Volume 4, Issue 4, Pages (December 2018)

Slides:

Advertisements

Similar presentations

Volume 1, Issue 2, Pages (June 2017)

Advertisements

Volume 2, Issue 4, Pages (December 2016)

Volume 4, Issue 3, Pages (September 2018)

Simultaneous bilateral total hip arthroplasty in Morquio syndrome

False-negative synovial alpha-defensin

Canted seating of the Stryker Modular Dual Mobility liner within a Trident hemispherical acetabular shell Scott M. Eskildsen, MD, Erik C. Olsson, MD,

Volume 3, Issue 3, Pages (September 2017)

Pseudotumor in ceramic-on-metal total hip arthroplasty

Custom titanium sleeve for surgical treatment of mechanically assisted crevice corrosion in the well-fixed, noncontemporary stem in total hip arthroplasty

Delayed diagnosis of catastrophic ceramic liner failure with resultant pelvic discontinuity and massive metallosis Benjamin A. Winston, MD, Ryland P.

Volume 4, Issue 3, Pages (September 2018)

Joseph R. Langston, MD, Alexander M. DeHaan, MD, Thomas W. Huff, MD

Volume 4, Issue 3, Pages (September 2018)

Fracture risk of tapered modular revision stems: a failure analysis

Early fracture of the modular neck of a MODULUS femoral stem

Severe heterotopic ossification and stiffness after revision knee surgery for a periprosthetic fracture Maher Baroudi, MD, Pascale Derome, MD, Michel.

Volume 4, Issue 2, Pages (June 2018)

Superior rim fracture of a vitamin E-infused highly cross-linked polyethylene (HXLPE) liner leading to total hip arthroplasty revision Brett G. Brazier,

Volume 4, Issue 3, Pages (September 2018)

A novel use of a tibial cone in a proximal femoral replacement

Lumbar chance fracture after direct anterior total hip arthroplasty

Concomitant achondroplasia and developmental dysplasia of the hip

Adverse reaction to metal debris with concomitant incidental crystalline arthropathy in hip arthroplasty Edward J. Testa, BS, Brian J. McGrory, MD Arthroplasty.

Failure of Emperion modular femoral stem with implant analysis

Bilateral atypical femoral fracture and end-stage arthritis of the hip, treated with total hip arthroplasty Scott M. Sandilands, DO, Jesus M. Villa,

Renal failure after placement of an articulating, antibiotic impregnated polymethylmethacrlyate hip spacer Robert P. Runner, MD, Amanda Mener, BS, Thomas.

Unusual presentation of failed metal-on-metal total hip arthroplasty with features of neoplastic process Robert P. Runner, MD, Briggs M. Ahearn, MD,

Volume 4, Issue 1, Pages (March 2018)

Disassembly of the inner head of a bipolar hip prosthesis

Total knee arthroplasty in patients with extra-articular deformity

Erin Honcharuk, MD, Stephen Kayiaros, MD, Lee E. Rubin, MD

Ceramic-on-ceramic bearings total hip arthroplasty in young patients

Volume 1, Issue 2, Pages (June 2017)

Volume 5, Issue 1, Pages (March 2019)

Volume 1, Issue 4, Pages (December 2015)

Femoral artery injury during total hip arthroplasty

Volume 2, Issue 4, Pages (December 2016)

Volume 4, Issue 3, Pages (September 2018)

Hirokazu Takai, MD, Tomoki Takahashi, MD, PhD Arthroplasty Today

Total knee arthroplasty in patients with multiple hereditary exostoses

Volume 4, Issue 3, Pages (September 2018)

Florian Dibra, MD, Hari Parvataneni, MD Arthroplasty Today

Antibiotic impregnated total femur spacers: a technical tip

Jared S. Preston, MD, MBA, Steven Mennona, MD, Stephen Kayiaros, MD

Ali H. Sobh, MD, Lane Brown, MD, Drew D. Moore, MD Arthroplasty Today

Novel fixation method of a periprosthetic fracture of the acetabulum using burr holes through the retained cup for locking screw fixation James A. Browne,

Volume 4, Issue 4, Pages (December 2018)

Volume 3, Issue 1, Pages 7-11 (March 2017)

Pinnacle polyethylene liner dissociation: a report of 3 cases

Volume 1, Issue 4, Pages (December 2015)

Kevin T. Hug, MD, Navin D. Fernando, MD, FRCS(C) Arthroplasty Today

Volume 2, Issue 4, Pages (December 2016)

Volume 3, Issue 1, Pages (March 2017)

Retrieval analysis of a failed synthetic mesh extensor mechanism reconstruction after total knee arthroplasty Anna Cohen-Rosenblum, MD, Ashley Volaric,

Volume 2, Issue 1, Pages 2-5 (March 2016)

Arthroprosthetic cobaltism associated with cardiomyopathy

Disassembly of the inner head of a bipolar hip prosthesis

Rapidly destructive osteoarthritis can mimic infection

Abundant heterotopic bone formation following use of rhBMP-2 in the treatment of acetabular bone defects during revision hip arthroplasty Alexander Arzeno,

Volume 3, Issue 4, Pages (December 2017)

Adam I. Edelstein, MD, Duy L. Phan, MD, Scott M. Sporer, MD

Volume 5, Issue 1, Pages (March 2019)

Michael A. Yee, MD, Thomas J. O'Keefe, MD, Suzanne Winter, MS, CCRC

Volume 5, Issue 1, Pages (March 2019)

Volume 3, Issue 4, Pages (December 2017)

Total knee arthroplasty in patients with extra-articular deformity

Volume 5, Issue 1, Pages 5-10 (March 2019)

Abundant heterotopic bone formation following use of rhBMP-2 in the treatment of acetabular bone defects during revision hip arthroplasty Alexander Arzeno,

Alvin K. Shieh, MD, MS, Zachary C. Lum, DO, Avreeta K

Volume 5, Issue 3, Pages (September 2019)

Presentation transcript:

Volume 4, Issue 4, Pages 411-416 (December 2018) Preoperative optimization for vascular involvement complicating revision total hip arthroplasty Daniel Asemota, MD, MBA, Brandon Passano, MSc, James E. Feng, MD, David Novikov, BS, Afshin A. Anoushiravani, MD, Ran Schwarzkopf, MD, MSc Arthroplasty Today Volume 4, Issue 4, Pages 411-416 (December 2018) DOI: 10.1016/j.artd.2018.02.003 Copyright © 2018 The Authors Terms and Conditions

Figure 1 (a) Anteroposterior (AP) pelvis from immediate postop: radiograph demonstrates right acetabular protrusion, intraoperative fracture, and thinning of the right acetabular wall. (b) AP pelvis from initial patient presentation: radiograph demonstrates evidence of right THA failure with severe acetabular protrusion. Arthroplasty Today 2018 4, 411-416DOI: (10.1016/j.artd.2018.02.003) Copyright © 2018 The Authors Terms and Conditions

Figure 2 3D CTA reconstruction: CTA reconstructions of the (a) pelvis and (b) vasculature. The white arrowheads are demonstrating the acetabular protrusion with encroachment of the right EIA (a), while the white arrow represents the region obstructed by artifact (b). Arthroplasty Today 2018 4, 411-416DOI: (10.1016/j.artd.2018.02.003) Copyright © 2018 The Authors Terms and Conditions

Figure 3 CTA of the pelvis: CT demonstrates acetabular protrusion (white arrow; a) with encroachment of the right EIA (white arrowhead; b and d). The right EIA becomes obscured by the artifact produced from the metal acetabular implant (c). Arthroplasty Today 2018 4, 411-416DOI: (10.1016/j.artd.2018.02.003) Copyright © 2018 The Authors Terms and Conditions

Figure 4 Implant removed from the patient: femoral stem component cut (a), femoral head component (b), acetabular component (c). Arthroplasty Today 2018 4, 411-416DOI: (10.1016/j.artd.2018.02.003) Copyright © 2018 The Authors Terms and Conditions

Figure 5 Intraoperative fluoroscopy: intraoperative fluoroscopy centered over the right hip with contrast demonstrating the close proximity of the right EIA (white arrow; a) with the previously failed right total hip implant. Also demonstrated is graft balloon deployment (white arrow; b), and successful graft placement across the EIA vasculature (c). Arthroplasty Today 2018 4, 411-416DOI: (10.1016/j.artd.2018.02.003) Copyright © 2018 The Authors Terms and Conditions

Figure 6 Five-month follow-up AP pelvis demonstrating a well-fixed right THA. Arthroplasty Today 2018 4, 411-416DOI: (10.1016/j.artd.2018.02.003) Copyright © 2018 The Authors Terms and Conditions