REVISION TOTAL HIP AND KNEE ARTHROPLASTY

• SECTION 1. Perioperative Management of Revision Total Hip Arthroplasty and Total Knee Arthroplasty Patients 1
1 Anesthesia and Pain Management 3
2 Venous Thromboembolism Prevention 17
3 Medical Morbidity and Mortality Following Revision Total Hip and Knee Arthroplasty 33

• SECTION 2. Evaluation of the Failed Total Hip Arthroplasty 45
4 Mechanisms of Total Hip Arthroplasty Failure 47
5 Evaluation of the Painful and Problematic Total Hip Arthroplasty 57
6 Indications for Revision Total Hip Arthroplasty 65

• SECTION 3. Planning, Decisions, and Approaches in Revision THA 75
7 Critical Decisions in Revision Total Hip Arthroplasty 77
8 Operative Approaches 89

• SECTION 4. Revision Techniques 111
9 Acetabular Component Removal 113
10 Acetabular Revision with Metal Shell Retention 125
11 Acetabular Bone Loss Classification 133
12 Acetabular Reconstruction Options Based on Bone Loss 139
13 Cementless Acetabular Reconstruction in Revision Total Hip Arthroplasty 155
14 Uncemented Hemispherical Cups in Extreme Bone Loss 163
15 The Use of Cages in Revision Arthroplasty of the Acetabulum 179
16 Triflange Cup 193
17 Pelvic Discontinuity 203
18 Use of Structural Allografts in Acetabular Revision Surgery 215
19 Femoral Component and Cement Removal 221
20 Femoral Bone Loss Classification 243
21 Femoral Reconstruction Options Based on Bone Loss 259
22 Cemented Femoral Component Revision 271
23 Proximally Porous-Coated Modular Stems 279
24 Calcar Replacement Stems 287
25 Extensively Porous-Coated Stems 293
26 Fluted Tapered Uncemented Femoral Stems 303
27 Impaction Grafting of the Femur 313
28 Allograft Prosthetic Composite 321
29 Proximal Femoral Replacement with Megaprostheses 331

• SECTION 5. Revision/Reoperation for Specific Diagnoses 337
30 Surgical Management of the Infected Total Hip Arthroplasty 339
31 Revision for Hip Instability After Total Hip Arthroplasty 347
32 Postoperative Periprosthetic Femur Fracture Around Total Hip Arthroplasty 361
33 Periprosthetic Osteolysis 385
34 Heterotopic Ossification 395

• SECTION 6. Complications and Postoperative Management 407
35 Prevention and Management of Complications Following Total Hip Arthroplasty 409
36 Postoperative Care Following Revision Total Hip Arthroplasty 419

• SECTION 7. Evaluation of the Failed TKA 423
37 Mechanisms of Failure in Total Knee Arthroplasty 425
38 Evaluation of the Painful Total Knee Arthroplasty 431
39 The Aseptic, Failed Total Knee Arthroplasty: Indications for Revision 437

• SECTION 8. Preoperative Strategy 447
40 Preoperative Planning and Prosthetic Choices 449
41 Operative Exposures For Revision Total Knee Arthroplasty 461

• SECTION 9. Surgical Techniques 467
42 Removal of Implants in Revision Total Knee Arthroplasty 469
43 Balancing the Flexion and Extension Gaps in Revision Total Knee Arthroplasty 479
44 Classification of Bone Defects in Total Knee Revision 491
45 Minor Bone Defect Management in Revision Knee Arthroplasty 497
46 Major Bone Defect Management 505
47 Ligament Deficiency in Revision Total Knee Arthroplasty 517
48 Managing the Patella in Revision Total Knee Arthroplasty 531
49 Fixation Techniques in Revision Total Knee Arthroplasty 541

• SECTION 10. Knee: Revision/Reoperation for Specific Diagnoses 545
50 Wound Complications 547
51 Extensor Mechanism Complications 559
52 The Infected Total Knee Arthroplasty: Prevention and Management 571
53 Evaluation and Management of Periprosthetic Fractures after Total Knee Arthroplasty 589
54 Stiffness after Total Knee Replacement 601
55 Instability in Total Knee Arthroplasty 607

• SECTION 11. Salvage Procedures 613
56 Condylar Replacement Procedures 615
57 Arthrodesis and Resection Arthroplasty of the Knee 621

• SECTION 12. Complications and Postoperative Management 633
58 Avoidance and Management of Intraoperative Complications in Revision Total Knee Arthroplasty 635
59 Postoperative Rehabilitation After Total Knee Replacement 651

This multi-contributed, comprehensive book covers revision surgery for total hip and knee arthroplasty. The focus of Revision Total Hip and Knee Arthroplasty will be on the techniques of revision surgery. Separated into a hip section and a knee section, each will include evaluation of the failed replacement, revision surgery, surgical technique, revision for specific diagnosis, complications, and postoperative management.

Features
• Outstanding editorial team and contributing editors
• Focus on the techniques of revision surgery

About the Author(s)
• Daniel J. Berry MD. Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN
• Dr. Robert T Trousdale M.D.. Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN
• Dr. Douglas A. Dennis M.D. Colorado Joint Replacement. Denver, CO
• Dr. Wayne G. Paprosky M.D. Rush University Medical Center. Chicago, IL