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OPERATIVE TECHNIQUES IN ADULT RECONSTRUCTION SURGERY .o f~aunW • ·~ ~ ffA'ND, WL'llSl, <'iNIYFOKEJUCM OKCEIC e:rllln: lftomu R:Bintlll s:lltiii>ln;ct\li:Sam W.:Wiiiii OPERATIVE TECHNIQUES IN ADULT RECONSTRUCTION SURGERY EDITORS Javad Parvizi,.MD The Rothman Institute Professor, Department of Orthopaedic Surgery Vice Chairman and Director of Research Jefferson Medical College, Thomas Jefferson University Phil a delphIa, Pennsylvania Richard H. Rothman, MD Founder, The Rothman Institute The james Edwards Professor of the Department of Orthopaedic Surgery Jefferson Medical College, Thomas jefferson University Philadelphia, PennsylvanIa Sam W. Wiesel, MD Sam W. Wiesel, MD EDITOR-IN-CHIEF Professor and Chair Department of Orthopaedic Surgery Georgetown University Medical School Washington, DC I 0 . Wolters Kluwer Lippincott Williams & Wilkins Health Phllack!lphra • Baltlmon! • New Ycrtc: • London Buenos Aires • Hong Kong • Sydney • Tokyo Acquisitions Editor: Robert A. Hurley Developmental Editor: Grace Caputo, Dovetail Content Solutions Product Manager: Dave Murphy Marketing Manager: lisa Lawrence Manufacturing Manager: Ben Rivera Design Manager: Doug Smock Compositor: Maryland Composition/AS! Copyright 2011 C 2011 by LIPPINCOTI WH.LIAMS l!c WILKINS, aWOLT ERS KLUWER business Two Commerce Square 2001 Market Street Philaddphia, PA 19103 All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, in cluding photocopying. or utilized by any information storage and retrieval system without written permission from the copyright oWirer, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by indi viduals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. Printed in China Library of Congress Cataloging-in-Publication Data in progress Operative techniques in adult reconstruction surgery I [edited by] Javad Parvizi, Richard H. Rothman ; Sam W. Wiesel, editor-in-chief. p.;cm. Chapters derived from Operative techniques in orthopaedic surgery I editor-in-chief, Sam Wiesel. c2010. Includes bibliographical references and index. Summary: "Operative Techniques in Adult Reconstruction Surgery contains the chapters on adult reconstruction from Sam W. Wiesel's Operative Techniques in Orthopaedic Surgery and provides full-color, step-by-step explanations of all operative procedures. Written by experts from leading institutions around the world, this superbly illustrated volume focuses on mas tery of operative techniques and also provides a thorough understanding of how to select the best procedure, how to avoid complications, and what outcomes to expect. The user-friendly format is ideal for quick preoperative review of the steps of a procedure. Each procedure is broken down step by step, with full-color intraoperative photographs and drawings that demonstrate how to perform each technique. Extensive use of bulleted points and tables allows quick and easy reference. Each clinical problem is discussed in the same format: definition, anatomy, physical exams, pathogenesis, natural history, physical findings, imaging and diagnostic studies, differential diagnosis, non-operative management, surgical management, pearls and pitfalls, postoperative care, outcomes, and complications. To ensure that the material fully meets residents' needs, the text was reviewed by a Residency Advisory Board"-Provided by publisher. ISBN 978-1-4511-0262-8 1. Arthroplasty. L Parvizi, Javad. IL Rothman, Richard H., 1936- Ill. Wiesel, Sam W. IV. Operative techniques in orthopaedic surgery. [DNLM: 1. Joint Diseases-surgery-Adult. 2. Arthroplasty-methods-Adult. 3. Hip---!!urgery-Adult. 4. Knee---!iurgery-Adult. 5. Orthopedic Procedures-methods-Adult. 6. Reconstructive Surgical Procedures-methods Adult. WE 312] RD686.0645 2011 617.5' 81059--dcll 2010028465 Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from appli cation of the information in this book and make no warranty, expressed or implied, with respect to the currency, complete ness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the pro fessional responsibility of the practitioner. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing re search, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warn ings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice. To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223- 2320.1ntemational customers should call (301) 223-2300. Visit Lippincott Williams l!c W.i.lk.ins on the Internet at LW W.com. Lippincott Williams l!c Wilkins customer service represen tatives are available from 8:30am to 6 pm, EST. 10 9 8 7 6 54 3 2 1 Dedication To my beautiful wife, Fariba, for her fortitude, devotion, and love. -JP - CONTENTS --------~I ------------------------------------------------------------------------------------------------------~ I t Pnrf•e JtJ SECTION Ill KNEE RECONSTRUCTION ------------------------------------------------- Adcnowledgments JtBI 17 Unicondyler Knee Arthroplasty Residency Advisory lkNird 1W Keith R. Berend, Jeffrey W. Salin, and Adolph V. Lombardi Jr. t52 SECTION I HIP RECONSTRUCTION ------------------------------------------------- 18 Upper Tibial Osteotomy 1 Cemented Total Hlp Arthroplasty James Bicos and Robert Arciero 10 MatthewS. Hepinstall and los~ A Rodriguez 1 19 c.rnentwd Total Knee Arthroplasty s. 2 Uncemanted Total Hip Arthroplasty Mehdi Jafari and Javad Patvizi 115 MatthewS. Austin and Brian A Klatt 13 20 Total Knee Arthroplasty Using Navigation 3 Hlp Resurf•lng William J. Hozaclc. S. M. Javad Mortavazi, and J(;Jn~ll Kim and Ameet Pispati 20 camilo Restrepo tJO 21 Revision Total Knee Arthroplasty With Femoral 4 Hemierthroplasty of the Hip Bone Lou: Augments Hari P. Bezwada, Robert H. Cho. and David G. Nazarian 3!J Gwo-Chin Lee 1!19 5 Total Hlp Arthroplesty far Malignant Lesions 22 Revision Total Knee Arthroplasty With Tibial R. Lor Randall 5S Bone Lou: Metal Aug1'11811b 6 Revision Total Hlp Arthroplasty With Well-Fixed Shawn M. Brubaker, William Mihalko, Thomas E. Bro~ Components and Khaled J. Saleh 2flfi Tre.or R. Pickering and Michael E. Berend 6!1 23 Revision Total Knee Arthroplasty With Femoral 7 Revision Total Hip Arthroplasty W'lth Femaral Bone Lou: Distal Femaral Replacement Bone Lo.: Fluted Stems B. Sonny Bal 211 Christian P. Christensen and Cale A Jacobs 'n 24 Revision Total Knee Arthroplasty With Tibial 8 Revision Total Hlp Arthroplasty With Femaral Bone Lou: Bone Grafting Bone Loss: Proximal Femaral Replacement Brian Vannozzi, Gwo-Chin Lee, andJ onathan Garino .2H Javad Parvizi, Benjamin Bender, and Franklin H. Sim 8tJ 25 Revision Total Knee Arthroplasty With Removal 9 Revision Total Hlp Arthroplasty With of Well-fixed Components AcetebuiM' Bone Loss: lmpadlon Allograftlng MatthewS. Austin and S. Mehdi Jafari 232 Gregg R. Klein, Harlan B. Levine, and a 26 Revision Total Knee Arthroplesty With Mark A Hartzband Extenslle Exposure: Tibial 1'\lbercle Osteotomy 10 Revision Total Hip Arthroplasty W'lth Anish K. Amin and James T. Patton 237 Awtebuler Bone Lou: Antiprotrusio <:age 27 Revision Total Knee Arthroplesty With MatthewS. Austin, James J. Purtill, and Brian A Klatt 9J Extenslle Exposure: V-Y Quadroplesty 11 Resedlon Arthroplasty end Spacer Insertion Ali Oliashirazi ~ Mark 1. Spangehl and Christopher P. Beauchamp 100 28 Revision Total Knee Arthroplasty With Extansor 12 Hip Reimplentation Surgery Mechanism Rapeir v. Nelson Greidan14 Winston Y. Kim, and Fabio Orozco and Alvin Ong 2«i Bas A Masri t10 29 Revision Total Knee Arthroplasty to Cornet StUfneu SECTION II HIP PRE.SERVAnON Craig 1. Della Valle 25t ------------------------------------------------- 30 KnH Arthrodesis 13 Periecetebuler Osteotomy JanetD.Conway 251 Marco Teloken, David Gusmao. and Marcus Crestani ftfi 14 Femaral Osteotomy Philipp Henle, Moritz Tannast, and EXAM TABLE 1 Klaus A. Siebenroclc t2fi 15 Femoroacetabulerlmplngement and Surgical INDEX 1-1 Dlsloc.tlon of the Hlp Martin Beck and Michael Leunig t:M 16 Treatment of Anteriar Femoroecetllbuler lmpingemant through en Anterior Incision John C. Clohisy 144 vii