PMID: 9553568Apr 29, 1998Paper

Seven specialized exposures for revision hip and knee replacement

The Orthopedic Clinics of North America
B A MasriC P Duncan

Abstract

With the increasing rates and complexity of revision hip and knee arthroplasty, it has become more important than ever to approach the joint in a safe and rational manner. The development of extensile approaches have significantly simplified the removal of solidly fixed components without compromising bone stock. The extended trochanteric osteotomy enables controlled access to the femoral component and is a useful technique for revision of solidly-fixed femoral components. The trochanteric slide allows comprehensive exposure of the acetabulum and femur comparable to trochanteric osteotomy with a diminished risk of trochanteric escape. The vastus slide allows wide exposure of the femoral shaft when using an anterolateral approach. In revision total knee arthroplasty, the extensor mechanism is often at risk of disruption or avulsion, and in most cases, maneuvers that allow wide exposure of the femur and tibia while preserving the extensor mechanism are essential. Such exposures include one of the extensor mechanism reflecting techniques either proximally by rectus snip or patellar turndown, or distally by tibial tubercle osteotomy. Occasionally a femoral peel or epicondylar osteotomy is required. There should be a low threshold t...Continue Reading

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Citations

Aug 25, 2009·Skeletal Radiology·D WilliamsP McLardy-Smith
Nov 17, 2007·Archives of Orthopaedic and Trauma Surgery·Konstantinos J KazakosIoannis Psillakis
Oct 7, 2003·Clinical Biomechanics·D PlausinisT R Oxland
Aug 25, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·D IarikovS Nambiar
Mar 23, 2011·Journal of Shoulder and Elbow Surgery·Geoffrey S Van ThielGregory P Nicholson
Mar 1, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Senthil Nathan SambandamVaratharaj Mounasamy
May 15, 2002·The American Journal of Orthopedics·Richard D Schmidt
May 5, 2006·Clinical Orthopaedics and Related Research·J Bohannon Mason, Thomas K Fehring
Mar 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Andrew R NobleWilliam A Jiranek
Nov 5, 2002·Veterinary Surgery : VS·Jonathan Dyce, Marvin L Olmstead
Feb 17, 2005·The Journal of the American Academy of Orthopaedic Surgeons·Bassam A MasriClive P Duncan
Jun 28, 2014·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Nicholas E OhlyClive P Duncan
Jan 5, 2002·Clinical Orthopaedics and Related Research·W G PaproskyJ W Bowling
Nov 3, 2007·Clinical Orthopaedics and Related Research·R Stephen J BurnettRobert L Barrack
Aug 26, 2000·The Journal of Arthroplasty·F S Haddad, G Bentley
Sep 7, 2002·The Journal of Arthroplasty·Margaret ChilversD Gordon Allan
May 6, 2003·The Journal of Arthroplasty·Wayne G Paprosky, Scott M Sporer
Apr 10, 1999·The Orthopedic Clinics of North America·F S HaddadC P Duncan
Jul 5, 2008·Injury·Panayiotis T Hadjicostas, Friedrich W Thielemann

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