Universidad de La Laguna, Tenerife, Spain
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Universidad de La Laguna, Tenerife, Spain
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Universidad de La Laguna, Tenerife, Spain
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Universidad de La Laguna, Tenerife, Spain
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, long-stem revision arthroplasty, alone or supplemented by plate and/or allograft strut fixation, is widely considered the most effective solution ( 5 , 6 , 7 ). Recently, there has been a debate on the need to follow these recommendations in all
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Introduction Revision arthroplasty of the acetabulum poses a significant challenge for orthopedic surgeons, especially when faced with severe bone loss and failure of previous implants ( 1 , 2 ). The strategy for revising the acetabulum is
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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Leeds Institute of Rheumatic Musculoskeletal Medicine (LIRMM), Chapel Allerton Hospital, Leeds, UK
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economic impact, are well documented ( 10 , 11 , 12 ). In addition to these factors, patient morbidity and mortality are also grossly affected ( 13 , 14 ). Two-stage revision arthroplasty is still considered as the gold standard for surgical treatment
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Trauma and Orthopedics Department, Centre of Posgraduate Medical Education, Otwock, Poland
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summarizing our search methodology and results. Two researchers extracted data from the eligible studies: first author’s or authors’ names, type of procedure that resulted in periprosthetic fracture (TSA, RTSA, HA, revision arthroplasty), duration of
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for orthopaedists. Especially acetabular reconstruction and the management of acetabular bone loss can be demanding and challenging, even for the experienced revision arthroplasty surgeon. Perhaps of all the difficult scenarios that a surgeon can
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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very rarely needed. 5 , 24 Principles of joint arthroplasty In revision arthroplasty as in tumour reconstruction arthroplasty, joint-line restoration and respecting rotation are key to restore knee function. The classic ‘three-steps’ Kelly
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revision arthroplasty, there is an increasing debate about potential medico-legal issues. Therefore, we ask the question: should surgeons, who feel they have no other alternative but to use off-label implants in high-risk patients or to mix and match when
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stiff TKA, including manipulation under anaesthesia (MUA), arthroscopic arthrolysis and revision arthroplasty. 9 – 11 There is no clear management protocol for the treatment of the stiff TKA. This review has two objectives: to define the risk
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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variability and difficulties in determining whether (a) the prosthesis is loose (B2 subtype) or not (B1 subtype); (b) the bone stock is compromised (B3 subtype), which usually requires advanced revision arthroplasty techniques. Most of the B1 fractures will
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reported. 32 One-stage revision arthroplasty Based on the experience of knee and hip infection management, a single-stage exchange is proposed as a reasonable option when the infecting micro-organism is satisfactiorily identified. The
