By Dr. Koen De Smet, Pat Campbell, Dr. Catherine Van Der Straeten
Hip resurfacing arthroplasty (HRA) utilizing metal-on-metal bearings is a longtime yet really expert strategy in joint surgical procedure. in accordance with the event of top specialists in the sector, this ebook offers a finished reference on all points of this crucial procedure.
The first half stories and compares all of the significant hip resurfacing prostheses, their key layout positive aspects, correct surgical thoughts and scientific effects. half discusses medical follow-up of the hip resurfacing sufferer, together with pre- and post-operative exam, acoustic phenomena and rehabilitation. It is going directly to hide using thoughts reminiscent of radiography and steel ion size, in addition bone scans, ultrasound, CT, MRI, puppy and DEXA, to overview hip resurfacings. half 3 studies most sensible perform in surgical thoughts, targeting such issues because the transformed posterior and anterior techniques, instrumentation, anesthesia and revision surgical procedure. utilizing huge retrieval reports, half 4 contains examples of the most failure modes. The ultimate a part of the e-book comprises sufferers’ personal stories, a comparability of HRA with overall hip arthroplasty (THA), regulatory matters and appropriate net sites.
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Extra info for The hip resurfacing handbook: A practical guide to the use and management of modern hip resurfacings
J. Eng. Med. [H], 220(2): 85–94. , P. Roberts et al. (2005). , 36(2): 125–34, vii. , B. Bal et al. (2009). ’ Clinical Orthopaedics and Related Research, 467(2): 358–365 McMinn, D. (2009). ‘Development perspectives’. ). London, Springer-Verlag: 1–41. , R. Treacy et al. (1996). ‘Metal on metal surface replacement of the hip. ’ Clinical Orthopaedics and Related Research, 329 Suppl: S89–98. Wagner, H. (1978). ’ Clinical Orthopaedics and Related Research, 134(July): 102–130. © Woodhead Publishing Limited, 2013 1 The advanced ceramic coated implant systems (ACCIS) hip resurfacing prosthesis K.
4 mm clearance relative to the component size, to give space for an adequate cement mantle. Radially placed cement pockets at the proximal part of the femoral head (fig. 4) provide room for additional cement, which contributes to the quality of the fixation with cement. The central stem does not contribute to the fixation (no cement should enter the prepared canal), but serves as a positioner for the head component. 3 Recommended advanced ceramic coated implant systems (ACCIS) surgical technique The recommended surgical technique of the ACCIS prosthesis for surface replacement arthroplasty of the hip is based on two principles.
A 2 mm diameter head difference will increase or reduce the available range of motion (ROM) on any given neck-tocup relationship by approximately 8°. gclid=CNu7jeXfvZg CFYFA3godSkqWYQ. 2003)! All resurfacings reduce the head size from normal, hence all will have a lower ROM before impingement. This, together with 4 mm increment steps in some systems, is one of the reasons why smaller patients do less well, in particular women who naturally have a greater ROM (Australian Orthopaedic Association, 2008).
The hip resurfacing handbook: A practical guide to the use and management of modern hip resurfacings by Dr. Koen De Smet, Pat Campbell, Dr. Catherine Van Der Straeten