Surgical Treatment of Hip Arthritis: Reconstruction, Replacement, and Revision E-Book
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1105 pages

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Surgical Treatment of Hip Arthritis: Reconstruction, Replacement, and Revision, by William J. Hozack, MD, is a state-of-the-art reference that addresses the challenging issues you face in this rapidly growing segment of orthopaedic practice. Inside, you’ll find top surgical management strategies for all types of hip arthroplasty presented by leaders from around the world, along with discussions of possible complications, risks and benefits to specific patient populations, and more.  Best of all, this resource also offers access to a companion website where you will find the full text of the book, completely searchable.
  • Includes online access to the full text at for convenient anytime, anywhere reference.
  • Presents state-of-the-art surgical management strategies for hip arthritis—from reconstruction to replacement to revision—by experts worldwide, for comprehensive guidance in one convenient resource.
  • Offers current information on computer-assisted navigation techniques and minimally invasive techniques, to equip you with the latest surgical options.
  • Provides extensive discussions of the management of a full range of complications to help you overcome the challenges you’ll face.
  • Addresses the rationale for and management of revision surgery, given specific patient problems and intraoperative issues, enabling you to make the best informed surgical decisions.
  • Presents more than 600 illustrations, including original line art, radiologic images, and full-color intraoperative photos, that show you exactly what to look for and how to proceed.



Publié par
Date de parution 12 octobre 2009
Nombre de lectures 0
EAN13 9781437719727
Langue English
Poids de l'ouvrage 4 Mo

Informations légales : prix de location à la page 0,0730€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.


Surgical Treatment of Hip Arthritis
Reconstruction, Replacement, and Revision
First Edition

William J. Hozack, MD
Professor of Orthopaedic Surgery, Rothman Institute of Orthopaedics, Thomas Jefferson University Medical School, Philadelphia, PA

Javad Parvizi, MD, FRCS
Professor of Orthopaedic Surgery, Rothman Institute of Orthopaedics, Thomas Jefferson University Hospital, Philadelphia, PA

Benjamin Bender, MD
Orthopaedic Surgeon Holon, Israel
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Rights Department: phone: (+1) 215 239 3804 (US) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: . You may also complete your request online via the Elsevier website at .
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Editors assume any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.
The Publisher
Library of Congress Cataloging-in-Publication Data
Surgical treatment of hip arthritis : reconstruction, replacement, and revision / [edited by] William Hozack, Javad Parvizi, and Benjamin Bender.—1 st ed.
p. ; cm.
Includes bibliographical references.
ISBN 978-1-4160-5898-4
1. Hip joint—Surgery. 2. Arthritis—Surgery. I. Hozack, William J. II. Parvizi, Javad. III. Bender, Benjamin, M.D.
[DNLM: 1. Osteoarthritis, Hip—surgery. 2. Arthroplasty, Replacement, Hip—methods. 3. Reoperation—methods. WE 860 S9616 2010]
RD549.S867 2010
Acquisitions Editor: Daniel Pepper
Managing Developmental Editor: Cathy Carroll
Publishing Services Manager: Linda Van Pelt
Project Manager: Priscilla Crater
Design Direction: Steven Stave
Printed in Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To my wife, Vesna, for her love and my four kids for their understanding. To Richard Rothman, M.D., who sparked my interest in hip surgery and whose wisdom has helped me throughout my career.
To my wife, Fariba, for her endless dedication to medicine and her eternal patience and love. To my patients who willingly endure all hardships on the road to recovery.
To my son Jonathan, his wonderful mother Korinna, my mother and father Hanna and Reuben, my brother Guy, all my family, all my mentors, and all the great people along the way for their consideration and support.
This book is intended to be a comprehensive guide for surgeons performing primary and revision total hip arthroplasty. The authors encompass a group of renowned experts from around the world. Section I of this book deals with diagnostic evaluation of hip pain and imaging of the hip. Section II of the book reviews in detail the reconstruction and replacement options for the diseased hip joint, and also alternative non-arthroplasty options. The latest developments such as incorporation of computers and navigation into the procedure, the use of minimally invasive techniques and specific instrumentations are described in detail. Section III of the book deals with perioperative management of the patient after hip surgery. Section IV is dedicated to revision arthroplasty of the hip. Section V highlights a series of controversial issues associated with hip arthroplasty.
Total hip arthroplasty is one of the most successful surgical procedures as it relieves pain, restores mobility, and improves quality of life for patients with previous incapacitating arthritis. In the United States almost one quarter million total hip replacements are performed annually, and this number is expected to rise to 572,000 (plus another 97,000 revisions) by 2030. There are numerous causes of hip arthritis including childhood disorders (such as DDH, Perthes disease, and SCPE), inflammatory arthritis, osteonecrosis, trauma, and infection. For the majority of patients, however, a growing body of evidence suggests that subtle morphological changes in the hip, such as acetabular retroversion, mild acetabular dysplasia, and subtle forms of epiphyseal slippage are the underlying causes of hip arthritis.
Non-replacement options for hip arthritis will be covered in detail. Hip arthroscopy has evolved as a method to treat a variety of hip conditions, including intra-articular and extra-articular pathology. Osteochondroplasty of the hip involves resection of osteophytes, resection of a portion of the anterior femoral cortex to improve the femoral head and neck ratio, debridement of damaged cartilage, and repair of the labrum. The indication for this procedure is usually femoroacetabular impingement. Osteotomy of the adult hip is indicated for the treatment of dysplasia, residual deformity from SCFE, cerebral palsy with hip instability and osteonecrosis. The choice of femoral or acetabular osteotomy is dictated by the type of deformity present.
Implant material, design, and surgical techniques for total hip arthroplasty are critically important for good functional results and longevity. The average age of a primary total hip arthroplasty patient is decreasing, * and younger, more active patients require hip implants that will last for decades. Hence, alternative bearing surfaces such as highly cross-linked polyethylene, ceramic-on-ceramic, and metal-on-metal are evaluated in detail. For example, with progressive improvement in mechanical properties of ceramics, fracture has become a rarity. A new problem is has now been encountered with the modern ceramic surfaces—squeaking. The availability of the alternative bearing surface has allowed orthopedic surgeons to perform total hip arthroplasty in younger patients who would have been deemed inappropriate candidates for hip arthroplasty during the early era of joint replacement. Various complications related and unrelated to the procedure can occur—infection, loosening, instability, wear—and methods to minimize complications are discussed in detail. †

† D.E. McCollum and W.J. Gray: Dislocation after total hip arthroplasty. Causes and prevention. Clin Orthop Relat Res 261:159-70, 1990.
Hip resurfacing has enjoyed a renaissance in recent years. There are several hip resurfacing devices available today, but the most critical factors in resurfacing are the surgeon and proper patient selection. The main concern following hip resurfacing arthroplasty continues to be postoperative femoral neck fracture. Excessive varus or notching of the femoral neck can result in early failure due to femoral neck fracture. In addition female gender, poor bone quality, and femoral head cysts greater than 1cm in diameter are all associated with a higher likelihood of postoperative femoral neck fracture.
Minimally invasive surgical techniques continue to be an area of controversy in total hip replacement. Patient selection and surgeon experience are clearly factors that influence the degree of soft tissue trauma created during the hip replacement procedure. A variety of different techniques have been offered as being minimally invasive, and this book will evaluate them in detail.
Total hip arthroplasty inevitably necessitates revision surgery. Multiple causes including aseptic loosening, infection, recurrent dislocation, implant failure, periprosthetic fracture, and leg length discrepancy necessitate hip revision. There may be considerable acetabular bone deficiency. Pre-operative evaluation is critically important. Consensus has developed regarding management of bone loss encountered during total hip revision, but it still remains a challenging problem.
The goal of this book is ambitious, but we feel that the challenge has been successfully met.

William J. Hozack, MD , Javad Parvizi, MD , Benjamin Bender, MD

* E. Dunstan, D. Ladon, and P. Whittingham-Jones, et al: Chromosomal aberrations in the peripheral blood of patients with metal-on-metal bearing. J Bone Joint Surg Am 90(3):517-22, 2008.

Omar Abdul-Hadi, MD , Rothman Institute of Orthopaedics Thomas Jefferson University Hospital Philadelphia, PA

Ashutosh Acharya, FRCS , Hip Fellow The Hip Unit Princess Elizabeth Orthopaedics Centre Exeter, UK

Mir H. Ali, MD, PhD , Department of Orthopedic Surgery Mayo Clinic Rochester, MN

Carles Amat, MD , Department of Orthopaedic Surgery Reconstructive and Septic Surgery Division Hospital Universitario Vall d’Hebron Barcelona, Spain

G. Rebecca Aspinall,

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