Operative Techniques in Adult Reconstruction Surgery

302 Pages·2010·103.45 MB·English

by  Javad Parvizi

OPERATIVE
TECHNIQUES IN
ADULT
RECONSTRUCTION
SURGERY
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OPERATIVE
TECHNIQUES IN
ADULT
RECONSTRUCTION
SURGERY
EDITORS
Javad Parvizi,.MD
The Rothman Institute
Professor, Department of Orthopaedic Surgery
Vice Chairman and Director of Research
Jefferson Medical College, Thomas Jefferson University
Phil a delphIa, Pennsylvania
Richard H. Rothman, MD
Founder, The Rothman Institute
The james Edwards Professor of the Department of Orthopaedic Surgery
Jefferson Medical College, Thomas jefferson University
Philadelphia, PennsylvanIa
Sam W. Wiesel, MD
Sam W. Wiesel, MD
EDITOR-IN-CHIEF
Professor and Chair
Department of Orthopaedic Surgery
Georgetown University Medical School
Washington, DC
I
0 .
Wolters Kluwer Lippincott Williams & Wilkins
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Copyright 2011
C 2011 by LIPPINCOTI WH.LIAMS l!c WILKINS, aWOLT ERS KLUWER business
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Printed in China
Library of Congress Cataloging-in-Publication Data in progress
Operative techniques in adult reconstruction surgery I [edited by] Javad
Parvizi, Richard H. Rothman ; Sam W. Wiesel, editor-in-chief.
p.;cm.
Chapters derived from Operative techniques in orthopaedic surgery I
editor-in-chief, Sam Wiesel. c2010.
Includes bibliographical references and index.
Summary: "Operative Techniques in Adult Reconstruction Surgery contains the chapters on adult reconstruction from Sam
W. Wiesel's Operative Techniques in Orthopaedic Surgery and provides full-color, step-by-step explanations of all operative
procedures. Written by experts from leading institutions around the world, this superbly illustrated volume focuses on mas
tery of operative techniques and also provides a thorough understanding of how to select the best procedure, how to avoid
complications, and what outcomes to expect. The user-friendly format is ideal for quick preoperative review of the steps of
a procedure. Each procedure is broken down step by step, with full-color intraoperative photographs and drawings that
demonstrate how to perform each technique. Extensive use of bulleted points and tables allows quick and easy reference.
Each clinical problem is discussed in the same format: definition, anatomy, physical exams, pathogenesis, natural history,
physical findings, imaging and diagnostic studies, differential diagnosis, non-operative management, surgical management,
pearls and pitfalls, postoperative care, outcomes, and complications. To ensure that the material fully meets residents' needs,
the text was reviewed by a Residency Advisory Board"-Provided by publisher.
ISBN 978-1-4511-0262-8
1. Arthroplasty. L Parvizi, Javad. IL Rothman, Richard H., 1936-
Ill. Wiesel, Sam W. IV. Operative techniques in orthopaedic surgery.
[DNLM: 1. Joint Diseases-surgery-Adult. 2. Arthroplasty-methods-Adult. 3. Hip---!!urgery-Adult.
4. Knee---!iurgery-Adult. 5. Orthopedic Procedures-methods-Adult. 6. Reconstructive Surgical Procedures-methods
Adult. WE 312]
RD686.0645 2011
617.5' 81059--dcll
2010028465
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices.
However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from appli
cation of the information in this book and make no warranty, expressed or implied, with respect to the currency, complete
ness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the pro
fessional responsibility of the practitioner.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this
text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing re
search, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions,
the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warn
ings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for
limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each
drug or device planned for use in their clinical practice.
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10 9 8 7 6 54 3 2 1
Dedication
To my beautiful wife, Fariba, for her fortitude, devotion, and love. -JP

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CONTENTS
--------~I ------------------------------------------------------------------------------------------------------~
I
t
Pnrf•e JtJ SECTION Ill KNEE RECONSTRUCTION
-------------------------------------------------
Adcnowledgments JtBI
17 Unicondyler Knee Arthroplasty
Residency Advisory lkNird 1W
Keith R. Berend, Jeffrey W. Salin, and
Adolph V. Lombardi Jr. t52
SECTION I HIP RECONSTRUCTION
------------------------------------------------- 18 Upper Tibial Osteotomy
1 Cemented Total Hlp Arthroplasty James Bicos and Robert Arciero 10
MatthewS. Hepinstall and los~ A Rodriguez 1 19 c.rnentwd Total Knee Arthroplasty
s.
2 Uncemanted Total Hip Arthroplasty Mehdi Jafari and Javad Patvizi 115
MatthewS. Austin and Brian A Klatt 13 20 Total Knee Arthroplasty Using Navigation
3 Hlp Resurf•lng William J. Hozaclc. S. M. Javad Mortavazi, and
J(;Jn~ll Kim and Ameet Pispati 20 camilo Restrepo tJO
21 Revision Total Knee Arthroplasty With Femoral
4 Hemierthroplasty of the Hip
Bone Lou: Augments
Hari P. Bezwada, Robert H. Cho. and David G. Nazarian 3!J
Gwo-Chin Lee 1!19
5 Total Hlp Arthroplesty far Malignant Lesions
22 Revision Total Knee Arthroplasty With Tibial
R. Lor Randall 5S
Bone Lou: Metal Aug1'11811b
6 Revision Total Hlp Arthroplasty With Well-Fixed
Shawn M. Brubaker, William Mihalko, Thomas E. Bro~
Components
and Khaled J. Saleh 2flfi
Tre.or R. Pickering and Michael E. Berend 6!1
23 Revision Total Knee Arthroplasty With Femoral
7 Revision Total Hip Arthroplasty W'lth Femaral Bone Lou: Distal Femaral Replacement
Bone Lo.: Fluted Stems
B. Sonny Bal 211
Christian P. Christensen and Cale A Jacobs 'n
24 Revision Total Knee Arthroplasty With Tibial
8 Revision Total Hlp Arthroplasty With Femaral Bone Lou: Bone Grafting
Bone Loss: Proximal Femaral Replacement
Brian Vannozzi, Gwo-Chin Lee, andJ onathan Garino .2H
Javad Parvizi, Benjamin Bender, and Franklin H. Sim 8tJ
25 Revision Total Knee Arthroplasty With Removal
9 Revision Total Hlp Arthroplasty With of Well-fixed Components
AcetebuiM' Bone Loss: lmpadlon Allograftlng
MatthewS. Austin and S. Mehdi Jafari 232
Gregg R. Klein, Harlan B. Levine, and
a 26 Revision Total Knee Arthroplesty With
Mark A Hartzband
Extenslle Exposure: Tibial 1'\lbercle Osteotomy
10 Revision Total Hip Arthroplasty W'lth
Anish K. Amin and James T. Patton 237
Awtebuler Bone Lou: Antiprotrusio <:age
27 Revision Total Knee Arthroplesty With
MatthewS. Austin, James J. Purtill, and Brian A Klatt 9J
Extenslle Exposure: V-Y Quadroplesty
11 Resedlon Arthroplasty end Spacer Insertion
Ali Oliashirazi ~
Mark 1. Spangehl and Christopher P. Beauchamp 100
28 Revision Total Knee Arthroplasty With Extansor
12 Hip Reimplentation Surgery Mechanism Rapeir
v.
Nelson Greidan14 Winston Y. Kim, and Fabio Orozco and Alvin Ong 2«i
Bas A Masri t10
29 Revision Total Knee Arthroplasty to Cornet
StUfneu
SECTION II HIP PRE.SERVAnON Craig 1. Della Valle 25t
-------------------------------------------------
30 KnH Arthrodesis
13 Periecetebuler Osteotomy
JanetD.Conway 251
Marco Teloken, David Gusmao. and Marcus Crestani ftfi
14 Femaral Osteotomy
Philipp Henle, Moritz Tannast, and EXAM TABLE 1
Klaus A. Siebenroclc t2fi
15 Femoroacetabulerlmplngement and Surgical INDEX 1-1
Dlsloc.tlon of the Hlp
Martin Beck and Michael Leunig t:M
16 Treatment of Anteriar Femoroecetllbuler
lmpingemant through en Anterior Incision
John C. Clohisy 144
vii