UNCEMENTED FEMORAL STEMS FOR REVISION SURGERY. THE PRESS-FIT CONCEPT - PLANNING - SURGICAL TECHNIQUE - EVALUATION

Table of contents (21 chapters)
1.The Uncemented Concepts: Parameters to Make a Reasoned Choice
2.The Press-Fit Concept: Principles and “Press-Fitt
3.The Press-Fit Concept: Practical Application
4.The Press-Fit Concept: Implants and Instruments
5.Radiographic Analysis of the Femur
6.Selection of a Surgical Strategy
7.Preoperative Template
8.Creation of a Femoral Flap
9.Femoral Flap and Diaphyseal Primary Stability
10.Endofemoral Approach and Proximal Primary Stability
11.Evaluation of Bone Stock Initial and Secondary
12.Evaluation of Osseointegration and Secondary Stability
13.The Global Radiographic Score
14.Comparative Elements with the Engh Score (Validation Study and Crossings)
15.The Learning Curve and Its Teachings
16.Different Types of Primary Stability and their Impact on the Radiographic Results (Bone Stock and Secondary Stability)
17.Degree of Osteoporosis and Its Impact on the Radiographic Results (Bone Stock and Secondary Stability)
18.Deficient Initial Bone Stock and its Impact on the Radiographic Results (Bone Stock and Secondary Stability)
19.Factors That Improve the Radiographic Results Complications and Contra-indications of the Method
20.Comparative Analysis of the Results the Benefits of Numerical Evaluation
21.Erratum

- Describes the press-fit concept with planning and surgical technique
- The author presents a new evaluation method
- Numerous figures illustrate the evaluation method, which will help improve surgical interventions

Choosing an uncemented femoral prosthesis means first choosing a concept and, to be effective, an operator has to have access to all the information that will allow them to reach the desired goals. This is the first step to be made. The quality of a surgical procedure does not depend on the manual skills of the surgeon performing it, but on how he has prepared and performed the operation “virtually” before actually performing it. This is the second step. An operating technique must be adapted to the chosen concept and the purpose of every surgical procedure must be clearly formulated and understood by the operator. This is the third step. Every surgeon has to have a reliable and rigorous radiological method of analysis for evaluating overall results and which suggests ways of improving results.

Authors
Prof. Le Beguec served as an orthopedic surgeon and was a leading specialist in hip surgery. He has registered several patents for femoral prostheses which are now recognized and used worldwide, notably by Zimmer, a leading company in the field for the commercialization of the Revitan system.