Hip Dislocation (Femoroacetabular Impingement)
Femoroacetabular impingement (FAI) is a common cause of hip pain and hip osteoarthritis in the young adult.5 FAI is a dynamic pathologic condition that occurs when an abnormally shaped femoral…
Reconstructive surgery
Total Hip Arthroplasty with Femoral Bone Loss: Impaction Allografting
One of the significant challenges in hip revision surgery is the absence of satisfactory proximal femoral bone stock. Restoration of the structural integrity of the proximal femur is paramount to…
Total Knee Arthroplasty with Removal of Well-fixed Components
Estimates indicate that by the year 2030, the volume of primary total knee arthroplasty (TKA) cases will increase to 3,480,000 and the number of revision procedures is expected to rise…
Total Hip Arthroplasty with Femoral Bone Loss: Fluted Stems
A fluted femoral stem is designed to provide diaphyseal rotational stability through multiple longitudinally oriented flutes with varying numbers and positions, depending on the manufacturer. These fluted stems may be…
Femoral Osteotomy
Varus intertrochanteric osteotomy involves the reorientation of the proximal femur in order to improve femoral head coverage and joint congruency. It may serve either as a reconstruction or salvage operation….
Dunn Procedure for Slipped Capital Femoral Epiphysis
The modified Dunn procedure is an open realignment of the capital femoral epiphysis performed through a surgical dislocation approach.18 Like the original Dunn osteotomy, the modified Dunn corrects a slipped…
Hip/Lateral Hip
Coxa saltans is a term popularized by Allen and various co-authors.1 Encompasses three types • Internal type (iliopsoas tendon) • External type (iliotibial band) • Intra-articular type was originally attributed to diverse intra-articular…
Total Knee Arthroplasty with Tibial Bone Loss: Bone Grafting
Substantial bone loss and bone defects are among the most challenging problems faced by surgeons performing revision knee arthroplasty. Tibial bone loss in failed total knee arthroplasty (TKA) is a…
Total Hip Arthroplasty with Acetabular Bone Loss: Antiprotrusio Cage
Acetabular bone deficiency may occur primarily (eg, dysplasia, inflammatory arthritis, or seronegative arthropathy) or secondarily (eg, aseptic or septic loosening of acetabular components, osteolysis, trauma, or iatrogenic loss during removal…
Total Hip Arthroplasty with Well-Fixed Components
Well-fixed femoral and acetabular components often must be removed during revision total hip arthroplasty (THA). Determine which well-fixed components should be removed and which should be left in place at…
