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MASTER TECHNIQUES IN ORTHOPAEDIC SURGERY
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THE HIP
Second Edition
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MASTER TECHNIQUES IN ORTHOPAEDIC SURGERY
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Editor-in-Chief
Bernard F. Morrey,
M.D.
Founding Editor
Roby C. Thompson, Jr.,
M.D.
Volume Editors
SURGICAL EXPOSURES THE SHOULDER
Bernard F. Morrey Edward V. Craig, M.D.
PEDIATRICS RECONSTRUCTIVE KNEE SURGERY
Vernon T. Tolo Douglas W. Jackson, M.D.
David L. Skaggs
KNEE ARTHROPLASTY
SOFT TISSUE SURGERY Paul A. Lotke, M.D.
William Cooney Jess H. Lonner, M.D.
Steven L. Moran THE WRIST
FRACTURES Richard H. Gelberman, M.D.
Donald A. Wiss, M.D. THE FOOT & ANKLE
THE HAND Harold B. Kitaoka, M.D.
James Strickland, M.D. THE ELBOW
Thomas Graham, M.D.
Bernard F. Morrey, M.D.
THE SPINE
David S. Bradford, M.D.
Thomas L. Zdeblick, M.D.
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THE HIP
Second Edition
Editors
ROBERT L. BARRACK, . .
M D
Charles and Joanne Knight Distinguished
Professor of Orthopaedic Surgery
Washington University School of Medicine
St. Louis, Missouri
AARON G. ROSENBERG, . .
M D
Midwest Orthopaedics
Chicago, Illinois
Illustrators
Jennifer E. Fairman, CMI
Hugh Thomas
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Managing Editor:Michelle M. LaPlante
Manufacturing Manager:Ben Rivera
Marketing Director:Sharon Zinner
Project Manager:Fran Gunning
Production Services:Maryland Composition
Printer:Quebecor World-Kingsport
©2006 by Lippincott Williams & Wilkins
©1998 by Lippincott-Raven Publishers
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Printed in the United States
Library of Congress Cataloging-in-Publication Data
The hip / editor, Robert L. Barrack ; illustrators, Jennifer Fairman,
Hugh Thomas — 2nd ed.
p. ; cm. — (Master techniques in orthopaedic surgery)
Includes bibliographical references and index.
ISBN 0-7817-4634-5 (alk. paper)
1. Hip—Surgery. I. Barrack, Robert L. II. Series: Master
techniques in orthopaedic surgery (2nd ed.)
[DNLM: 1. Hip—surgery. 2. Hip Joint—surgery. 3. Hip Fractures—surgery.
4. Hip Prosthesis. 5. Orthopedic Procedures—methods. WE 855 H66715 2005]
RD549.H49 2005
617.5(cid:2)81059—dc22
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To my beautiful wife, Terri, and wonderful sons, Adam and
Toby, for their love, support, and understanding, and to the
memory of my brother, Michael.
RLB
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TABLE OF CONTENTS
Contributors xi
Series Preface xv
Preface xvii
PART I PREREQUISITE TO SURGERY
Chapter 1
Evidence-based Orthopaedics 3
Waqqar Khan-Farooqi and Seth S. Leopold
PART II SURGICAL APPROACHES
Chapter 2
Anterolateral Approach 17
Paul J. P. Pongor and Maurice E. Müeller
Chapter 3
Posterolateral Approach 35
Richard E. White, Jr., and Michael J. Archibeck
Chapter 4
Trochanteric Osteotomy 49
Craig D. Silverton
Chapter 5
Retroperitoneal Approach for Revision Total Hip
Arthroplasty 71
Sanaz Hariri and Harry E. Rubash
Chapter 6
Minimally Invasive Total Hip Arthroplasty 83
Richard Berger
vii
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viii CONTENTS
PART III NONARTHROPLASTY
APPROACHES
Chapter 7
Femoral Osteotomy 103
Richard F. Santore and Thomas R. Turgeon
Chapter 8
Periacetabular Osteotomy 125
Robert T. Trousdale
Chapter 9
Arthroscopy 131
Joseph C. McCarthy and Jo-ann Lee
Chapter 10
Arthrodesis: The Vancouver Technique 141
Clive P. Duncan, Robert W. McGraw, and
Christopher P. Beauchamp
PART IV SURGERY FOR AVASCULAR
NECROSIS
Chapter 11
Hemiarthroplasty 153
Thomas Schmalzried and John Antoniades
Chapter 12
Core Decompression and Nonvascularized Bone
Grafting 159
Hari P. Bezwada, Phillip S. Ragland,
Craig M. Thomas, and Michael A. Mont
PART V PRIMARY TOTAL HIP
ARTHROPLASTY
Chapter 13
Principles, Planning, and Decision Making 177
Robert L. Barrack and Shawn J. Nakamura
SECTION A THE STEM
Chapter 14
The Cemented Stem 203
John J. Callaghan, Steve S. Liu,
David A. Vittetoe, and Lucian C. Warth
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CONTENTS ix
Chapter 15
Extensively Porous Coated Femoral Components
211
Andrew H. Glassman
Chapter 16
The Tapered Stem 237
Peter F. Sharkey and Frazer A. Wade
Chapter 17
The Modular Stem in Developmental Dysplasia of
the Hip 249
David A. Mattingly
Chapter 18
The Proximal Ingrowth Stem 261
David W. Manning, Dennis W. Burke, and
Harry E. Rubash
SECTION B THE SOCKET
Chapter 19
The Cemented Acetabulum 273
Amar S. Ranawat and Chitranjan S. Ranawat
Chapter 20
The Press-fit (Ingrowth) Socket 283
Douglas E. Padgett and
Alejandro González Della Valle
PART VI REVISION TOTAL HIP
ARTHROPLASTY
Chapter 21
Principles, Planning, and Decision Making 297
R. Stephen J. Burnett, Aaron G. Rosenberg,
and Robert L. Barrack
Chapter 22
Component Removal 319
Craig J. Della Valle
SECTION A REVISION STEMS
Chapter 23
Cementing Long Stems 333
Donald W. Howie and Andrew D. MacDowell
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x CONTENTS
Chapter 24
Modular Stems 345
Craig J. Della Valle
Chapter 25
Cementless (Extensively Porus Coated) Stems
357
Mark Barba and Wayne G. Paprosky
Chapter 26
Grafting: Impaction and Strut 367
John Charity, Anthony D. Lamberton,
Graham A. Gie, and Andrew John Timperley
Chapter 27
Allograft Prosthetic Composite 385
Allan E. Gross
Chapter 28
Megaprosthesis: Proximal Femoral and Total
Femoral Replacement 397
Javad Parvizi and Franklin H. Sim
SECTION B ACETABULAR REVISION
Chapter 29
Cementless Acetabular Revision 409
R. Michael Meneghini, David G. Lewallen, and
Arlen D. Hanssen
Chapter 30
Acetabular Revision with Structural Allograft 427
Michael R. O’Rourke, Scott Sporer, and
Wayne G. Paprosky
Chapter 31
Cages 439
Daniel J. Berry
Chapter 32
Acetabular Revision: Managing Osteolysis 449
R. Stephen J. Burnett and John C. Clohisy
PART VII SPECIAL TECHNIQUES
Chapter 33
PROSTALAC for Infection 465
Finnbar Condon, Bassam A. Masri,
Donald S. Garbuz, and Clive P. Duncan