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Autore: | Wroblewski B.M |
Titolo: | Charnley Low-Frictional Torque Arthroplasty of the Hip : Practice and Results / / by B.M. Wroblewski, Paul D. Siney, Patricia A. Fleming |
Pubblicazione: | Cham : , : Springer International Publishing : , : Imprint : Springer, , 2016 |
Edizione: | 1st ed. 2016. |
Descrizione fisica: | 1 online resource (353 p.) |
Disciplina: | 610 |
Soggetto topico: | Orthopedics |
Surgical Orthopedics | |
Persona (resp. second.): | SineyPaul D |
FlemingPatricia A | |
Note generali: | Includes index. |
Nota di contenuto: | Part 1- General -- The concept of total hip arthroplasty: The beginning -- Arthroplasty of the hip - A new operation – From low friction to low frictional torque -- Statements, comments and lessons from the past -- Ultra High Molecular Weight Polyethylene as the material for the cup -- Acrylic Cement -- A new surgical science -- Long-term follow-up – the “First 500” -- Clinical Results -- Clinical assessment -- The long-term results of low-friction arthroplasty of the hip performed as a primary intervention -- Radiographic assessment of the osteoarthritic hip -- Exposure of the Hip Joint -- Trochanteric osteotomy -- Instrument Tray System -- Post-operative length of hospital stay -- Part 2- Infection. – Deep Infection -- Deep infection: Establishing the incidence -- Deep Infection: Theatre Gowns -- Deep Infection: The role of Acrylic cement -- Antibiotic containing acrylic cement ACAC -- Leaching out from Acrylic cement -- Antibiotic containing cement spacers -- Patients at risk for deep infection -- Urethral instrumentation after LFA -- Late haematogenous infection -- Management of deep infection -- Part 3- Dislocation -- Dislocation -- Revision for recurrent or irreducible dislocation -- Revision for dislocation: Survivorship analysis -- Trocanteric Osteotomy and Dislocation -- Design of components, range of movement. impingement, dislocation -- Increasing the range of movements, putting off impingement -- Head size, range of movements, impingement, dislocation and cup loosening -- Part 4- Cup -- Bone-cement interface: The Cup - radiographic appearances -- Clinical results, radiographic appearances, histological findings -- The Charnley Acetabular cup -- Part 5- Wear -- Wear of the UHMWPE cup -- Factors affecting wear of the UHMWPE cup -- Factors affecting wear: Patient activity level -- Wear of UHMWPE Cup, endosteal cavitation and component loosening -- Comparison of direct and radiographic wear measurements -- Penetration of UHMWPE cup, Wear or creep -- Part 6- Stem -- Trochanteric osteotomy, trochanteric non-union and revision for dislocation -- Loosening of components -- Stem design and fixation -- Patterns of failure of stem fixation -- Leg over-lengthening after total hip arthroplasty. Identification of patients at risk -- Matt surface finish of the Charnley stem -- Dislocation and Fracture of the Stem -- Changes of stem design: 1968 – 1976 -- Total hip arthroplasty: a foreign body bursa -- Total hip replacement – patterns of load transfer -- Position of the stem within the medullary canal -- Part 7- Clinical Results and Follow-up -- Radiographic appearances and clinical results -- The reasons for follow-up -- The reason for and the frequency of follow-up -- Patterns of failure and revisions: Guidelines for follow-up -- Changing patterns of patients presenting for the operation. |
Sommario/riassunto: | In light of more clinical experience, this book reviews the principles and concepts underlying Professor Sir John Charnley’s original work Low Friction Arthroplasty of the Hip: Theory and Practice. Consistency of design, materials, principles of surgical techniques and regular follow-up of a large number of patients has offered truly long-term results to be presented in this book. Charnley Low-Frictional Torque Arthroplasty of the Hip: Practice and Results involves studies spanning from 1962 - 2015 to successfully indicate the avenues for further development and new ideas in clinical practice. With over 40 years of research included, this book is not a sudden diversion into a speculative area of hip replacement surgery. It is a carefully documented work of the evolution of the Charnley low-frictional torque arthroplasty to assist surgeons who practice this technique in their daily clinical work. . |
Titolo autorizzato: | Charnley Low-Frictional Torque Arthroplasty of the Hip |
ISBN: | 3-319-21320-2 |
Formato: | Materiale a stampa |
Livello bibliografico | Monografia |
Lingua di pubblicazione: | Inglese |
Record Nr.: | 9910254511303321 |
Lo trovi qui: | Univ. Federico II |
Opac: | Controlla la disponibilità qui |