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The Hip Resurfacing Handbook
A Practical Guide to the Use and Management of Modern Hip Resurfacings
K De Smet (Edited by), P. N. Campbell (Edited by), C Van Der Straeten (Edited by)
9781845699482
Hardback, published 22 April 2013
576 pages
27.8 x 21.5 x 3.3 cm, 2.27 kg
"For the orthopaedic surgeon who wishes to consider undertaking hip resurfacing as part of a clinical workload, they would definitely benefit from the wealth of experience and the comparative data from the large range of designs available described in this book." --R J Minns PhD, SCOPE, IPEM
Hip resurfacing arthroplasty (HRA) using metal-on-metal bearings is an established but specialised technique in joint surgery. Based on the experience of leading experts in the field, The hip resurfacing handbook provides a comprehensive reference for all aspects of this important procedure.The first part of the book reviews and compares all the major hip resurfacing prostheses, their key design features, relevant surgical techniques and clinical results. Part two discusses clinical follow-up of the hip resurfacing patient, including pre- and post-operative examination, acoustic phenomena and rehabilitation. It also covers the use of techniques such as radiography and metal ion measurement, as well as bone scans, ultrasound, CT, MRI, PET and DEXA, to evaluate hip resurfacings. Part three reviews best practice in surgical technique, including the modified posterior and anterior approaches, as well as instrumentation, anaesthesia and revision surgery. Based on extensive retrieval studies, Part four includes examples of the main failure modes in HRA. The final part of the book includes patients’ own experiences, a comparison of HRA with total hip arthroplasty (THA), regulatory issues and relevant web sites.Comprehensive in its scope and authoritative in its coverage, The hip resurfacing handbook is a standard work for orthopaedic surgeons and all those involved in HRA.
Dedication Contributor contact details Woodhead Publishing Series in Biomaterials Acknowledgements Preface Introduction Part I: Hip resurfacing designs Chapter 1: The advanced ceramic coated implant systems (ACCIS) hip resurfacing prosthesis Abstract: 1.1 Introduction 1.2 Information about the Advanced Ceramic Coated Implant Systems (ACCIS) Prostheses 1.3 Recommended Advanced Ceramic Coated Implant Systems (ACCIS) Surgical Technique 1.4 Metal Ion Measurements in Patients after Advanced Ceramic Coated Implant Systems (ACCIS) Hip Arthroplasty 1.5 Conclusion 1.6 Sources of Further Information and Advice Chapter 2: The ADEPT® hip resurfacing prosthesis Abstract: 2.1 Introduction 2.2 Design Rationale 2.3 Surgical Technique 2.4 Clinical Results Chapter 3: The DePuy Articular Surface Replacement (ASRâ„¢) hip resurfacing prosthesis Abstract: 3.1 Introduction 3.2 Design Rationale 3.3 Instrumentation 3.4 Clinical Results 3.5 Summary Chapter 4: The Birmingham Hip Resurfacing (BHR) prosthesis Abstract: 4.1 Introduction 4.2 Design Rationale 4.3 Surgical Technique 4.4 Clinical Results Chapter 5: The Conserve® Plus hip resurfacing prosthesis Abstract: 5.1 Introduction 5.2 Design Rationale 5.3 Surgical Technique 5.4 Long-Term Results Chapter 6: The Cormetâ„¢ hip resurfacing prosthesis Abstract: 6.1 Introduction 6.2 Design Rationale 6.3 Surgical Technique 6.4 Clinical Results Chapter 7: The Durom hip resurfacing prosthesis Abstract: 7.1 Introduction 7.2 Design Rationale 7.3 Surgical Technique 7.4 Clinical Results 7.5 Sources of Further Information and Advice Chapter 8: The ESKA hip resurfacing prosthesis Abstract: 8.1 Introduction 8.2 Design Rationale 8.3 Surgical Technique 8.4 Clinical Results Chapter 9: The ICON hip resurfacing prosthesis Abstract: 9.1 Introduction 9.2 Design Rationale 9.3 Surgical Technique 9.4 Clinical Results Chapter 10: The modular hip resurfacing system (MRS) prosthesis Abstract: 10.1 Introduction 10.2 Design Rationale 10.3 Clinical Results Chapter 11: The MIHR International® hip resurfacing prosthesis Abstract: 11.1 Introduction 11.2 Design Rationale 11.3 Surgical Technique 11.4 Clinical Results Chapter 12: The MITCH hip resurfacing prosthesis Abstract: 12.1 Introduction 12.2 Design Rationale 12.3 Clinical Results 12.4 Acknowledgements Chapter 13: The BIOMET ReCap hip resurfacing prosthesis Abstract: 13.1 Introduction 13.2 Design Rationale 13.3 Surgical Technique 13.4 Clinical Results Chapter 14: The ROMAX® hip resurfacing prosthesis Abstract: 14.1 Introduction 14.2 Design Rationale 14.3 Surgical Technique 14.4 Clinical Results Chapter 15: The Tornier DynaMoM hip resurfacing prosthesis Abstract: 15.1 Introduction 15.2 Design Rationale 15.3 Surgical Technique Chapter 16: Design issues and comparison of hip resurfacing prostheses Abstract: 16.1 Introduction 16.2 General Issues: Component Identification and Metallurgy 16.3 Component Sizes 16.4 The Acetabular Cup Design 16.5 The Femoral Head Design 16.6 Comparing Hip Resurfacing Designs Part II: Clinical follow-up Chapter 17: Clinical follow-up of the hip resurfacing patient Abstract: 17.1 Introduction 17.2 Pre-Operative Examination 17.3 Post-Operative Examination 17.4 Treatment Options for Symptomatic Hip Resurfacing Patients Chapter 18: Acoustic phenomena in hip resurfacing Abstract: 18.1 Introduction: the Incidence of Noise in Hip Resurfacing 18.2 Acoustic Phenomena in Resurfacings at the Specialist Orthopaedics Group, Sydney, Australia 18.3 Acoustic Phenomena in Resurfacings at the Anca Clinic, Ghent, Belgium Chapter 19: Rehabilitation of patients after hip resurfacing Abstract: 19.1 Introduction 19.2 Post-Operative Physical Therapy Whilst in Hospital 19.3 Physical Therapy After Discharge from the Hospital 19.4 Milestones in Rehabilitation 19n5 Patient Activities after Hip Resurfacing Chapter 20: The use of radiography to evaluate hip resurfacing Abstract: 20.1 Introduction: Indications for Resurfacing 20.2 Indications/Contra-Indications for Resurfacing: Osteopenia, Osteoporosis, Osteoarthritis and Osteophytes 20.3 Assessing Femoral Abnormalities 20.4 Assessing Acetabular Abnormalities 20.5 Assessing Other Abnormalities 20.6 Using Radiographs in Pre-Operative Templating 20.7 Using Radiographs to Analyse Hip Implants 20.8 Evaluation of the Acetabular Cup 20.9 Evaluation of the Femoral Oomponent 20.10 Assessing Hip Resurfacing Pathology from X-Ray Analysis 20.11 Conclusions Chapter 21: The use of bone scintigraphy to evaluate hip resurfacing Abstract: 21.1 Introduction 21.2 Bone Scans in the Normal Hip Joint 21.3 Bone Scans in Hip Disease 21.4 Bone Scans in Total Hip Arthroplasty (THA) 21.5 Bone Scans in Resurfacing Hip Arthroplasty (RHA) 21.6 Bone Scans in Adverse Tissue Reactions 21.7 Conclusion Chapter 22: The use of ultrasound (US) to evaluate hip resurfacing (HR) Abstract: 22.1 Introduction 22.2 Advantages and Disadvantages of Ultrasound (US) 22.3 The Role of Ultrasound (US) in Assessing Painful Hip Resurfacing (HR) 22.4 Ultrasound (US) Techniques 22.5 Detection of Reactive Mass (‘Pseudotumour’) 22.6 Detection of other Pathologies 22.7 Case Study Chapter 23: The use of computerized tomography (CT) to evaluate hip resurfacing Abstract: 23.1 Introduction: The Science of Computerized Tomography (CT) 23.2 The use of Computerized Tomography (CT) Scans for Pre-Operative Evaluation and Planning of Hip Resurfacing 23.3 The use of Computerized Tomography (CT) Scans to Evaluate Hip Resurfacings 23.4 Case Studies From the Isala Clinic, Zwolle, the Netherlands 23.5 Conclusions Chapter 24: The use of magnetic resonance imaging (MRI) to evaluate hip resurfacing Abstract: 24.1 Introduction: The Science of Magnetic Resonance Imaging (MRI) 24.2 Distinguishing Normal and Pathological Structures 24.3 Magnetic Resonance Imaging (MRI) Evaluation of Bone 24.4 Magnetic Resonance Imaging (MRI) Evaluation of Soft Tissues 24.5 Case Studies 24.6 Conclusions 24.7 Acknowledgement Chapter 25: The use of positron emission tomography (PET) to evaluate hip resurfacing Abstract: 25.4 Conclusion Chapter 26: The use of dual energy X-ray absorptiometry (DEXA) to evaluate hip resurfacing Abstract: 26.1 Introduction 26.2 Analyzing Bone Using Dual Energy X-Ray Absorptiometry (DEXA) 26.3 The Clinical Application of Dual Energy X-Ray Absorptiometry (DEXA) in Hip Resurfacing 26.4 Using Dual Energy X-Ray Absorptiometry (DEXA) to Monitor Post-Operative Changes in Bone Density 26.5 Bone Mineral Density (BMD) in Osteonecrosis of the Femoral Head Chapter 27: The use of metal ion level measurements to evaluate hip resurfacing Abstract: 27.1 Introduction 27.2 Wear Particles from the use of Cobalt-Chrome Alloys in Hip Resurfacing 27.3 Methodological Issues in Measuring Metal Ion Concentration 27.4 Metal Ion Levels After Metal-On-Metal (MOM) Hip Replacement 27.5 Factors Affecting Metal Ion Levels 27.6 Conclusion: The Diagnostic Use of Metal Ion Measurement Chapter 28: The practical application of metal ion level measurement in evaluating hip resurfacing Abstract: 28.1 Introduction 28.2 Protocol for Metal Ion Measurement 28.3 Metal Ion Concentration Units, Sample Sources and Conversion Factors 28.4 Interpretation of Metal Ion Levels: Normal Cobalt and Chromium Levels and Safe Upper Limits for Unilateral and Bilateral Metal-on-Metal (MOM) Hip Resurfacing Arthroplasties 28.5 The Evolution of Metal Ion Levels During Run-in and Steady-State Wear in Hip Resurfacing 28.6 Metal Ion Levels with Different Hip Resurfacing Designs 28.7 The Influence of Patient Activity on Metal Ion Levels 28.8 Toxicity of Metal Ions 28.9 Case Studies 28.10 Conclusion Part III: Operating techniques Chapter 29: Comparing surgical techniques in hip resurfacing Abstract: 29.1 Introduction 29.2 Comparing Posterior, Modified Lateral, Trochanteric and Anterior Approaches Chapter 30: Surgical technique in hip resurfacing: the modified posterior approach Abstract: 30.1 Introduction 30.2 Patient Positioning 30.3 Surgical Exposure 30.4 Femoral Sizing 30.5 Acetabular Procedure 30.6 Femoral Preparation 30.7 Implantation and Closure Chapter 31: Surgical technique in hip resurfacing: the anterior approach Abstract: 31.1 Introduction: Rationale for the Anterior Approach 31.2 Patient Positioning and Surgical Exposure 31.3 Femoral Head Preparation 31.4 Acetabular Component Preparation 31.5 Post-Operative Recovery 31.6 Clinical Experience with the Anterior Approach Chapter 32: Tips and tricks for successful hip resurfacing Abstract: 32.1 Introduction: General Issues 32.2 Bilateral Surgery 32.3 Patient Positioning 32.4 Exposure 32.5 Preserving Soft Tissue 32.6 Acetabular Procedure 32.7 Femoral Procedure 32.8 Resurfacing in Hip Dysplasia Chapter 33: Surgical instruments in hip resurfacing Abstract: 33.1 Introduction 33.2 Acetabular Instruments 33.3 Femoral Instruments 33.4 Instruments and Tools for Cementing 33.5 Femoral Head Impactor 33.6 Summary: An Ideal Instrument System Chapter 34: Anaesthesia in hip resurfacing Abstract: 34.1 Introduction 34.2 General issues 34.3 Unilateral resurfacing 34.4 Bilateral resurfacing 34.5 Revision Of a hip resurfacing 34.6 Complications 34.7 Treatments To reduce blood loss 34.8 Practical application Of anaesthesia protocols: the authors' experience 34.9 Post-operative pain management Chapter 35: Revision surgery for failed hip resurfacing Abstract: 35.1 Introduction 35.2 Remedial Surgery without Implant Revision 35.3 How to Diagnose a Failed HIP Resurfacing 35.4 Reasons for Revision of a HIP Resurfacing 35.5 Options in Revision Surgery 35.6 Surgical Techniques in Revision Surgery 35.7 Complications in Revision of HIP Resurfacing 35.8 Summary: Decision Tree for HIP Resurfacing Follow-up and Revision Part IV: Failure modes in hip resurfacing Chapter 36: Implant retrieval studies showing failure modes in hip resurfacing Abstract: 36.1 Introduction: the importance Of retrieval studies 36.2 Implant retrieval methods 36.3 Wear measurement 36.4 Femoral sectioning For cement And bone analyses 36.5 Failure modes shown by retrieval studies 36.6 Examples Of well-functioning hip resurfacings Chapter 37: Case studies of femoral neck fractures in hip resurfacing Abstract: 37.1 Introduction 37.2 Femoral neck fractures: CASE 1 37.3 Femoral neck fractures: CASE 2 37.4 Femoral neck fractures: CASE 3 37.5 Femoral neck fractures: CAsE 4 37.6 Femoral neck fractures: CAsE 5 37.7 Femoral neck fractures: CASE 6 Chapter 38: Case studies of femoral loosening and femoral head collapse in hip resurfacing Abstract: 38.1 Introduction 38.2 Femoral Loosening/Head Collapse: Case 1 38.3 Femoral Loosening/Head Collapse: Case 2 38.4 Femoral Loosening/Head Collapse: Case 3 38.5 Femoral Loosening/Head Collapse: Case 4 38.6 Femoral Loosening/Head Collapse: Case 5 Chapter 39: Case studies of acetabular loosening in hip resurfacing Abstract: 39.1 Introduction 39.2 Surface Coatings for Acetabular Fixation 39.3 Acetabular Loosening: CASE 1 39.4 Acetabular Loosening: CASE 2 39.5 Acetabular Loosening: CASE 3 39.6 Acetabular Loosening: CASE 4 Chapter 40: Case studies of acetabular malposition and high wear in hip resurfacing Abstract: 40.1 Introduction 40.2 Acetabular Malposition/High Wear: CASE 1 40.3 Acetabular Malposition/High Wear: CASE 2 40.4 Acetabular Malposition/High Wear: CASE 3 40.5 Acetabular Malposition/High Wear: CASE 4 40.6 Acetabular Malposition/High Wear: CASE 5 Chapter 41: Case studies of suspected metal allergy in hip resurfacing Abstract: 41.1 Introduction 41.2 Aseptic Lymphocyte-Dominated Vasculitis-Associated Lesion (ALVAL) 41.3 Suspected Metal Allergy: CASE 1 41.4 Suspected Metal Allergy: CASE 2 41.5 Suspected Metal Allergy: CASE 3 Part V: General hip resurfacing issues Chapter 42: The patient experience of hip resurfacing Abstract: 42.1 Introduction 42.2 Patient Testimonial: Combined Revision of a Malpositioned Hip Resurfacing and a Primary Hip Resurfacing (Paolo Bolaffio) 42.3 Patient Testimonial: Hip Resurfacing and the Experience of Infection (John Buch) 42.4 Patient Testimonial: The Experience of Metal Allergy (Patient X) 42.5 Patient Testimonial: Bilateral Hip Resurfacing (Peggy Gabriel) 42.6 Patient Testimonial: Bilateral Hip Resurfacing (Dru Dixon) Chapter 43: Comparing hip resurfacing arthroplasty (HRA) and total hip arthroplasty (THA) Abstract: 43.1 Introduction 43.2 Biomechanical Differences Between Hip Resurfacing Arthroplasty (HRA) and Total Hip Arthroplasty (THA) 43.3 Clinical Studies Comparing Hip Resurfacing Arthroplasty (HRA) and Total Hip Arthroplasty (THA) 43.4 Comparing Outcomes of Hip Resurfacing Arthroplasty (HRA) and Total Hip Arthroplasty (THA): Complications and Revisions 43.5 Comparing Survivorship 43.6 Assessing Hip Resurfacing Arthroplasty (HRA): The Consensus of the 2009 and 2010 Advanced Resurfacing Courses in Ghent 43.7 Conclusion Chapter 44: The current regulatory status of hip resurfacing arthroplasty (HRA) Abstract: 44.1 Introduction: US Food and Drug Administration (FDA) Classification and Regulation of Metal-on-Metal (MOM) Hips 44.2 European Union Regulations for Metal-on-Metal (MOM) Hips 44.3 Regulatory Status Table Chapter 45: Websites relating to hip resurfacing Abstract: Index
Subject Areas: Metals technology / metallurgy [TDM], Biomedical engineering [MQW]
