Curbside Consultation in Hip Arthroplasty 49 Clinical Questions

by Sporer, Scott

• ISBN13: 9781556428302
• ISBN10: 1556428308
• Edition: 1st
• Format: Paperback
• Copyright: 2008-09-15
• Publisher: Slack Incorporated

Summary

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 Questionsprovides 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 Questionsprovides 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?

Author Biography

Scott M. Sporer, MD is an orthopaedic total joint replacement surgeon in Chicago and holds an academic appointment at the rank of Assistant Professor at RUSH University Medical Center. He attended medical school at The University of Iowa before completing his orthopaedic residency training at Dartmouth Hitchcock Medical Center. He has completed a fellowship in adult reconstruction at RUSH Medical Center and currently has a clinical practice focusing on hip and knee arthroplasty. Dr. Sporer has a strong interest in clinical outcomes research and has completed a master’s program at Dartmouth College in the evaluative clinical sciences.

Table of Contents

Contents Dedication

Acknowledgments

About the Editor

Contributing Authors

Preface

Preoperative

General Questions

I Have a 43-Year-Old Male

Who Needs a Total Hip Arthroplasty

Should I Use Highly Cross-Linked Polyethylene, Ceramic, or a Metal-on-Metal Bearing Surface?

I Have a Patient With Both Back and Hip Arthritis

How Do I Determine Which Is Most Problematic and Causing the Patient's Symptoms?

I Have a Patient With Severe Bilateral Hip Degenerative Arthritis

Do I Perform Bilateral Total Hip Replacement, or Do I Stage the Surgery?

If I Do Stage the Surgery, How Long Should I Wait?

How Do You Decide When a Patient Is "Ready" for a Total Hip Replacement?

Is There a Downside to Waiting Until He or She Has More Severe Disease?

I Have a 58-Year-Old Female Alcoholic Patient

Who Fell and Has a Femoral Neck Fracture

What Surgical Approach Should I Use to Treat his Fracture, and What Component Should I Use?

A 65-Year-Old Patient Fell and Has a Displaced Femoral Neck Fracture

Should I Do a Hemiarthroplasty or a Total Hip Arthroplasty?

I Have a 63-Year-Old Patient

Who Is 6 Years Postoperative From a Total Hip Replacement

He Was Doing Very Well Until Last Week

When He Began Experiencing Increasing Hip Pain Following a Dental Appointment

I Think His Hip Is Infected

What Should I Do?

Should All of My Patients Donate Blood Prior toTotal Joint Replacement?

A 20-Year-Old Patient Suffered a Hip Dislocation in a Motor Vehicle Accident

He Has Developed Avascular Necrosis and Now Has Severe Degenerative Arthritis

How Do You Treat His Pain?

Preoperative Acetabulum Questions

I Have a 34-Year-Old Female With Pain in Her Hip and Groin

Her X-Rays and MRI Are "Unremarkable."

Is Her Pain From Her Hip, and How Do I Know?

I Have a Patient With a Loose Acetabular Component and a Moderate Amount of Bone Loss

How Can You Determine the Degree of Acetabular Bone Loss You Will Encounter Intraoperatively With Preoperative Radiographs?

I Have a 72-Year-Old Patient

Who Has Severe Hip Arthritis

He Had Undergone Prior Pelvic Radiation Due to Prostate Cancer

What Type of Hip Replacement Should I Perform?

I Have a Patient With Start-Up Groin Pain 5 Years After Surgery, and I Think the Acetabular Component Is Loose

How Can I Tell for Sure?

I Have a Patient With a Crowe

Hip Dysplasia

Where Do I Place the Acetabular Component?

I Have a Patient With a Pelvic Discontinuity

What Can I Expect to Find Intraoperatively, and How Should I Plan on Reconstructing This Defect?

I Have a Patient

Who Is 10 Years Postoperative From a Hip Replacement With Severe Polyethylene Wear and Retroacetabular Osteolysis

When Do I Intervene With a Polyethylene Liner Exchange?

I Have a Patient

Who Is 10 Years Postoperative From a Hip Replacement With a Loose Acetabular Component

When Do I Need to Use More Than a Hemispherical Component?

Preoperative Femur Questions

I Have a Patient With a Crowe

Hip Dysplasia

What Femoral Component

Do I Use and When Do I Need to Do a Femoral Shortening Osteotomy?

I Have a Patient With Start-Up Thigh Pain 5 Years After Surgery

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