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  • Book
    Bernd Fink.
    Summary: This practical book combines thorough literature review with extensive clinical experience to provide a clear overview of femoral revision arthroplasty, with the aim to present all available surgical techniques and critically discuss pros and cons and evidence-based recommendation for each of them. A wealth of figures and several videos complement the book and guide the reader through the management of potential pitfalls and complications during and after surgery. Particular emphasis is further put on the comparison of different approaches, stem types, and fixation techniques, assisting readers in identifying the best indication. Designed as a practically-oriented tool this book offers an excellent resource for all specialist hip surgeons and fellows wishing to gain insights into this complex and challenging surgical procedure.

    Contents:
    Intro
    Preface
    Contents
    List of Videos
    1: Introduction
    References
    2: Reasons for Femoral Revision
    2.1 Aseptic Loosening
    2.2 Instability
    2.3 Periprosthetic Infection
    2.4 Periprosthetic Fractures
    References
    3: Classification of Femoral Bone Defects
    3.1 Paprosky Classification
    3.1.1 Paprosky Type I Defect
    3.1.2 Paprosky Type II Defect
    3.1.3 Paprosky Type IIA Defect
    3.1.4 Paprosky Type IIB Defect
    3.1.5 Paprosky Type IIC Defect
    3.1.6 Paprosky Type III Defect
    3.1.7 Paprosky Type IV Defect
    3.2 AAOS Classification by D'Antonio 3.3 Endo-Clinic Classification
    References
    4: Principles of Femoral Revision
    5: Cemented Revision Stems
    5.1 Cemented Fixation of Stems Analogous to Primary Implantation
    5.1.1 Surgical Technique
    5.1.2 Outcomes
    5.2 Cement-in-Cement Revision
    5.2.1 Surgical Technique
    5.2.2 Outcomes
    5.3 Impaction Bone Grafting
    5.3.1 Surgical Technique
    5.3.2 Outcomes
    References
    6: Cementless Revision Stems
    6.1 Nonmodular Cementless Revision Stems for Proximal Fixation
    6.1.1 Surgical Technique
    6.1.2 Outcomes 6.2 Cementless Proximal-Fixing Modular Revision Stems
    6.2.1 Surgical Technique
    6.2.2 Outcomes
    6.3 Cementless Nonmodular Revision Stems for Distal Fixation
    6.3.1 Extensively Porous-Coated Stems
    6.3.1.1 Surgical Technique
    6.3.1.2 Outcomes
    6.3.2 Corundum-Blasted, Tapered Titanium Stems
    6.3.2.1 Surgical Technique
    6.3.2.2 Outcomes
    6.3.3 Cementless Distal Fixation Modular Revision Stems
    6.3.3.1 Surgical Technique
    6.3.3.2 Outcomes
    References
    7: Principles of Cementless Distal Fixation
    7.1 Scratch Fit (Cylinder-in-Cylinder Fixation) 7.2 Cone-in-Cylinder Fixation
    7.3 Cone-in-Cone Fixation
    7.3.1 Length of Fixation Zone
    7.3.2 Distal Interlocking
    References
    8: Differences in Distal Fixated Revision Stems
    References
    9: Allograft Prosthesis Composite (APC) and Megaprostheses
    9.1 Allograft Prosthesis Composite (APC)
    9.1.1 Surgical Technique
    9.1.2 Outcomes
    9.2 Proximal Femoral Replacement (Megaprostheses)
    9.2.1 Surgical Technique
    9.2.2 Outcomes
    9.3 Total Femoral Replacement
    9.3.1 Surgical Technique
    9.3.2 Outcomes
    References 10: Choice of the Implant Depending on the Type of Defect
    10.1 Paprosky Type I Defects
    10.2 Paprosky Type IIA Defects
    10.3 Paprosky Type IIB Defects
    10.4 Paprosky Type IIC Defects
    10.5 Paprosky Type IIIA Defects
    10.6 Paprosky Type IIIB Defects
    10.7 Paprosky Type IV Defects
    References
    11: Preoperative Planning
    11.1 Exclusion of a Periprosthetic Infection
    11.2 Prosthesis Planning
    11.3 Re 1: Analysis of the Shape of the Femur
    11.4 Re 2: Analysis of the Mechanical Stability of the Femur
    11.5 Re 3: Necessity for Osteotomies
    Digital Access Springer 2022