This book reviews the principles and concepts underlying Professor Sir John Charnley’s original work Low Friction Arthroplasty of the Hip: Theory and Practice (Springer, 1979) in the light of more extensive clinical experience with results, incidence and indications for revisions highlighted throughout. The studies, combined with the examination of explanted components carried out with the backing of Universities, indicate the avenues for further research and the development and introduction of new ideas into clinical practice. The time span (1962 – 2015) involved has allowed a number of these very long-term studies not only to be brought to conclusion, but has given the benefit of their clinical application with meaningful results. This is not a sudden diversion into new and speculative areas of hip replacement surgery. It is a carefully collected, documented and executed work of the evolution of the Charnley low-frictional torque arthroplasty of the hip based on sound principles, supported by long-term studies with benefits derived.
The theme of this work is the application of the engmeermg theory of frictional torque to total hip replacement. The author adhered tenaciously to this theory, involving the use of a small-diameter femoral head, throughout the epoch when the large-diame ter, metal-to-metal design dominated the field. During that considerable period general satisfaction with the early results rendered criticisms of the large-diameter head unwelcome. There was a formidable array of counter criticism: the small head would pierce a film of synovial fluid; the small head would wear the socket too rapidly; the small head would always have a high risk of dislocation; detachment of the trochanter, to achieve precise orientation for the small head, was unacceptable. But all these objections have now been largely overcome. Lubrication of high molecular weight polyethylene (HMWP) on metal is now accepted as being mainly by the boundary regime with thick fluid films playing no part. We now know that HMWP can indeed tolerate the very high stresses imposed by the small head and in tribological theory there may even be some advantage in high stress. Dislocation is now known not to be an automatic sequel to the small head.
This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery
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 improved materials. There is an accumulation of a great amount of basic science data (both biological, material and mechanical) related to the incorporation or loosening of the bone-implant interface. However, basic science data does not always translate to satisfactory clinical application, and orthopaedic practitioners often wonder which piece of information is clinically useful. A further problem is that basic scientists often speak their own scientific language and may not fully appreciate common clinical practice needs. In this textbook the biological and mechanical mechanisms of implant incorporation and loosening will be presented. All new data concerning materials and methods for incorporation enhancement will be critically analyzed. Data useful for clinical application will be stressed. Orthopaedic Surgeons will find information which will improve their clinical practice and basic scientists will be helped to understand and appreciate clinical needs.
The Hip-a volume in the new Arthritis and Arthroplasty series-offers expert guidance on everything from patient selection and pre-operative planning to surgical approaches and techniques. Clear, evidence-based coverage details which technology and methodology used for total Hip arthroplasty (THA), reconstruction or revision is best for each patient. Access discussions of debates on minimally invasive surgery; component material and bearing options; cemented vs. uncemented fixation of the components; and more. Explore alternatives to THA in younger arthritic patients and view expertly narrated video demonstrations of surgical techniques. In addition to providing practical, pragmatic advice in a concise, readable format, this Expert Consult title offers the full text of the book, as well as links to PubMed and periodic content updates, online at expertconsult.com. Access the full text of the book-as well as links to PubMed and periodic content updates on outcome data, component materials, and surgical techniques-online at expertconsult.com. Features procedural videos-narrated by experts-on the included DVD so you can see how to perform particular techniques. Covers periacetabluar osteotomy, neurovascular injury, and other hot topics to keep you abreast of the latest developments in the specialty. Provides evidence-based, clinically focused guidance on patient selection, pre-operative planning, surgical approach and techniques, bearing surfaces and component materials, disease specific options, the management and avoidance of complications, salvage and revision THA strategies, and more. Discusses variations in technique, including cemented vs. cementless fixation, resurfacing or more radical removal of bone, and minimally invasive technique where the exposure is more limited so you can choose which is most effective for each patient. Explores alternatives to THA in younger arthritic patients such as arthroscopy, arthrodesis, osteotomy, and resurfacing. Includes a review page in every chapter for quick reference to pearls and pitfalls for each topic. Presents photographs and interpretive drawings of surgical techniques in full color to bring out intraoperative details as they appear in the operating room. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should online access to the web site be discontinued.
Highly Commended, BMA Medical Book Awards 2013Orthopaedic problems account for over one-third of all medical and surgical problems. Mercer's Textbook of Orthopaedics and Trauma provides all the information required by the senior trainee or qualified specialist to improve understanding and management of any given condition or disease in this area.Si
Essential Orthopedics: Principles & Practice is an extensive, illustrated guide to the field of orthopaedics. Principles and practice for shoulder, hip, spine, hand, foot and ankle are covered, including anatomy, physiology, pathology and diseases. Essential Orthopedics: Principles & Practice includes all modern research methodologies, such as biostatistics, advanced imaging and gene therapy. Enhanced by 2000 full colour illustrations this is a comprehensive resource for all interns, residents and orthopaedic surgeons.
This book is intended to offer a “virtual fellowship” in hip surgery that will give readers the opportunity to join distinguished hip surgeons in the operating room, learning key points and solutions to technical difficulties from the beginning to the end of 100 surgical cases. All of these cases have been carefully selected by renowned orthopaedists who work at the world’s top centers and perform surgery based on evidence. To facilitate quick learning, the cases are presented using a uniform template, guiding the reader from clinical evaluation and preoperative planning, through the decision-making process, to the surgical procedure and the final outcome. At the end of each case, the editor invites the surgeon to answer specific questions in order to further elucidate crucial issues with reference to current evidence. The book is divided into four sections: conservative hip surgery, primary hip arthroplasty, complex hip arthroplasty, and revision arthroplasty. It will be of value across the world to specialist hip surgeons and surgeons in training who are interested in hip surgery.
Orthopedic experts in their field have carefully chosen what they consider to be the key papers in their respective domains. Every paper is carefully described and evaluated by its strengths, weaknesses and its contribution to the field. Papers have been chosen by number of citations, academic importance, articles that have changed our whole way of thinking or that have simply stood the test of time.
With its sweeping coverage of core knowledge across all orthopaedic specialties, AAOS Comprehensive Orthopaedic Review 4 helps you prepare for exams, retain information, and master the knowledge you need for success in clinical practice. Edited by Geoffrey S. Marecek, MD, FAAOS and a team of board-certified section editors, this 3-volume study set effectively prepares you for the Orthopaedic In-Training Examination® (OITE®), the American Board of Orthopaedic Surgery (ABOS) Board Certification exam, and other tests, all in a convenient, user-friendly format. Organized by specialty, each of the 151 chapters in volumes 1 and 2 is packed with color images, illustrations, tables, and charts to support the material and help you retain the information. Volume 3 contains more than 450 multiple-choice companion study questions, including the preferred response with additional discussion and explanation of the topics.
