Instability after major joint replacement:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Saunders
2001
|
| Series: | The orthopedic clinics of North America
32,4 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XIII S., S. 543 - 722 zahlr. Ill., graph. Darst. |
Staff View
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| 245 | 1 | 0 | |a Instability after major joint replacement |c Clive P. Duncan ... guest eds. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2001 | |
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| 650 | 7 | |a Gewrichten |2 gtt | |
| 650 | 7 | |a Instabiliteit |2 gtt | |
| 650 | 7 | |a Prothesen |2 gtt | |
| 650 | 4 | |a Accidental Falls | |
| 650 | 4 | |a Arthroplasty, Replacement |x adverse effects | |
| 650 | 4 | |a Joint Instability | |
| 650 | 4 | |a Joints |x Hypermobility | |
| 650 | 4 | |a Joints |x Surgery |x Complications | |
| 650 | 0 | 7 | |a Instabilität |0 (DE-588)4139195-0 |2 gnd |9 rswk-swf |
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| adam_text | INSTABILITY AFTER MAJOR JOINT REPLACEMENT
CONTENTS
Preface xiii
Clive P. Duncan and Harry E. Rubash
Epidemiology of Instability After Total Hip Replacement 543
Joaquin Sanchez Sotelo and Daniel J. Berry
This article reviews the epidemiology of dislocation after total hip arthro
plasty. The overall prevalence, prevalence as a function of time after arthro
plasty, and prevalence of recurrent dislocation are reviewed. Risk factors for
dislocation are reviewed according to patient characteristics, implant design
characteristics, and factors related to surgical technique.
Experimental and Computational Simulation of Total Hip
Arthroplasty Dislocation 553
Christopher R Scifert, Philip C. Noble, Thomas D. Brown,
Reed L. Bartz, Nimish Kadakia, Nobuhiko Sugano,
Richard C. Johnston, Douglas R. Pedersen, and John J. Callaghan
Other than fatal pulmonary embolism and deep infection, dislocation follow¬
ing total hip replacement remains probably the most vexing complication to
patient and surgeon. Subluxation and dislocation are complex, poorly un¬
derstood phenomena. Many important questions in this area unfortunately
do not lend themselves well to clinical or registry study. Appropriate realistic
laboratory models have been lacking. This article synthesizes new work un¬
dertaken independently by two groups of biomechanical investigators using
very different, but complimentary, methodologies to study the mechanisms
of dislocation, and especially the influence of specific design and surgical
variables.
Virtual Reality Computer Animation of the Effect of Component
Position and Design on Stability After Total Hip Arthroplasty 569
Robert L. Barrack, Carlos Lavernia, Michael Ries,
Robert Thornberry, and Evangelos Tozakoglou
Virtual reality technology was utilized to assess the effect of component ori¬
entation and component design on the range of motion prior to impingement
following total hip arthroplasty. Components were digitized, oriented in the
pelvis, and computer animations were performed to assess the likelihood of
dislocation with different combinations of component orientation.
ORTHOPEDIC CLINICS OF NORTH AMERICA
VOLUME 32 • XUMBER 4 • OCTOBER 2001 vii
Preoperative Planning to Prevent Dislocation of the Hip 579
James P. McAuley and Stephen R. Ridgeway
Because treatment for dislocations after a total hip arthroplasty are a ma¬
jor therapeutic challenge, prevention of this complication is paramount. To
minimize the potential for instability, preoperative planning must not only
include radiographic templating, but also identification of patient and sur¬
gical variables that could increase the likelihood of dislocation. This article
discusses considerations such as patient characteristics, surgical experience,
the operative approach, component design and positioning, and postopera¬
tive treatment and education.
Dislocation After Total Hip Arthroplasty: A Single
Surgeon s Experience 587
Brad E. Heithoff, John J. Callaghan, Devon D. Goetz,
Patrick M. Sullivan, Douglas R. Pedersen, and Richard C. Johnston
The purpose of this article is to evaluate the dislocations that occurred in a
single surgeon practice over a 26 year period. After extensive research, the
authors concluded that dislocation continues to occur long after the initial
arthroplasty procedure. Patients should be aware that more than a quarter of
dislocations occur 2 years following surgery. Use of modular 22 millimeter
components were associated with the highest dislocation rate. These com¬
ponents should be used very cautiously. Constrained liners have helped de¬
crease the dislocation rate following revision for dislocation.
Treatment of Hip Instability 593
Graham M. Robbins, Bassam A. Masri, Donald S. Garbuz,
Nelson Greidanus, MD, MPH, FRCSC, and Clive P. Duncan
Instability after total hip arthroplasty is a major source of patient morbidity,
second only to aseptic loosening. Certain patient groups have been iden¬
tified as having a greater risk of instability, including patients undergo¬
ing revision arthroplasty as early or late treatment for proximal femoral
fractures.
Preoperative Planning to Prevent Instability in Total
Knee Arthroplasty 611
Graham M. Robbins, Bassam A. Masri, Donald S. Garbuz,
and Clive P. Duncan
Several factors can lead to persistent instability after total knee arthroplasty,
including bone and soft tissue loss, preexisting ligamentous laxity, and poor
operative technique. Achieving stability should not be equated with making
the knee extremely tight, without any natural laxity.
Knee: Axial Instability 627
Henry D. Clarke and W. Norman Scott
The long term results of total knee replacement are among the most success¬
ful of any orthopedic procedure; however, certain patterns of failure have
been identified including varus valgus instability and anterior posterior in¬
stability in flexion. While trauma may cause acute ligamentous injury that
results in instability, the majority of cases likely result from intraoperative
decisions that result in malalignment and inadequate soft tissue balancing.
Failure to restore medial lateral soft tissue balance with symmetric flexion
and extension spaces may result in postoperative instability. Techniques to
achieve correct soft tissue balancing and symmetric flexion and extension
gaps, as well as the management of postoperative instability, are reviewed.
yiii CONTENTS
Rotational Instability and Malrotation After Total
Knee Arthroplasty 639
Richard A. Berger and Harry E. Rubash
Total knee arthroplasty has become the standard treatment for various dis¬
abling disorders of the knee and has proven long term success. Surgical tech¬
nique and prosthetic design have evolved to produce consistent and excellent
results. Despite the current success of total knee arthroplasty, complications
remain.
Instability After Prosthetic Arthroplasty of the Shoulder 649
Shawn P. Hennigan and Joseph P. Iannotti
Instability of the shoulder is a common complication after prosthetic arthro¬
plasty and accounts for approximately 4% to 5% of case series with mixed
preoperative diagnoses. Several anatomic abnormalities and risk factors are
associated with this problem. The direction of instability often is associated
with the more common types of structural abnormalities.
Instability of Shoulder Arthroplasty: Balancing Mobility
and Stability 661
Ariane Gerber, Navid Ghalambor, and Jon J. P. Warner
Avoidance of instability after shoulder arthroplasty is based on an apprecia¬
tion of normal articular anatomy and its restoration, as well as adequate soft
tissue release and secure repair of subscapularis. Errors in restoration of ar¬
ticular anatomy, or disruption of soft tissues about the joint, are the principal
reasons for instability. Revision in such cases can be challenging because of
difficulties in restoring normal articular position and orientation, as well .is
reconstruction of deficient soft tissues.
Instability After Total Elbow Arthroplasty 671
David Ring, Mark Koris, and Jesse B. Jupiter
Resurfacing total elbow arthroplasty is occasionally unstable. Instability may
be related to insufficiency of the ligaments or improper tensioning and im¬
plant positioning at the time of surgery. Ligament reconstruction has pro¬
duced mixed results; however, attempts to reconstruct the ligaments are
probably worthwhile because conversion of a freshly cemented resurfacing
implant to a semiconstrained hinge is very challenging.
Treatment of Instability After Total Elbow Arthroplasty 679
Shawn W. O Driscoll and Graham J. W. King
Instability after total elbow arthroplasty can he due to incorrect component
selection or position, inadequacy of the medial or lateral ligaments or triceps
tendon, polyethylene wear, limb malalignment, or trauma. Patients with sig¬
nificant loss of bone structure, ligament deficiency, and tendon deficiency
around the elbow are at increased risk of instability following total elbow
arthroplasty.
Instability After Major Tumor Resection: Prevention
and Treatment 697
Craig H. Gerrand, Robert S. Bell, Anthony M. Griffin,
and Jay S. Wunder
Instability is a significant problem after resection of musculoskeletal tumors.
In this article, the authors discuss the issue of instability after resections of the
CONTENTS ix
pelvis, the femur, and the proximal tibia. The options for reconstruction in
each area are discussed along with a review of the literature and a description
of the authors preferred approach.
Cumulative Index 2001 711
Subscription Information Inside back cover
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| spelling | Instability after major joint replacement Clive P. Duncan ... guest eds. Philadelphia [u.a.] Saunders 2001 XIII S., S. 543 - 722 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier The orthopedic clinics of North America 32,4 Gewrichten gtt Instabiliteit gtt Prothesen gtt Accidental Falls Arthroplasty, Replacement adverse effects Joint Instability Joints Hypermobility Joints Surgery Complications Instabilität (DE-588)4139195-0 gnd rswk-swf Gelenkendoprothese (DE-588)4156446-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Gelenkendoprothese (DE-588)4156446-7 s Instabilität (DE-588)4139195-0 s DE-604 Duncan, Clive P. Sonstige oth The orthopedic clinics of North America 32,4 (DE-604)BV000001089 32,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009651269&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Instability after major joint replacement The orthopedic clinics of North America Gewrichten gtt Instabiliteit gtt Prothesen gtt Accidental Falls Arthroplasty, Replacement adverse effects Joint Instability Joints Hypermobility Joints Surgery Complications Instabilität (DE-588)4139195-0 gnd Gelenkendoprothese (DE-588)4156446-7 gnd |
| subject_GND | (DE-588)4139195-0 (DE-588)4156446-7 (DE-588)4143413-4 |
| title | Instability after major joint replacement |
| title_auth | Instability after major joint replacement |
| title_exact_search | Instability after major joint replacement |
| title_full | Instability after major joint replacement Clive P. Duncan ... guest eds. |
| title_fullStr | Instability after major joint replacement Clive P. Duncan ... guest eds. |
| title_full_unstemmed | Instability after major joint replacement Clive P. Duncan ... guest eds. |
| title_short | Instability after major joint replacement |
| title_sort | instability after major joint replacement |
| topic | Gewrichten gtt Instabiliteit gtt Prothesen gtt Accidental Falls Arthroplasty, Replacement adverse effects Joint Instability Joints Hypermobility Joints Surgery Complications Instabilität (DE-588)4139195-0 gnd Gelenkendoprothese (DE-588)4156446-7 gnd |
| topic_facet | Gewrichten Instabiliteit Prothesen Accidental Falls Arthroplasty, Replacement adverse effects Joint Instability Joints Hypermobility Joints Surgery Complications Instabilität Gelenkendoprothese Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009651269&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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