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CURRENT Diagnosis & Treatment in Orthopedics, 4e
Joint Replacement Procedures
Sections: Joint Replacement
Procedures, Hemiarthroplasty, Total Joint
Arthroplasty, Total Hip Arthroplasty, Indications, Surgical
Technique, Posterolateral
Approach, Lateral Approach, Anterolateral
Approach (Watson-Jones Approach), Other Approaches, Implants, Complications, Deep Venous
Thrombosis, Nerve Palsies, Vascular
Complications, Fracture
or Perforation, Dislocation
Following Total Hip Arthroplasty, Leg-Length
Discrepancy, Trochanteric
Nonunion, Heterotopic
Ossification, Infection, Revision Total
Hip Arthroplasty, Total Knee Arthroplasty, Indications, Implants, Surgical
Technique, Clinical
Results, Complications, Deep Vein
Thrombosis, Wound Problems, Nerve Palsy, Femoral Fracture, Extensor
Mechanism Complications, Knee Stiffness, Total Shoulder
Arthroplasty, Indications, Surgical
Technique, Implants, Clinical
Results, Total Elbow
Arthroplasty, Indications, Surgical
Technique, Implants, Clinical
Results, Total Ankle
Arthroplasty, Evaluation of
Painful Total Joint Arthroplasty, History, Physical
Examination, Workup, Laboratory
Findings, Arthrographic
Evaluation, Indium-Labeled
White Blood Cell Scan, Plain Radiographs, Treatment of
Infected Total Joint Arthroplasty.
Topics Discussed: ankle pain; arthroplasty, replacement; arthroplasty, replacement, ankle; arthroplasty, replacement, elbow; arthroplasty, replacement, shoulder; elbow pain; femoral fractures; fractures, displaced; harris hip evaluation; hemiarthroplasty; hip fracture; hip joint implantable prostheses (device); hip pain; hip prosthesis insertion; infection as complication of medical care; knee pain; knee replacement arthroplasty; leg length inequality; pain, postoperative; reconstructive surgical procedures; shoulder pain; stiff knee; watson-jones operation for hip fusion.
Excerpt:
"Hemiarthroplasty is the replacement of only one side of a diarthrodial
joint. The procedure is indicated for displaced fractures of the
femoral neck or four-part fractures of the humeral head, but there
are other indications in adult reconstructive surgery. In both the
shoulder and the hip, osteonecrosis may result in collapse of the
humeral or femoral articulating surface, with sparing of the glenoid
or acetabulum. In the hip, nonunion of the femoral neck after open
reduction and internal fixation may also be an indication for endoprosthetic
replacement. In either joint, pathologic fracture or tumor may be
an indication. Contraindications include active infection, RA, and possibly
the patient's age. Endoprosthetic replacement in a young
individual is certain to result, with time, in destruction of the
articular surface of the acetabulum. This may, however, take many years,
and the patient may have a serviceable joint in the intervening
period.The original Charnley total hip arthroplasty was a stainless
steel femoral prosthesis with a small collar, a rectangular cross
section, and a 22-mm femoral head. The acetabular component was
a UHMWPE cup (Figure 7–7). Both
components were cemented..."
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