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Uncemented Femoral Stems for Revision Surgery

The Press-fit Concept - Planning - Surgical Technique - Evaluation
Sofort lieferbar | Lieferzeit:3-5 Tage I

130,89 €*

Pierre Le Béguec
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1 - PDF Watermark

Presenting a new evaluation process in cases where revision surgery precedes the fitting of uncemented leg prostheses, the author shows how surgeons can improve their planning and preparation to get optimal results in each individual procedure.

Part I: Press-Fit Concept.- Uncemented Concepts: Parameters to Make a Choice.- The Press-Fit Concept: Principles and Press-Fittable Zones.- The Press-Fit Concept: Practical Application.- The Press-Fit Concept: Implants And Instruments.- Part II: Preoperative Planning.- Radiographic Analysis Of The Femur.- Selection of a Strategy.- Making a Preoperative Template.- Part III: Surgical Technique.- Trochantero-Diaphyseal Femoral Flap.- Femoral Flap and Diaphyseal Primary Fixation.- Endofemoral Approach and Proximal Primary Fixation.- Part IV: Evaluation of the Radiographic Results.- General Considerations.- A-Evaluation of the Radiographic Results - How?.- Evaluation of Initial and Secondary Bone Stock.- Evaluation of Osseointegration and Secondary Stability.- Global Radiographic Score.- Comparative Elements with the Engh Score.- Part V: Evaluation of the Radiographic Results - Why?.- The Learning Curve and its Teachings.- Different Types of Primary Stability: Their Impact on the Radiographic Results.- Degree of Osteoporosis: Its Impact on the Radiographic Results.- Affected Initial Bone Stock: Its Impact on the Radiographic Results.- Parameters to Improve Radiographic Results.- Complications and Contraindications.- Numerical Evaluation and Comparative Analysis of Results.- General Conclusions: What You Should and What You Should not Do.
Choosing an uncemented femoral prosthesis means first choosing a concept and to be effective, an operator has to have access to all the information that will allow them to reach the desired goals. This is the first step to be made.

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