Principles of Primary Total Hip Arthroplasty

184 Pages·2022·10.136 MB·English

by  Yixin Zhou, Jing Tang, Hongyi Shao

Principles of
Primary Total Hip
Arthroplasty
Yixin Zhou
Jing Tang
Hongyi Shao
Editors
123
Principles of Primary Total Hip
Arthroplasty
Yixin Zhou • Jing Tang • Hongyi Shao
Editors
Principles of Primary
Total Hip Arthroplasty
Science Press
Beijing
Editors
Yixin Zhou Jing Tang
Department of Orthopedic Surgery Fourth Clinical College of Peking
Beijing Jishuitan Hospital University
Beijing, China Beijing Jishuitan Hospital
Beijing, China
Hongyi Shao
Fourth Clinical College of Peking
University
Beijing Jishuitan Hospital
Beijing, China
ISBN 978-981-19-3605-0 ISBN 978-981-19-3606-7 (eBook)
https://doi.org/10.1007/978-981-19-3606-7
© Science Press 2022
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Preface
Total hip arthroplasty (THA) is undoubtedly one of the most successful sur-
geries in the past decades. In terms of relieving pain and improving function,
there is no other operation compared with it. After decades of development,
especially in the past 20 years, orthopedic surgeons have a deeper under-
standing of hip disease and failure mechanisms of THA. At the same time,
they have made great progress in prosthesis design, materials, and implanta-
tion methods.
Today, expectations of surgeons and patients for THA are no longer lim-
ited to pain relief and function improvement. How to improve the patient’s
satisfaction and make the patient completely painless, or even completely
return to normal life and sports after surgery, is a higher goal pursued by
clinical practice.
Although most hip arthroplasties can be perfect, some patients will still
have postoperative complications. Therefore, how to avoid periprosthetic
infection, periprosthetic fractures, and other postoperative complications is
still a hot topic in THA.
At the same time, with the advent of intelligent orthopedics, new naviga-
tion and robot technology has also changed the way of hip implantation.
What these technologies bring to us and how to use them are also the
concern.
As surgeons in the Department of Joint Surgery of Beijing Jishuitan
Hospital, we hereby write this book to feed readers and provide some help for
them to understand modern hip arthroplasty technology.
Beijing, China Yixin Zhou
Jing Tang
Hongyi Shao
v
Contents
Part I Basic Knowledge of Total Hip Arthroplasty
1 Total Hip Arthroplasty: Indications and Contraindications . . . . 3
Hao Tang
2 Cemented Hip Arthroplasty and Cementing Technique . . . . . . . 9
Jian Liu
3 Cementless Component Design . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Dejin Yang and Wang Deng
4 Bearing Surfaces for Total Hip Arthroplasty . . . . . . . . . . . . . . . . 21
Jianming Gu
Part II Preoperative Preparation and Surgical Techniques of Total
Hip Arthroplasty
5 Preoperative Medical Evaluation for Total Joint
Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Qiheng Tang
6 How to Avoid Periprosthetic Joint Infection . . . . . . . . . . . . . . . . . 37
Hongyi Shao
7 Preoperative Assessment and Templating
in Total Hip Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Hongyi Shao
8 Postoperative Radiological Assessment
After Total Hip Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Hao Tang
9 Critical Techniques for Total Hip Arthroplasty . . . . . . . . . . . . . . 59
Shengjie Guo and Yong Huang
10 Minimally Invasive Posterolateral Approach
to Total Hip Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Jing Tang
vii
viii Contents
11 Minimally Invasive Direct Anterior Approach
for Total Hip Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Jing Tang
12 The Surgical Approach and Outcomes
of Total Hip Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Jing Tang
Part III Complex Primary Total Hip Arthroplasty
13 Total Hip Arthroplasty for Developmental
Dysplasia of the Hip. Part 1: Crowe I–II . . . . . . . . . . . . . . . . . . . 81
Songjie Ji and Jing Tang
14 Total Hip Arthroplasty for CROWE Type III
Developmental Dysplasia of the Hip . . . . . . . . . . . . . . . . . . . . . . . 89
Jing Tang
15 Total Hip Arthroplasty in Crowe IV Developmental
Dysplasia of the Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Xingshan Wang
16 Total Hip Arthroplasty After Previous Periacetabular
Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Yuan Liu
17 Total Hip Arthroplasty in Hip Ankylosis . . . . . . . . . . . . . . . . . . . 105
Shengjie Guo and Yong Huang
18 Total Hip Arthroplasty After Hip Fracture . . . . . . . . . . . . . . . . . 109
Ji Zhang
19 Total Hip Arthroplasty in Adult Patients
with Sequelae After Childhood Hip Infection . . . . . . . . . . . . . . . 121
Liang Zhang
20 Total Hip Arthroplasty in the Treatment
of Inflammatory Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Liang Zhang
21 Total Hip Arthroplasty for Avascular Necrosis
(AVN) of the Femoral Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Wang Deng and Dejin Yang
Part IV How to Avoid the Pitfalls in the Primary Total Hip
Arthroplasty
22 How to Achieve a Stable Hip Arthroplasty . . . . . . . . . . . . . . . . . . 151
Qing Liu
Contents ix
23 How to Control Leg Length during
Total Hip Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Jing Tang
24 Periprosthetic Fractures After Total Hip Arthroplasty . . . . . . . . 165
Hanlong Zheng
Part V A I Assisted Primary Total Hip Arthroplasty
25 Determining the Goals of Component Orientation
in Total Hip Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
Hao Tang
26 Robotic-Assisted Total Hip Arthroplasty . . . . . . . . . . . . . . . . . . . 185
Hongyi Shao and Yixin Zhou
Contributors
Wang Deng Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Jianming Gu Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Shengjie  Guo Department of Orthopedic Surgery, Beijing Jishuitan
Hospital, Fourth Clinical College of Peking University, Beijing, China
Yong Huang Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Songjie Ji Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Jian Liu Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Qing Liu Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Yuan Liu Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Hongyi Shao Fourth Clinical College of Peking University, Beijing Jishuitan
Hospital, Beijing, China
Hao Tang Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Jing Tang Fourth Clinical College of Peking University, Beijing Jishuitan
Hospital, Beijing, China
Qiheng Tang Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Xingshan  Wang Department of Orthopedic Surgery, Beijing Jishuitan
Hospital, Fourth Clinical College of Peking University, Beijing, China
Dejin Yang Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Ji Zhang Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
xi
xii Contributors
Jinqing  Zhang Department of Orthopedic Surgery, Beijing Jishuitan
Hospital, Fourth Clinical College of Peking University, Beijing, China
Liang Zhang Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Fourth Clinical College of Peking University, Beijing, China
Hanlong  Zheng Department of Orthopedic Surgery, Beijing Jishuitan
Hospital, Fourth Clinical College of Peking University, Beijing, China
Yixin Zhou Department of Orthopedic Surgery, Beijing Jishuitan Hospital,
Beijing, China