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This book reviews the most important issues related to acetabular revision hip surgery and assesses the different management procedures that are currently used in light of the challenging major defects. Since the 1970s there has been a continual rise in the annual number of total hip arthroplasty (THA) procedures which has increased the demand for revision surgeries. Most revisions operations of the hip are the result of acetabular problems and early failures are usually related to acetabular bone defects in complex primary THAs. Long-term failures are mostly due to wear debris and osteolysis-related problems and both types of complications are presented throughout the book. Surgeons with a special interest in hip reconstruction surgery will find this book to be an essential resource for successfully dealing with highly complex revision procedures.
Total joint arthroplasty is an effective surgical procedure for end-stage osteoarthritis of major joints with satisfactory long term clinical outcome. A large and growing number of arthroplasties are performed annually worldwide and a great number of orthopaedic surgeons are practicing arthroplasty surgery as their main surgical activity. The biological behavior of the bone-implant interface is crucial for the long term survival of the artificial joint. All factors which have a positive or negative effect on the interface are of great interest for those practicing arthroplasty surgery. Basic scientists and the industry are continuously searching for new implant fixation mechanisms and improv...
This book provides a state-of-the-art, worldwide overview of treatment options available for periprosthetic joint infection (PJI). It highlights areas where tremendous progress has been made over the past few years, looking at current evidence, projecting a way forward, and discussing key topics where ongoing research is needed and could potentially have a huge impact on the field. In addition to familiarising readers with effective diagnostics and treatment strategies, factors such as socioeconomics and associated morbidity are also examined in relation to this increasingly common condition. Periprosthetic Joint Infections: Changing Paradigms includes expert guidance based on the best avail...
This book focuses on the current clinical practice, outcome and the future development of Total Knee Arthroplasty (TKA) in surgical settings. A major objective of this work is to address “What is the optimal design and fixation of the implants we use for knee arthroplasty reconstruction? What are the gold standards? and, Can we do better?”. In an attempt to throw light on these questions, the authors evaluate data from clinical studies and assess various factors which may influence the long term outcome of TKA. Many variables such as age, severity, implant design and surgical techniques for appropriate component placement and soft tissue balancing are explored in great detail by expert surgeons in the field. Total Knee Arthroplasty: Long Term Outcomes will be a useful resource for recently qualified surgeons in search of an introduction to this topic and for more experienced surgeons seeking an in-depth critical review of current practices in TKA.
This book is the first monograph to examine all aspects of femoroacetabular impingement (FAI), an important disease first described early in the twenty-first century. Comprising 27 chapters and including many color illustrations, the book contains a variety of points of view from more than 50 experts from 11 countries and represents an up-to-date compilation of professional knowledge on FAI. The full range of available surgical treatments is carefully described and evaluated, including arthroscopic treatment, the open and mini-open approaches, periacetabular osteotomy, hip resurfacing arthroplasty, and combined techniques. Differential diagnosis, imaging, postoperative management, and treatment outcome are also discussed in appropriate detail. It is hoped that this book will promote a comprehensive approach to what is a common pathology and thereby encourage further improvement in treatment.
This book reviews current knowledge on the diagnosis and treatment (surgical and non-surgical) of cartilage defects at the knee joint. In the discussion of diagnosis, the focus is primarily on imaging findings, particularly those obtained with MRI. The remainder of the book is devoted to the full range of current conservative and surgical treatments, with attention to both treatment indications and results as reported in the recent literature. In reviewing non-surgical treatment, oral and intra-articular medical management is evaluated and rehabilitation and physical therapy are also considered. The three main types of surgical technique – microfracture surgery and similar procedures, mosaicplasty and related techniques, and autologous chondrocyte transplantation – are then extensively discussed in a series of highly informative chapters. This book will be of great practical value for clinicians, assisting in daily decision making.
This book is structured in a way that guides the reader from prevention through to diagnosis and then treatment of infection following total knee arthroplasty, in each case providing state of the art information on available techniques and procedures. The section on the crucial preventive measures include guidance on preoperative optimization and skin preparation, antibiotic prophylaxis, and preoperative microbiological screening. All relevant aspects of diagnosis of infection are considered in detail, and the treatment-related section includes chapters on antibiotic suppression, arthroscopic lavage, open debridement with polyethylene exchange, one- and two-stage revision arthroplasty, and knee arthrodesis as a salvage procedure. Readers will also find clear instruction on how to proceed when all attempts to eradicate infection fail. In reflecting the latest knowledge and practice in this rapidly advancing field, the book will be an asset to all who are involved in the care of these patients.
This book reviews the most important traumatic injuries that occur around the knee joint, providing detailed information on mechanisms of injury, diagnosis, and treatment. A wide range of injuries are covered, including jumper’s knee, meniscus tears, knee ligament injuries, knee extensor mechanism injuries, and the floating knee. Dislocations of the knee and patella are carefully considered. Osteochondral fractures and fractures of the distal femur and tibial plateau are discussed in individual chapters that provide clear guidance on treatment. The book closes by reviewing the management of malunion and non-union about the knee. The authors are acknowledged experts in the field and have taken care to ensure that all information is completely up to date. This well-illustrated and instructive book will be of value to orthopedic surgeons, sports medicine specialists, and others who work with patients with traumatic knee injuries.
This book provides up-to-date guidance on the diagnosis and treatment of the most important complex fractures of the limbs, including fractures of the proximal and distal humerus, fractures and dislocations of the elbow, fractures of the distal radius, pelvis, acetabulum, distal femur, proximal tibia, tibial pilon, calcaneus and osteoporotic knee fractures. The most complex articular fractures are analyzed, soft tissue coverage is reviewed, and the management of open fractures and nonunions is described and illustrated. Other chapters consider damage control management and immediate bone fixation in the polytrauma patient, skeletal reconstruction and rehabilitation of complex fractures of the limbs. The book offers guidance to orthopaedic surgeons on which treatment options afford the best preservation of fully functional joints around the fractured bone. With this goal in mind, the authors have developed strategies that can restore full articular function of the limbs in both the short and the long term. Complex Fractures of the Limbs will be an invaluable aid to orthopaedic surgeons in treating patients with this very common and important clinical problem.
This book provides clear instruction on the surgical treatment of joint problems in adult hemophilia patients. The procedures applicable to specific joints, including the shoulder, elbow, hip, knee and ankle, are carefully reviewed with the aid of high-quality illustrations. The surgical treatment of articular hemophilic pseudotumors and bone cysts is also considered. In addition, clinically relevant information is provided on a range of topics, such as the treatment of hemophilic hemarthrosis, the imaging of hemophilic joints, hematological perioperative management, anesthesia, rehabilitation and pharmacoeconomics. Finally, the controversial issues of postoperative thromboembolic prophylaxis and the role of COX-2 inhibitors in hemophiliacs are reviewed. The guidance provided draws on both the authors’ extensive personal experience and an in-depth review of the pertinent literature. The book offers an excellent, up-to-date account of knowledge on musculoskeletal problems and approaches to joint surgery in adults with hemophilia. It will be of value to orthopedic surgeons, rehabilitation physicians, hematologists, radiologists and pharmacy researchers.