceps Snip
Chapter 8. V-Y Quadriceps Turndown
Chapter 9. Tibial Tubercle Osteotomy
Chapter 10. Exposures for Revision Knee Arthroplasty
Section III. Implant Removal
Chapter 11. Implant Removal in Revision Total Knee Arthroplasty
Section IV. Principles of Revision Total Knee Arthroplasty
Chapter 12. Principles of Revision Total Knee Arthroplasty
Chapter 13. Revising the Failed Unicompartmental Knee Arthroplasty

Section V. Management of the Stiff Knee
Chapter 14. Manipulation
Chapter 15. Nonrevision Surgery
Chapter 16. Revision Total Knee Arthroplasty
Section VI. Management of Instability
Chapter 17. Balancing the Gaps
Chapter 18. Use of Constrained Implants
Chapter 19. Management of Knee Instability: Use of Hinged Implants
Section VII. Management of Bone Defects
Chapter 20. Classification of Bone Defects
Chapter 21. Management of Bone Defects Using Bone Graft
Chapter 22. Bone Graft
22A. Impaction Bone Grafting
22B. Structural Bone Grafting
Chapter 23. Prosthetic Augmentation
23A. Metaphyseal Fixation
23B. Case Presentation: Knee Megaprosthesis
Section VIII. Management of the Extensor Mechanism
Chapter 24. Patella Instability
Chapter 25. Patellar Component Loosening
Chapter 26. Patellar Bone Loss
26A. Patellar Bone Grafting
26B. Management of Patellar Bone Loss: Patella Augmentation
Chapter 27. Acute and Chronic Patellar Tendon Ruptures After Total Knee Arthroplasty
Chapter 28. Acute and Chronic Quadriceps Tendon Ruptures After Total Knee Arthroplasty
Chapter 29. Periprosthetic Fractures
29A. Classification of Periprosthetic Femur Fractures Occurring With Total Knee Arthroplasty
29B. Classification of Periprosthetic Tibial Fractures Occurring With Total Knee Arthroplasty
29C. Periprosthetic Fractures: Treatment Options After Total Knee Arthroplasty
Section IX. Management of Periprosthetic Fractures
Chapter 30. Periprosthetic Fractures Associated With Total Knee Arthroplasty
Chapter 31. Classification and Treatment of Patella Fractures
Section X. Management of the Infected Total Knee Arthroplasty
Chapter 32. Overview of the Microbiology
Chapter 33. Two-Stage Revision
33A. Articulating Spacer in Two-Stage Revisions
33B. Static Spacer in Two-Stage Revisions
Chapter 34. Irrigation and Débridement With Component Retention for Acute Periprosthetic Total Knee Arthroplasty
Infections
Chapter 35. One-Stage Revision
Section XI. Wound Complications
Chapter 36. Wound Management
Chapter 37. Soft Tissue Coverage
Section XII. Preoperative Evaluation of the Failed Total Hip Arthroplasty
Chapter 38. Evaluation of the Failed Total Hip Arthroplasty: History and Physical Examination
Chapter 39. Mechanisms of Failure: Indications for Revision Total Hip Arthroplasty
Chapter 40. Magnetic Resonance Imaging of the Painful Total Hip Arthroplasty
Chapter 41. Radiographic Evaluation of the Symptomatic Total Hip Arthroplasty
Section XIII. Assessment of Bone Loss
Chapter 42. Acetabular Bone Loss: Case Presentations
Chapter 43. Acetabular Bone Loss Classification
Chapter 44. Recommended Acetabular Reconstruction Options
Chapter 45. Surgical Techniques: Socket Removal
Section XIV. Femoral Bone Loss
Chapter 46. Femoral Bone Loss Classification
Chapter 47. Femoral Component Removal
Chapter 48. Femoral Reconstruction Options in Revision Hip Arthroplasty
Section XV. Surgical Approaches
Chapter 49. Posterolateral Approach to the Hip
Chapter 50. Direct Lateral Approach to the Hip
Chapter 51. Direct Anterior Approach to Revision Total Hip Arthroplasty
Chapter 52. Extended Trochanteric Osteotomy for Femoral Revision
Chapter 53. Exposure for Revision Total Hip Arthroplasty
Section XVI. The Acetabulum
Chapter 54. Management of Cavitary Defects
Chapter 55. Management of Segmental and Column Defects
Chapter 56. Management of Protrusio Defects
Chapter 57. Landmarks to Determine the Anatomic Hip Center of Rotation
Chapter 58. Acetabular Reconstruction With a Jumbo Socket
Chapter 59. Acetabular Reconstruction
59A. Options for Acetabular Revision
59B. Surgical Techniques: Metal Augments
Section XVII. Revision of The Femur
Chapter 60. Cemented Femoral Revision in Total Hip Arthroplasty
Section XVIII. Modular Cementless Fixation
Chapter 61. Femoral Revision Arthroplasty With a Modular Cementless Prosthesis
Chapter 62. Proximal Porous-Coated Modular Stems: Surgical Technique
Section XIX. Management of Femoral Bone Loss in Revision Total Hip Arthroplasty
Chapter 63. Case Presentations: Extensively Porous-Coated, Cylindrical Stems
Chapter 64. Surgical Techniques: Extensively Porous-Coated, Cylindrical Stems
Chapter 65. Modular, Fluted, Tapered, Grit-Blasted Titanium Stems for Femoral Revision
Chapter 66. Megaprosthesis of the Hip
Section XX. Special Considerations
Chapter 67. Conversion of Prior Surgery to Total Hip Arthroplasty
Chapter 68. Instability After Total Hip Arthroplasty
Chapter 69. Management of Wear and Osteolysis
Chapter 70. Management of Thigh Pain in Cementless Arthroplasty
Chapter 71. Periprosthetic Femoral Fractures Associated With Total Hip Arthroplasty
Chapter 72. Revision Arthroplasty for Periprosthetic Femoral Fracture
Chapter 73. Revision of Articular Bearing Complications
73A. Revision of Metal-on-Metal Bearing Surfaces in Hip Arthroplasty
73B. Ceramic-on-Ceramic Bearing Surfaces
Section XXI. Management of the Infected Total Hip Arthroplasty
Chapter 74. History and Diagnostic Testing
Chapter 75. Single-Stage Revision Total Hip Arthroplasty
Chapter 76. Two-Stage Revision Total Hip Arthroplasty