Consensus regarding femoral stem fixation options in revision total knee arthroplasty remains controversial. Tapered, modular, fluted titanium (TMFT) stems have an excellent track record in total hip arthroplasty for their ability to provide axial and rotational stability in situations of compromised host bone. We present 3 successfully treated cases in which the Food & Drug Administration gran...

INTRODUCTION Revision acetabulum arthroplasty is one of the common procedures, which has been on the rise recently. Many implants are available in the market with variable results. Aseptic loosening is the most common indication for revision acetabulum arthroplasty. Birmingham dysplasia cup has been used occasionally in these complex procedures. We know that these implants have provided good re...

We review the history and literature of hip resurfacing arthroplasty. Resurfacing and the science behind it continues to evolve. Recent results, particularly from the national arthroplasty registers, have spread disquiet among both surgeons and patients. A hip resurfacing arthroplasty is not a total hip replacement, but should perhaps be seen as a means of delaying it. The time when hip resurfa...

OBJECTIVES To test whether bisphosphonate use is related to improved implant survival after total arthroplasty of the knee or hip. DESIGN Population based retrospective cohort study. SETTING Primary care data from the United Kingdom. PARTICIPANTS All patients undergoing primary total arthroplasty of the knee (n = 18,726) or hip (n = 23,269) in 1986-2006 within the United Kingdom's General...

INTRODUCTION Pseudotumor is not an uncommon complication after total hip arthroplasty (THA). This can occur in relationship to different bearing surfaces of head and liner ranging from soft to hard articulation. There is wide spectrum of presentation from asymptomatic to implant failure. CASE REPORT We report a case of pseudotumor formation with acetabular cup aseptic loosening after revision...

We described a clinical observation of the use early rehabilitation (Fast-Track protocol ) in two-stage revision hip arthroplasty patient with periprosthetic femoral fracture complicated by development deep paraprosthetic infection .

BACKGROUND Antibiotic-impregnated bone cement is infrequently used in the United States for primary total hip arthroplasty because of concerns about cost, performance, and the possible development of antibiotic resistance and because it has been approved only for use in revision arthroplasty after infection. The purpose of this study was to model the use of antibiotic-impregnated bone cement in...

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...

A 71-year-old female with a history of right total hip arthroplasty presented with an enlarging pseudotumor. Pseudotumor is a known complication following metal-on-metal and metal-on-conventional polyethylene and metal-on-highly cross-linked polyethylene implants. Revision total hip arthroplasty following resection of pseudotumor has resulted in an increase in incidence of postoperative complic...

Once used routinely, trochanteric osteotomy in total hip arthroplasty now is usually limited to difficult primary and revision cases. There are three types: the standard trochanteric osteotomy and its variations, the trochanteric slide, and the extended trochanteric osteotomy. Each has unique indications, fixation techniques, and complications. Primary total hip arthroplasty procedures requirin...