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Title Acetabular revision surgery in major bone defects / Eduardo Garcia-Rey, Eduardo Garcia-Cimbrelo, editors.
Imprint Cham, Switzerland : Springer, [2019]

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Subject Acetabulum (Anatomy) -- Surgery.
Total hip replacement -- Reoperation.
Alt Name García-Rey, Eduardo,
García-Cimbrelo, Eduardo,
Description 1 online resource (viii, 223 pages)
Note Print version record.
Includes index.
Summary 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.
Contents Intro; Preface; Contents; Chapter 1: Osteolysis After Total Hip Arthroplasty: Basic Science; Total Hip Replacement: Clinical Need and Demand; Implant Failure: Aseptic Loosening; The Enemy: Wear Debris Particles; Polyethylene Particles; Metallic Particles; Ceramic Particles; Cement Particles; Perspectives; Concluding Remarks; References; Chapter 2: Bone Defects in Acetabular Revision Surgery. Imaging and Classifications; Introduction; Patient Evaluation; Imaging Assessment; Radiographic Evaluation; Computed Tomography; Magnetic Resonance Imaging; Classification of Acetabular Bone Defects.
Planned Surgical ReconstructionReferences; Chapter 3: Prosthetic Component Fixation and Bone Defect Determine Acetabular Revision Surgery; Introduction; Osteolytic Lesions Around Well-Fixed Acetabular Components. Timing of Surgery; Type I. Treatment When the Cementless Cup Is Radiographically Stable and the Polyethylene Is Replaceable; Type II. Treatment When the Cementless Cup is Radiographically Stable But the Polyethylene Is Not Replaceable; Type III. Revision Surgery in Loosened Acetabular Cups; Classification of Acetabular Defects; Minor Acetabular Bone Defects Paprosky Types 1 and 2.
Cemented Techniques in Acetabular Revision SurgeryCementless Porous-Coated Cup in Revision Surgery; Major Acetabular Bone Defects (Paprosky Types 3A and 3B); Metallic Rings; Oblong Cups; Porous Trabecular Metal Cementles Cup Associated with Trabecular Metal Augments; Impacting Morsellized Allograft and Cemented Cup; Pelvic Discontinuity; Reconstruction Techniques; Conclusion; References; Chapter 4: Biology of Bone Grafting; Introduction; Bone Healing Process; Biology of Bone Grafting; Autogenous Bone Graft; Allograft Bone Graft; Immunology of Allografting; Bone Extenders and Enhancers.
Clinical Features and DiagnosisRevision Surgery; Timing; Planning; Surgical Technique; Which Bearing Couple?; Conclusions; References; Chapter 8: Antiprotrusio Cages for Acetabular Revision; Introduction; Technical Data; Discussion; References; Chapter 9: Revision Arthroplasty of the Acetabulum Using Structural Allograft and a Cage: State-of-the-Art; Introduction; Structural Allografts Only; Cup Cage; Proximal Fixation; The Muller Ring; Proximal and Distal Fixation; The Ganz Ring; The Kerboull Acetabular Reinforcement Device and Its Evolution; Mechanical Principles; The KARD Evolution.
ISBN 9783319985961 (electronic bk.)
3319985965 (electronic bk.)
OCLC # 1061129679
Additional Format Print version: 9783319985954 (OCoLC)1044864570.

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