Related Experiment Videos
Seven specialized exposures for revision hip and knee replacement
B A Masri1, D G Campbell, D S Garbuz
1Department of Orthopaedics, University of British Columbia, Vancouver, Canada.
The Orthopedic Clinics of North America
|April 29, 1998
Summary
Specialized surgical approaches simplify complex revision hip and knee arthroplasty. Techniques like extended trochanteric osteotomy and vastus slide improve component removal while preserving bone stock and joint function.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
Background:
- Revision hip and knee arthroplasty rates and complexity are increasing.
- Safe and rational surgical approaches are crucial for successful revision procedures.
Purpose of the Study:
- To review specialized extensile surgical approaches for revision hip and knee arthroplasty.
- To highlight techniques that simplify component removal and preserve bone stock.
Main Methods:
- Discussion of extended trochanteric osteotomy for femoral component revision.
- Description of trochanteric slide and vastus slide for acetabular and femoral exposure.
- Review of extensor mechanism preserving techniques for knee revision, including rectus snip, patellar turndown, and tibial tubercle osteotomy.
Main Results:
- Extensile approaches simplify removal of solidly fixed components.
- Extended trochanteric osteotomy provides controlled access for femoral revision.
- Trochanteric slide offers comprehensive exposure with reduced risk of complications.
- Vastus slide facilitates femoral shaft exposure in anterolateral approaches.
- Knee revision techniques preserve the extensor mechanism for optimal function.
Conclusions:
- Specialized approaches are essential for complex revision hip and knee arthroplasty.
- These techniques facilitate component removal while minimizing bone loss.
- A low threshold for employing these methods is recommended for better patient outcomes.