Femoral revision arthroplasty / / Bernd Fink

• Record Nr.: UNINA9910556897203321
• Autore: Fink Bernd
• Pubbl/distr/stampa: Cham, Switzerland : , : Springer, , [2022]; ©2022
• ISBN: 9783030848217; 9783030848200
• Descrizione fisica: 1 online resource (303 pages)
• Disciplina: 617.5810592
• Soggetti: Total hip replacement - Reoperation; Total hip replacement; Femoral artery
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Nota di contenuto: Intro -- Preface -- Contents -- List of Videos -- 1: Introduction -- References -- 2: Reasons for Femoral Revision -- 2.1 Aseptic Loosening -- 2.2 Instability -- 2.3 Periprosthetic Infection -- 2.4 Periprosthetic Fractures -- References -- 3: Classification of Femoral Bone Defects -- 3.1 Paprosky Classification -- 3.1.1 Paprosky Type I Defect -- 3.1.2 Paprosky Type II Defect -- 3.1.3 Paprosky Type IIA Defect -- 3.1.4 Paprosky Type IIB Defect -- 3.1.5 Paprosky Type IIC Defect -- 3.1.6 Paprosky Type III Defect -- 3.1.7 Paprosky Type IV Defect -- 3.2 AAOS Classification by D'Antonio -- 3.3 Endo-Clinic Classification -- References -- 4: Principles of Femoral Revision -- 5: Cemented Revision Stems -- 5.1 Cemented Fixation of Stems Analogous to Primary Implantation -- 5.1.1 Surgical Technique -- 5.1.2 Outcomes -- 5.2 Cement-in-Cement Revision -- 5.2.1 Surgical Technique -- 5.2.2 Outcomes -- 5.3 Impaction Bone Grafting -- 5.3.1 Surgical Technique -- 5.3.2 Outcomes -- References -- 6: Cementless Revision Stems -- 6.1 Nonmodular Cementless Revision Stems for Proximal Fixation -- 6.1.1 Surgical Technique -- 6.1.2 Outcomes -- 6.2 Cementless Proximal-Fixing Modular Revision Stems -- 6.2.1 Surgical Technique -- 6.2.2 Outcomes -- 6.3 Cementless Nonmodular Revision Stems for Distal Fixation -- 6.3.1 Extensively Porous-Coated ; Stems -- 6.3.1.1 Surgical Technique -- 6.3.1.2 Outcomes -- 6.3.2 Corundum-Blasted, Tapered Titanium Stems -- 6.3.2.1 Surgical Technique -- 6.3.2.2 Outcomes -- 6.3.3 Cementless Distal Fixation Modular Revision Stems -- 6.3.3.1 Surgical Technique -- 6.3.3.2 Outcomes -- References -- 7: Principles of Cementless Distal Fixation -- 7.1 Scratch Fit (Cylinder-in-Cylinder Fixation) -- 7.2 Cone-in-Cylinder Fixation -- 7.3 Cone-in-Cone Fixation -- 7.3.1 Length of Fixation Zone -- 7.3.2 Distal Interlocking.; References -- 8: Differences in Distal Fixated Revision Stems -- References -- 9: Allograft Prosthesis Composite (APC) and Megaprostheses -- 9.1 Allograft Prosthesis Composite (APC) -- 9.1.1 Surgical Technique -- 9.1.2 Outcomes -- 9.2 Proximal Femoral Replacement (Megaprostheses) -- 9.2.1 Surgical Technique -- 9.2.2 Outcomes -- 9.3 Total Femoral Replacement -- 9.3.1 Surgical Technique -- 9.3.2 Outcomes -- References -- 10: Choice of the Implant Depending on the Type of Defect -- 10.1 Paprosky Type I Defects -- 10.2 Paprosky Type IIA Defects -- 10.3 Paprosky Type IIB Defects -- 10.4 Paprosky Type IIC Defects -- 10.5 Paprosky Type IIIA Defects -- 10.6 Paprosky Type IIIB Defects -- 10.7 Paprosky Type IV Defects -- References -- 11: Preoperative Planning -- 11.1 Exclusion of a Periprosthetic Infection -- 11.2 Prosthesis Planning -- 11.3 Re 1: Analysis of the Shape of the Femur -- 11.4 Re 2: Analysis of the Mechanical Stability of the Femur -- 11.5 Re 3: Necessity for Osteotomies -- 11.6 Re 4: Selection of Prosthesis Shape (Curved or Straight) -- 11.7 Re 5: Selection of the Method of Fixation (Proximal or Distal) -- 11.8 Re 6: Selection of Component Sizes -- 11.9 Preparation of the Preoperative Planning Sketch -- 11.9.1 Step 1: Mapping the Axes and, Where Necessary, the Osteotomies -- 11.9.2 Step 2A: Mapping the Distal Components for Distally Fixed Stems -- 11.9.3 Step 2B: Mapping the Distal Components for Proximally Fixed Stems -- 11.9.4 Step 3A: Mapping the Proximal Component for Distally Fixed Stems -- 11.9.5 Step 3B: Mapping the Proximal Component for Proximally Fixed Stems -- 11.9.6 Step 4: Mapping Reference Points and Distances -- 11.9.7 Step 5: Further Steps in Digital Planning -- References -- 12: Choice of the Surgical Approach -- 12.1 Factors Influencing the Choice of Access -- 12.2 Anterior Approaches.; 12.3 The Transgluteal Approach -- 12.4 Trans-Trochanteric Access -- 12.5 The Posterior Approach -- 12.6 Extended Approaches -- References -- 13: Removal of the Old Stem -- 13.1 Instrumentation -- 13.2 Techniques of Stem Removal -- 13.3 Advanced Special Techniques -- 13.3.1 Longitudinal Femoral Osteotomy -- 13.3.2 Extended Trochanteric Osteotomy (ETO) and/or Transfemoral Access -- 13.3.3 Ventral Bone Window -- 13.4 Removal of Broken Stems -- References -- 14: Removal of the Cement -- 14.1 Endofemoral, Proximal Techniques -- 14.2 Extended Techniques for Removal of Cement -- References -- 15: Technical Implementation of the Transfemoral Approach -- 15.1 Indications for Transfemoral Access -- 15.1.1 Broken Prosthetic Stem -- 15.1.2 Thin Bone Prone to Fracture -- 15.1.3 Long Cement Mantle -- 15.1.4 Firmly Fixed or Only Partially Loosened Cementless Stem -- 15.1.5 Axial Deviation of the Femur -- 15.1.6 Periprosthetic Fracture of the Femur (Vancouver B2 or B3 Type) -- 15.1.7 Periprosthetic Infection with Firmly Seated Implant or Cement or Hard-to-Reach Osteolyses -- 15.1.8 Cup Protruding into the Lesser Pelvis -- 15.2 Transfemoral Access Technique -- 15.3 Variations -- 15.3.1 Double Osteotomy -- 15.3.2 Osteotomy Through the Femur After Prior Removal of the Implanted Stem -- 15.3.3 Extended Trochanteric Osteotomy -- ; 15.4 Complications -- 15.5 Outcomes -- References -- 16: Technical Implementation of the Stem Implantation of Modular Revision Stems with Distal Fixation -- 16.1 Scratch-Fit Distal Fixation of a Modular Revision Stem -- 16.2 Cone-in-Cylinder Distal Fixation of a Modular Revision Stem -- 16.3 Cone-in-Cone Distal fixation of a Modular Revision Stem -- 16.3.1 Basic Sequence of Surgical Steps for a Modular Straight Stem (Arcos) -- 16.3.2 Surgical Procedures with a Tapered Modular Revision Stem (Revitan Curved).; 16.3.2.1 Transfemoral Implantation -- 16.3.2.2 Endofemoral Implantation -- 16.3.2.3 Distal Locking -- 16.4 Comments on Surgical Descriptions or Assembly of Modular Stems -- References -- 17: Necessary Length of the Revision Stems -- References -- 18: Stem Revision in Periprosthetic Fractures -- 18.1 Principles of Stem Revision in Periprosthetic Fractures -- 18.2 Treatment of Vancouver Type B2 Fractures (UCS Type IV.3-B2) -- 18.3 Treatment of Vancouver Type B3 Fractures (USC Type IV.3-B3) -- 18.4 Surgical Techniques of Revision Prostheses in Periprosthetic Fractures -- 18.5 Failed Osteosynthesis of Vancouver B1 Fractures (UCS Type IV.3-B1) -- References -- 19: Femoral Spacers in Septic Two-Stage Revision -- 19.1 Type of the Spacer -- 19.2 Fixation of the Spacer -- 19.3 Local Antibiotics in the Spacer -- 19.4 Duration of the Spacer Period and Systemic Antibiotic Therapy -- 19.5 Aspiration Before Reimplantation -- 19.6 Type of Prosthesis Used for Reimplantation -- References -- 20: Postoperative Rehabilitation -- 20.1 Cemented Revision and Cement-in-Cement Revision -- 20.2 Impaction Grafting -- 20.3 Cementless Revision -- 20.4 Allograft Prosthesis Composite (APC) -- 20.5 Proximal Femoral Replacement -- 20.6 Total Femoral Replacement -- References -- 21: Management of Complications -- 21.1 Complications Associated with the Transfemoral Approach (Extended Trochanteric Osteotomy) -- 21.2 Proximalization of the Bony Flap -- 21.3 Subsidence of a Cementless Revision Stem -- 21.4 Intraoperative Fracture of the Greater Trochanter -- 21.5 Postoperative Fracture of the Greater Trochanter -- 21.6 Intraoperative Perforation of the Femur -- 21.7 Intraoperative Fissures and Periprosthetic Fractures of the Femoral Shaft -- 21.8 Postoperative Periprosthetic Fracture of the Femoral Shaft -- 21.9 Hematoma -- 21.10 Periprosthetic Infection.; 21.11 Dislocations -- 21.12 Prosthesis Stem Fracture and/or Fracture of the Junction between Modular Components -- References -- 22: Explanation of Terms -- References.