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.

This book is designed to provide the surgeon performing revision hip and knee surgery with a comprehensive reference source to this maturing field. The editors are all surgeons whose practice consists of a large amount of revision surgery and who have spent a lot of time thinking about how to move this field forward. We have deliberately written a number of the chapters ourselves, in hopes of providing some consistent philosophical underpinning to this complex subject. At the same time, we believe there are often many successful methods to approach a problem, and that a large number of “arrows in the quiver” helps the surgeon successfully manage the diverse problems encountered in revision operations. To this end we have asked some of the best, most thoughtful, and most talented surgeons and authors to contribute to this book, and their insights and perspectives are an essential aspect of the breadth and scope of the material provided to the reader.

Contents

۱ Anesthesia and Pain Management 3
۲ Venous Thromboembolism Prevention 17
۳ Medical Morbidity and Mortality Following Revision Total Hip and Knee Arthroplasty 33
۴ Mechanisms of Total Hip Arthroplasty Failure 47
۵ Evaluation of the Painful and Problematic Total Hip Arthroplasty 57
۶ Indications for Revision Total Hip Arthroplasty 65
۷ Critical Decisions in Revision Total Hip Arthroplasty 77
۸ Operative Approaches 89
۹ Acetabular Component Removal 113
۱۰ Acetabular Revision with Metal Shell Retention 125
۱۱ Acetabular Bone Loss Classification 133
۱۲ Acetabular Reconstruction Options Based on Bone Loss 139
۱۳ Cementless Acetabular Reconstruction in Revision Total Hip Arthroplasty 155
۱۴ Uncemented Hemispherical Cups in Extreme Bone Loss 163
۱۵ The Use of Cages in Revision Arthroplasty of the Acetabulum 179
۱۶ Triflange Cup 193
۱۷ Pelvic Discontinuity 203
۱۸ Use of Structural Allografts in Acetabular Revision Surgery 215
۱۹ Femoral Component and Cement Removal 221
۲۰ Femoral Bone Loss Classification 243
۲۱ Femoral Reconstruction Options Based on Bone Loss 259
۲۲ Cemented Femoral Component Revision 271
۲۳ Proximally Porous-Coated Modular Stems 279
۲۴ Calcar Replacement Stems 287
۲۵ Extensively Porous-Coated Stems 293
۲۶ Fluted Tapered Uncemented Femoral Stems 303
۲۷ Impaction Grafting of the Femur 313
۲۸ Allograft Prosthetic Composite 321
۲۹ Proximal Femoral Replacement with Megaprostheses 331
۳۰ Surgical Management of the Infected Total Hip Arthroplasty 339
۳۱ Revision for Hip Instability After Total Hip Arthroplasty 347
۳۲ Postoperative Periprosthetic Femur Fracture Around Total Hip Arthroplasty 361
۳۳ Periprosthetic Osteolysis 385
۳۴ Heterotopic Ossification 395
۳۵ Prevention and Management of Complications Following Total Hip Arthroplasty 409
۳۶ Postoperative Care Following Revision Total Hip Arthroplasty 419
۳۷ Mechanisms of Failure in Total Knee Arthroplasty 425
۳۸ Evaluation of the Painful Total Knee Arthroplasty 431
۳۹ The Aseptic, Failed Total Knee Arthroplasty: Indications for Revision 437
۴۰ Preoperative Planning and Prosthetic Choices 449
۴۱ Operative Exposures For Revision Total Knee Arthroplasty 461
۴۲ Removal of Implants in Revision Total Knee Arthroplasty 469
۴۳ Balancing the Flexion and Extension Gaps in Revision Total Knee Arthroplasty 479
۴۴ Classification of Bone Defects in Total Knee Revision 491
۴۵ Minor Bone Defect Management in Revision Knee Arthroplasty 497
۴۶ Major Bone Defect Management 505
۴۷ Ligament Deficiency in Revision Total Knee Arthroplasty 517
۴۸ Managing the Patella in Revision Total Knee Arthroplasty 531
۴۹ Fixation Techniques in Revision Total Knee Arthroplasty 541
۵۰ Wound Complications 547
۵۱ Extensor Mechanism Complications 559
۵۲ The Infected Total Knee Arthroplasty: Prevention and Management 571
۵۳ Evaluation and Management of Periprosthetic Fractures after Total Knee Arthroplasty 589
۵۴ Stiffness after Total Knee Replacement 601
۵۵ Instability in Total Knee Arthroplasty 607
۵۶ Condylar Replacement Procedures 615
۵۷ Arthrodesis and Resection Arthroplasty of the Knee 621
۵۸ Avoidance and Management of Intraoperative Complications in Revision Total Knee Arthroplasty 635
۵۹ Postoperative Rehabilitation After Total Knee Replacement 651