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One of the hallmarks of a master surgeon is the ability to navigate a wide variety of inevitable difficult situations in surgery, whether errors in judgment, technical mistakes, or unavoidable outcomes. Under the leadership of series editor Dr. Stephen R. Thompson, the Complications in Orthopaedics series provides real-world guidance on recognizing and avoiding errors, as well as how to'course-correct during surgery. In this volume, Drs. P. Maxwell Courtney, Yale A. Fillingham, and a team of expert surgeons describe the most common errors and complications of adult reconstruction surgery, focusing on the knee and hip and demonstrating practical solutions that are integral to improving patient outcomes. - Covers key topics such as Pain Management Following Total Hip Arthroplasty and Total Knee Arthroplasty, Achieving Balance and Stability During a Total Knee Arthroplasty, Unicompartmental Knee Arthoplasty, Neurovascular Injury in Total Hip Arthroplasty, Post-operative Periprosthetic Fractures in Total Hip Arthroplasty, Hip Preservation: Complications of PAO?, and many more. - Describes and offers solutions to the most common or most devastating errors and complications in the practice of adult reconstruction surgery, combining the breadth of knowledge of academic surgeons with the in-the-trenches skills of community surgeons. - Uses an easy-to-follow, standardized chapter format that covers preoperative errors, intraoperative issues, and postoperative complications. - Includes procedural video clips to reinforce discussions in the text. - Features a full-color design with numerous photographs, radiographs, and illustrations. - Includes introductory material on relevant anatomy and necessary background information. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This book incorporates the experience of numerous experts who explore contemporary opinion of how best to rationalise and optimise the interfaces at total hip replacement to provide the most favourable and durable results. The survival of a total hip replacement depends principally on the enduring integrity of the fixation interfaces and of the articular interface. The design of the stem and the material properties of cement largely determine the state of the component-cement inter­ face, while the bone-cement interface is significantly influenced by both mechanical and biological factors. The surface finish and shape of cementless implants are designed to preserve the integrity of biological fixation (osseo-integration) at the bone-component interface. Once again, both mechanical and biological factors have to be considered, while bioactive coatings accelerate bone ongrowth. Metal-on-polyethylene is the most widely used articular interface. However, it has been suggested that wear of polyethylene is one of the major factors contributing to failure of total hip replacements. The increasing prevalence of total hip replacement in younger patients has stimulated the investigation of alternative, more durable couples -including ceramic-polyethylene, ceramic-ceramic and metal-on-metal. Modularity provides greater intra-operative flexibility, but each new modular interface introduces new mechanisms of failure. These need to be anticipated and appropriate measures taken to avoid them. Hopefully this book will provide a better understanding of the factors that contribute to stable interfaces and long-term survival of total hip arthroplasty.

It gives me great pleasure to write a foreword for this time and preparation, and has all the necessary infor­ book, which represents the culmination of a remarkable, mation and armamentarium available, prior their exe­ fertile, and dedicated career in hip surgery by Dr. cution. Roderick H. Turner. Dr. Turner continued, expanded, Several chapters address, in depth, different avenues and advanced the art and science of total hip replace­ of access to the artificial hip joint, the intraoperative ment, following the work of his distinguished and leg­ management of severe anatomical abnormalities and endary teacher, Dr. Otto Aufranc. During the three bone loss, and the complex subject of bone grafting and decades of Dr. Turner's tenure, the New England Baptist its intricacies. They are all described extensively by Hospital established itself as a preeminent center for master surgeons. Unfortunately, the complex nature of postgraduate education, particularly in the area of hip revision surgery increases the perioperative morbidity joint replacement surgery and complex revision and chances of complications. Some of these patients, surgery. Legions of fellows competed for a position to depressed by the occasional unsatisfactory outcome, work at his side. Those promising young doctors who may seek legal compensation. A thoughtful chapter on were fortunate enough to be selected had the privilege medical malpractice adds a welcome dimension to this to learn the intricacies of hip surgery, the devotion to book.

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional hip arthroplasty references? Are you seeking brief, evidence-based advice for complicated cases or controversial decisions? Curbside Consultation in Hip Arthroplasty: 49 Clinical Questions provides quick answers to the thorny questions most commonly posed during a “curbside consultation” between orthopedic surgical colleagues. Dr. Scott Sporer has designed this unique reference which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with hip arthroplasty. The unique Q&A format provides quick access to current information related to hip arthroplasty with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the management of the hip.Curbside Consultation in Hip Arthroplasty: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Practicing orthopedists, orthopedic residents, and non-physician personnel will benefit from the user-friendly and casual format and the expert advice contained within.Some of the questions that are answered: How do you treat a young patient with severe hip arthritis? When should they be indicated for surgery? What type of components should I use? What should I do when I suspect a patient has an infected hip? When do I need to remove his/her prosthesis? How do I treat a fracture of the femur when it occurs with surgery? several years post-surgery? What should I tell a patient that has persistent pain following a hip replacement and how should they be evaluated? How can I determine the severity of acetabular and femoral bone loss? What should I do to reconstruct the deficient bone?