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Treatment of Acetabular Bone Loss and Chronic Pelvic Discontinuity
- 1st Edition - January 22, 2023
- Authors: Neil P. Sheth, Wayne Paprosky
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 7 5 5 0 - 9
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 7 5 5 1 - 6
Edited and written by pioneers and experts in the field, Treatment of Acetabular Bone Loss and Chronic Pelvic Discontinuity is the first text to provide focused, practical content… Read more
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Request a sales quoteEdited and written by pioneers and experts in the field, Treatment of Acetabular Bone Loss and Chronic Pelvic Discontinuity is the first text to provide focused, practical content on the effective evaluation and treatment of this challenging problem. Comprehensive and easy to follow, it offers a step-by-step approach to teach surgeons how to tailor their surgery to each individual patient’s anatomy with the goal of improving patient outcomes.
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Provides focused content in a templated, easy-to-read format, with expert commentary from a global team of authors who are renowned for their particular surgical technique.
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Includes case examples, surgical pearls to follow, and common tendencies to avoid in order to prevent complications and optimize surgical outcomes.
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Contains high-quality photos throughout that walk you through the procedures.
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Features videos for each surgical technique, allowing you to preoperatively plan for highly complex surgical techniques and access all alternative techniques in one location.
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An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
Orthopedic surgeons; adult reconstruction surgeons
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Foreword
- Preface
- List of contributors
- Video contents
- List of Tables
- List of Illustrations
- 1. Introduction
- 2. Acetabular bone loss classification
- Introduction
- Alternative classification systems
- Paprosky classification system
- Summary
- Editorial comment
- References
- 3. Radiographic evaluation of severe acetabular bone loss +/– chronic pelvic discontinuity
- Background
- Radiographic classification of acetabular bone loss (please see Chapter 2 for further detail)
- Summary
- References
- 4. Cementless acetabular revision (type I defects)
- Background
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol and common complications
- Summary of clinical outcomes
- Illustrative case
- Editorial comment
- References
- 5. Cemented revision in type I defects
- Background
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol and common complications
- Summary of clinical outcomes
- Illustrative case
- Editorial comment
- References
- 6. Cementless acetabular revision for the distorted acetabulum with intact columns (type IIA, B, and C defects)
- Background
- Preoperative planning
- Patient positioning and surgical approach
- Surgical technique
- Summary of clinical results (Tables 6.1-6.4)
- Postoperative protocol
- Pitfalls and complications
- Editorial comment
- References
- 7. Cemented acetabular revision for the distorted acetabulum with intact columns (type IIA, B, and C defects)
- Background
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol and common complications9
- Summary of clinical outcomes (Tables 7.1-7.3)
- Illustrative case
- Editorial comment
- References
- 8. Cementless acetabular revision for severe acetabular bone loss without pelvic discontinuity (type IIIA and B defects)
- Introduction
- Surgical approach and exposure
- Algorithmic approach to cementless reconstruction of IIIA and IIIB defects
- Large hemispherical cups without augmentation (Jumbo cups)
- Hemispherical cups with a high hip center
- Porous metal augmentation
- Custom triflange components
- Double cup construct
- Oblong and bilobed cups
- Structural bone allograft
- Conclusion
- Editorial comment
- References
- 9. Acetabular revision with impaction grafting for severe acetabular bone loss without pelvic discontinuity
- Background
- Patient positioning and surgical approach
- Required equipment
- Surgical technique
- Case illustration-1 (Fig. 9.3)
- Case illustration-2 (Fig. 9.4)
- Technical concerns
- Clinical outcomes
- Acknowledgment
- Editorial comment
- References
- 10. Plating of an acute pelvic discontinuity
- Background
- Diagnosis and evaluation of APD
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol and common complications
- Clinical outcomes
- Illustrative case (Fig. 10.16)
- Editorial comment
- References
- 11. Intraoperative identification and bone grafting of a chronic pelvic discontinuity
- Background
- Intraoperative identification
- Bone graft options
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol
- Common complications
- Illustrative case acute pelvic discontinuity
- Illustrative case chronic pelvic discontinuity
- Editorial comment
- References
- 12. Primer on treatment options for chronic pelvic discontinuity
- 13. Cages/ reconstruction rings (Burch-Schneider/ Ganz) for reconstruction of chronic pelvic discontinuity
- Background
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol and common complications
- Summary of clinical outcomes (Tables 13.1–13.3)
- Illustrative case
- Editorial comment
- References
- 14. Kerboull acetabular ring device with allograft for chronic pelvic discontinuity
- Background
- The Kerboull acetabular reinforcement device and its evolution
- Mechanical principles
- The KARD evolution
- Surgical technique
- Clinical outcomes
- Conclusion
- Illustrative case
- Editorial comment
- References
- 15. Acetabular impaction bone grafting for chronic p elvic discontinuity
- Background
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol and common complications
- Summary of clinical outcomes (Table 15.1)
- Illustrative case
- Editorial comment
- References
- 16. Acetabular bone loss with chronic pelvic discontinuity: Acetabular cup-cage vs cage-augment reconstruction
- Background
- Surgical technique
- Postoperative protocol and complications
- Clinical outcomes
- References
- 17. Cup-cage/half cage for chronic pelvic discontinuity
- Introduction
- History
- Indications, contraindications, and alternatives
- Instruments and implants
- Surgical approaches and cage implantation
- Postoperative regimen
- Avoiding complications
- Results
- Illustrative case
- Editorial comment
- References
- 18. Ice cream cone (pedestal) prosthesis for chronic pelvic discontinuity
- Background
- Surgical planning
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol and common complications
- Illustrative case
- Editorial comment
- References
- 19. Custom triflange acetabular component for chronic pelvic discontinuity
- Background
- Preoperative imaging
- Surgical technique
- Technical pearls and pitfalls
- Postoperative protocol
- Clinical outcomes
- Complications
- Cost considerations
- Illustrative case
- Editorial comment
- References
- 20. Custom 3D-printed acetabular component for chronic pelvic discontinuity
- Background
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol and common complications
- Summary of clinical outcomes and complications (Table 20.1)
- Illustrative case
- Editorial comment
- References
- 21. Jumbo cup and modular porous metal augments for chronic pelvic discontinuity
- Background
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol
- Summary of clinical outcomes in the literature (Tables 21.1-21.2)
- Illustrative case
- Summary
- Editorial comment
- Suggested readings
- 22. Acetabular distraction technique for chronic pelvic discontinuity
- Background
- Surgical technique
- Common pitfalls and tendencies
- Postoperative protocol and common complications
- Summary of clinical outcomes (Table 22.1)
- Illustrative case
- Editorial comment
- References
- Index
- No. of pages: 192
- Language: English
- Edition: 1
- Published: January 22, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780323875509
- eBook ISBN: 9780323875516
NS
Neil P. Sheth
Neil Sheth is the Chief of Orthopaedic Surgery and Assistant Professor of Orthopaedic Surgery at the University of Pennsylvania. He obtained his undergraduate degree in Biomedical Engineering with a minor in Finance at the University of Pennsylvania. He then spent 2 years on Wall Street as a Financial Analyst in Solomon Smith Barney's Healthcare Investment Banking division prior to attending medical school at the Albany Medical College. Following medical school, he completed a six-year Orthopaedic Surgery residency at the Hospital of the University of Pennsylvania. Following residency, he completed an adult hip and knee reconstruction fellowship at Rush University as well as a three month mini-fellowship at the Endo Klinik in Hamburg, Germany focusing on peri-prosthetic infection. Dr. Sheth returned in 2012 to join the faculty at the University of Pennsylvania and focuses his research on bone loss pertaining to revision total hip arthroplasty, peri-prosthetic infection and the role of orthopaedic surgery in global health.
Affiliations and expertise
Chief, Department of Orthopaedic Surgery, Pennsylvania Hospital; Director of Global Orthopaedics (www.globalortho.org); Site Director Pennsylvania Hospital – Adult Hip and Knee Reconstruction Fellowship; Assistant Professor, University of Pennsylvania Department of Orthopaedic Surgery, Philadelphia, PennsylvaniaWP
Wayne Paprosky
Wayne Paprosky was one of the first surgeons to perform total hip surgery with cement less implants, which is today's standard. He developed the Paprosky Classification used worldwide for performing Revision surgery. Dr. Paprosky developed and implanted the first gender specific hip for women 15 years ago. These concepts have led to the development of today's gender specific implants for active females. In addition, Dr. Paprosky performs minimally invasive total hip and knee surgery enabling patients to go home within 24 hours.
Affiliations and expertise
Professor, Department of Orthopaedics, Section of Adult Joint Reconstruction, Rush Presbyterian-St. Luke’s Medical Center, Chicago, Illinois