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Preoperative Planning for Revision Total Hip Arthroplasty by Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am Volume 87(12):2800-2811.

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Presentation on theme: "Preoperative Planning for Revision Total Hip Arthroplasty by Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am Volume 87(12):2800-2811."— Presentation transcript:

1 Preoperative Planning for Revision Total Hip Arthroplasty by Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am Volume 87(12):2800-2811 December 1, 2005 ©2005 by The Journal of Bone and Joint Surgery, Inc.

2 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

3 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

4 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

5 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

6 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

7 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

8 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

9 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

10 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

11 Intraoperative photograph showing use of a high-speed carbide disk-cutting wheel to cut across a well-fixed cobalt-chromium femoral stem. Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

12 Trephining over the distal portion of a transected fully porous-coated stem to remove the stem. Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

13 The Explant Acetabular Cup Removal System (Zimmer, Warsaw, Indiana) for removing a well- fixed cementless acetabular implant. Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

14 Pre-revision radiograph showing a cementless stem with a modular distal bullet tip, the removal of which requires specific instruments. Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

15 Extraction of the stem leaves the distal bullet tip remaining within the canal. Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

16 Radiograph showing the distal bullet tip after the stem has been removed. Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

17 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

18 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

19 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

20 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

21 Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

22 Preoperative radiograph showing a right total hip replacement with aseptic loosening of a cemented stem. Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

23 There is varus remodeling of the femur, with an associated fracture, and templating shows that a long cementless stem inserted without an osteotomy will result in perforation. Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

24 Radiograph made after revision of the femoral component, which required an extended trochanteric osteotomy. Robert L. Barrack, and R. Stephen J. Burnett J Bone Joint Surg Am 2005;87:2800-2811 ©2005 by The Journal of Bone and Joint Surgery, Inc.

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