Mastering Orthopedic Techniques: Revision Total Hip Arthroplasty

Total hip replacements (THRs) are very successful procedures, but they eventually wear out and sometimes complications may develop, requiring a further operation – revision hip replacement. A revision or ‘re-do’ total hip replacement procedure involves the removal of the existing THR and its replacement with new components (Arthritis Research UK).  

This book presents orthopaedic surgeons with the latest developments, current indications and critical issues in revision hip arthroplasty, providing in depth discussion on surgical reconstruction of the hip and basic hip joint deformities.

Part of the successful Mastering Orthopedic Techniques series, the book is highly illustrated with surgical photographs, operative diagrams and X-Ray images. Other titles in the series include Total Hip Arthroplasty, Total Knee Arthroplasty, Spine Surgery, Intra-articular Fractures, and Knee Reconstruction.

Key Points

• Complete guide to revision hip arthroplasty for orthopaedic surgeons
• Presents latest developments, current indications and critical issues
• Highly illustrated with surgical photographs, diagrams and X-Rays
• Part of the successful Mastering Orthopedic Techniques series

1. Why Hips Fail? (Causes, Modes Etc)                
2. Imaging Of The Failed Hips- Acetabulum                                           
3. Imaging Of The Failed Hips-Femur
4. Assessing Bone Quality Before Revision Hip Arthroplasty
5. Classification Of Osseous Defects In Revision Hip Arthroplasty                           
6. Soft Tissue Considerations In Revision Hip Arthroplasty
7. Ruling Out Septic Failure In THA                                        
8. Preoperative Planning For Revision THA                       
9. How To Choose An Implant In Revision Hip Arthroplasty-Acetabulum
10. How To Choose An Implant In Revision Hip Arthroplasty-Femur                        
11. How To Choose An Approach In Revision THA                            
12. Modified Trochanteric Osteotomy For Revision THA               
13. Extensile Approaches In Revision Hip Arthroplasty
14. Femoral Component Removal In Revision Hip Arthroplasty
15. Acetabular Component Removal In Revision Hip Arthroplasty                            
16. Endofemoral Cement Removal In Revision Hip Arthroplasty
17. Femoral Reconstruction In Revision Hip Arthroplasty              
18. Impaction Allografting Technique                                    
19. Cement-In-Cement Femoral Revision                           
20. Cemented Femoral Revisions                                            
21. Stem Revision With Extended Lateral Osteotomy Without Dislocating The Hip 
22. Modular Stems In Femoral Revision(I)                           
23. Modular Femoral Component Revision(II)                   
24. Conversion Of Failed Hemiarthroplasty To THA         
25. Acetabular Reconstruction In Revision Hip Arthroplasty-Uncemented            
26. Acetabular Reconstruction In Revision Hip Arthroplasty-Cemented 
27. Choosing Constraint In Revision Hip Arthroplasty       
28. Role Of Cages In Revision Hip Arthroplasty                  
29. Management Of Bone Defects In Revision Hip Arthroplasty
30. Trabecular Metal in Revision Hip Arthroplasty            
31. Management of Pelvic Discontinuity in Revision THA              
32. Cup-Cage for Pelvic Discontinuity                                    
33. Alloprosthetic Composites in Revision Hip Arthroplasty
34. Bulk Allografts-Acetabular                                                  
35. Role of Femoral Megaprosthesis In Revision Hip Arthroplasty (Including Total Femoral Replacement)
36. Revision for Infection-Two Stage                                     
37. Revision for Infection – Single Stage                                               
38. Revision for Instability                                                          
39. When and How To Revise For Limb Length Discrepancy
40. Revision for Periprosthetic Fractures
41. Revision THA Strategies in The Presence Of Ipsilateral TKA (Well-Functioning/Failed)
42. Role of Strut Allografts in Reconstructing Failed THA               
43. Management of Trochanteric Nonunion And Abductor Insufficiency              
44. Custom Implants in Revision THA                                     
45. Computer Navigation in Revision THA                            
46. General Technical Tips & Postoperative Care                              
47. Salvage Options in Revision Hip Arthroplasty                              
48. Evaluation and Management of A Well Fixed Painful THA
49. Endoscopy Assisted Revision THA                                    
50. 50 Future Trends    

Rajesh Malhotra MBBS MS FRCS FACS FIMSA FICS MNASc
Professor of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India