Acetabular Revision Surgery in Major Bone Defects (Record no. 14994)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 05182nam a22001817a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 210608b |||||||| |||| 00| 0 eng d |
| 020 ## - INTERNATIONAL STANDARD BOOK NUMBER | |
| International Standard Book Number | 9783319985954 |
| International Standard Book Number | 9783319985961 |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Eduardo García-Rey |
| 9 (RLIN) | 13245 |
| 245 ## - TITLE STATEMENT | |
| Title | Acetabular Revision Surgery in Major Bone Defects |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Madrid Spain |
| Name of publisher, distributor, etc. | Springer Nature Switzerland AG |
| Date of publication, distribution, etc. | 2019 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 223 Pages |
| 500 ## - GENERAL NOTE | |
| General note | Includes References and Index |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Total hip arthroplasty (THA) has been recognised as one of the most important<br/>surgical advances during the last five decades. End-hip arthritis is probably the most<br/>disabling condition to affect daily life activities not only in elderly but also in young<br/>patients. The older population is increasing in most countries worldwide, and they<br/>are more active than ever during the last decades so cartilage aging plus more physical and social demands in the more developed societies are strongly increasing THA<br/>indications. Thus, in young patients diagnoses other than primary arthritis, such as<br/>avascular necrosis, post-traumatic conditions, rheumatologic diseases and congenital hip diseases or other developmental sequelae, influence THA outcome together<br/>with the possibility of loosening and wear at long term. All these issues contribute<br/>to a greater number of THA revision procedures.<br/>Nowadays, both cemented and cementless bone fixation can provide excellent<br/>long-term survival when using most contemporary implants. Most current femoral<br/>components have a survivorship higher than 95% more than 10 and 15 years after<br/>surgery. In fact, the THA revision procedure that is increasing is acetabular revision,<br/>and, as is reflected in most National Registries and clinical studies, the most frequent indication for THA revision surgery is related to the acetabular side.<br/>Indications for acetabular revision surgery at short term include dislocation, infection or, more rarely, fractures. To date, recent problems related to newer, not-very<br/>well studied, implants have also increased the number of revision procedures due to<br/>newer complications. At long term, the most frequent reasons for hip revision surgery are wear and loosening with the appearance of osteolysis. During last years,<br/>the appearance of late dislocation in older patients has become of interest.<br/>Nevertheless, in an indication for acetabular revision surgery, the most challenging<br/>issue is the existence of bone defect. Proper hip reconstruction during surgery to<br/>allow the closest distance to the hip rotation centre and the longest duration of the<br/>implant is the main purpose of the treatment.<br/>First, a hip surgeon must be familiar with the basic science that can affect bone<br/>biology and changes associated to implants. A better understanding of all these<br/>changes related to bearing surfaces and bone interfaces facilitates clinical management when facing a patient with THA. Biological processes secondary to wear |
| Expansion of summary note | particles and different reactions to all kinds of polyethylenes, metallic particles,<br/>ceramics and cement contribute to silent osteolysis until there is significant bone<br/>destruction or implant loosening. The hip surgeon must also be familiar with<br/>advances in research that may improve clinical management. Second, it is necessary<br/>to classify the bone defects in every patient. Different imaging techniques can nowadays improve preoperative diagnosis, while newer surgical tools and tricks can<br/>diminish bone loss during explantation of the failed acetabular component.<br/>Appropriate surgical planning is critical before starting an acetabular revision<br/>procedure. Recommendations in young patients presenting severe polyethylene<br/>wear with osteolysis and fixed implants are different than in other patients with<br/>loosened cups. The surgical team needs to be familiar with revision implants, techniques and bone graft use. Understanding the biology of the latter, particularly of<br/>allografts, improves the clinical and radiological outcome. Despite the surgical<br/>choice, the surgeon must keep in mind that bone defect determines surgical technique. From conventional cementless cups to cages, bone impaction grafting or<br/>reinforcement rings, adequate hip rotation centre reconstruction in stable construction will affect the clinical and radiological outcome of these patients. Independent<br/>industry-unrelated high-quality studies are the most reliable way to review all the<br/>different clinical choices. Finally, all issues associated to different complications,<br/>such as dislocation or infection, must be addressed for proper management.<br/>Acetabular revision surgery in the presence of bone defect continues to be of<br/>concern for the patient and the surgeon. In this book all the most critical topics are<br/>covered beginning with the basic science, trying to clarify some newer research<br/>findings, continuing with established reconstruction techniques with or without the<br/>use of bone graft are reviewed. Continuing high-quality clinical studies to evaluate<br/>this complex problem and improve our understanding of the concepts will allow us<br/>to reliably improve outcomes for our patients. |
| 654 ## - SUBJECT ADDED ENTRY--FACETED TOPICAL TERMS | |
| General subdivision | Surgery |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 13246 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | BOOKS |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
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| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 06/08/2021 | EBS4389 | 06/08/2021 | 06/08/2021 | BOOKS |