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Cemented Total Hip Arthroplasty (THA) remains one of the most successful procedures in Orthopaedic surgery. It has become very clear that it is the surgical expertise, in particular the quality of the cementing technique, which will affect long-term outcome and success.
It is the intention of this book to provide an up-to-date comprehensive assessment of the entire field of cemented THA. Special emphasis has been given to practice-relevant aspects: well-illustrated and detailed operative steps as a practical guideline, a basic science chapter and long-term outcome data are provided. Minimally invasive surgery, modern perioperative management and patient fast tracking are covered.
A number of highly respected experts have contributed to this in-depth compilation of the "state of the art" in 2005. This book is written and intended for both, trainees and established arthroplasty surgeons who are dedicated to perform a well-cemented THA.
Sommario
Minimal Incision Approaches to the Hip.- Acetabulum.- Femur.- The Dysplastic Hip.- What is Bone Cement?.- The Mechanical Properties of PMMA Bone Cement.- Testing and Performance of Bone Cements.- Extreme Differences in Properties of Successful Bone Cements.- Antibiotic-Loaded Cement.- The Three Interfaces.- Which Cement Should We Choose for Primary THA?.- The Benefit of Vacuum Mixing.- Choice of Mixing System.- The Importance of Establishing the Best Bone-Cement Interface.- Femur.- Acetabulum.- What Is Modern Cementing Technique?.- The Important Role and Choice of Cement Restrictor.- Cement Gun Performance Matters.- Femoral Pressurisation.- Acetabular Pressurisation.- Stem Design Philosophies.- Stem Design - The Surgeon s Perspective.- Migration Pattern and Outcome of Cemented Stems in Sweden.- In-Vitro Rotational Stability of Cemented Stem Designs.- Flanged or Unflanged Sockets?.- Rationale for a Flanged Socket.- Cemented Stems for Everybody?.- Long-Term Outcome after Charnley Low Frictional Torque Arthroplasty.- Long-Term Success with a Double Tapered Polished Straight Stem.- Outcome with the MS-30 Stem.- Outcome with a Tapered, Polished, Anatomic Stem.- The French Paradox.- Cemented Stems with Femoral Osteotomy.- Is It Justified to Cement All Sockets?.- Long-Term Success of a Well-Cemented Flanged Ogee Cup.- Long-Term Survival of Cemented Sockets with Roof Graft.- What Bearing Should We Choose?.- The Evidence from the Swedish Hip Register.- We Need a Good Anaesthetist for Cemented THA.- Perioperative Management Rapid Recovery Protocol.- Prevention of Infection.- Pulmonary Embolism in Cemented Total Hip Arthroplasty.- How Have I Done It? Evaluation Criteria.- Mistakes and Pitfalls with Cemented Hips.- Revision is Not Difficult!.- Economic Evaluation of THA.- The Future Role of Cemented Total Hip Arthroplasty.
