Options in the management of the deficient femur during revision hip arthroplasty include cemented or cementless fixation. The results with cemented femoral revision have not been historically successful. While the use of extensively coated implants in revision total hip arthroplasty has been more uniformly excellent, issues, such as thigh pain, stress shielding, and lack of bone stock restorat...

HYPOTHESIS Revision shoulder arthroplasty represents a complex and difficult problem for the treating surgeon, with multiple potential complications. In the setting of a well-fixed humeral component, removal can lead to fractures and compromise the outcome of the revision. The current study describes and evaluates the results of a novel vertical humeral osteotomy (VHO) for stem extraction. We h...

The demand for revision knee arthroplasty is increasing daily with the increase in number of patients undergoing primary arthroplasty. aim therefore should be restoration mechanical alignment limb joint line and biomechanics these goals accomplished least possible use constrained implants which otherwise depends on degree bone defects integrity collateral ligaments. We have hereby reported a ca...

We report a case of a pelvic metastasis from a renal carcinoma in association with a total hip arthroplasty. Mistakenly diagnosing such lesion as a granulomatous osteolytic foreign body reaction due to polyethylene debris may lead to devastating and uncontrollable haemorrhage during revision arthroplasty.

The purpose of this study was to assess the survivorship of a proximally coated, cementless femoral stem used for total hip arthroplasty at a minimum 5-year follow-up by assessing clinical outcomes and implant survival. A total of 936 primary total hip arthroplasties were performed in 854 patients by 3 high-volume surgeons between 2001 and 2007. Patients included 385 men and 469 women with a me...

BACKGROUND One of the most challenging aspects of a revision knee arthroplasty is the management of bone loss. The OBJECTIVE of the study is to show the capability to augment bone mineral density in areas with bone loss with platelet-derived growth factors. METHODS Randomized, prospective, blinded study in patients who underwent a total knee replacement revision with tibial-damaged metaphysea...

OBJECTIVE Increased wait times for total joint arthroplasty (TJA) are a concern nationally and provincially. Additionally, the number of patients requiring revision of their initial TJA is increasing. The purpose of this study was to evaluate the wait times and impact of waiting for revision TJA. METHODS We followed 127 revision hip arthroplasty patients (mean age 68 y) prospectively while th...

Background: The Global Unite Shoulder System is the next generation of implant from the Depuy Global Shoulderline. The primary feature of the Global Unite is adaptability through the interchangeable modular bodies, modular suturecollars, and stems. Short-term functional and radiographic outcomes of the Global Unite Platform Shoulder Systemwere assessed as well as complication and revision rates...

Objectives: Steroid-associated osteonecrosis of the femoral condyles is a known complication long- term or high dose steroid exposure. This not infrequent situation for patients with inflammatory conditions such as Lupus Ulcerative Colitis and in malignancies leukemia requiring bone marrow transplant. Historically, was contraindication osteochondral allograft transplantation (OATS), however, re...

BACKGROUND High procedure volume and dedication to unicompartmental knee arthroplasty (UKA) has been suggested to improve revision rates. This study aimed to quantify the annual hospital volume effect on revision risk in Oxfordu nicompartmental knee arthroplasty in the Nordic countries. METHODS 14,496 cases of cemented medial Oxford III UKA were identified in 126 hospitals in the four count...