Acetabular Revision Surgery in Major Bone Defects

Bone defects in acetabular revision hip surgery. Classification.- Bone defect determines acetabular revision hip surgery.- Uncemented acetabular components in revision hip surgery.- Revision hip surgery in ceramic acetabular liner fractures.- Trabecular metal use in acetabular revision hip surgery.- Bone impaction grafting: Rationale, technique and results in the acetabular side.- Acetabular reinforcement devices in revision hip surgery.- Dual mobility acetabular components in revision surgery.- Pelvic discontinuity management in revision hip surgery.- Re-revison acetabular surgery. Bone graft failure in large acetabular bone defects.

This book reviews the most important issues related to acetabular revision hip surgery and assesses the different management procedures that are currently used in light of the challenging major defects. Since the 1970s there has been a continual rise in the annual number of total hip arthroplasty (THA) procedures which has increased the demand for revision surgeries. Most revisions operations of the hip are the result of acetabular problems and early failures are usually related to acetabular bone defects in complex primary THAs. Long-term failures are mostly due to wear debris and osteolysis-related problems and both types of complications are presented throughout the book. Surgeons with a special interest in hip reconstruction surgery will find this book to be an essential resource for successfully dealing with highly complex revision procedures.

Eduardo Garcia-Rey received his M.D. from the University Autonoma of Madrid in 1997, interned at Hospital Universitario 12 de Octubre in Madrid from 1998 and 2003 and then entered the Orthopaedic Surgery Department at Fundacion Hospital Alcorcon in Madrid form 2003 to 2006. Since 2006 he does his daily professional activity at Hospital Universitario La Paz in Madrid. Dr. Garcia-Rey is also Associate Professor of Orthopaedic Surgery at the Universidad Autonoma of Madrid since 2011 and member of the Orthopaedic Surgery Group within the Research, Development and Innovation Institute at Hospital La Paz (Idi Paz) since 2010. He is involved in National and European Research Projects. Dr Garcia-Rey is a member, among others, of the European Hip Society (EHS), Spanish Hip Surgery Society, European Orthopaedic Research Society and the International Society for Technology in Arthroplasty. Recently, he has been selected, from EHS 2017 Guest Society, to participate in the American Association of Hip and Knee Surgeons Travelling Fellowship. He published chapters on primary and revision surgery of the hip and 30 peer-reviewed papers in English literature as primary or second author of which most are related to primary or revision total hip replacement.

Eduardo Garcia Cimbrelo received his MD from the University Complutense of Madrid in 1970, interned at Hospital La Paz in Madrid, and then entered the Orthopaedic Surgical Training Programme of the Hospital associated with the University Autonoma of Madrid. Dr. Garcia-Cimbrelo became Chief of the Hip Arthroplasty and Revision Surgery Section in 1992, and became Head of Orthopaedic Surgery and Trauma, Hospital La Paz in 2005 where he continues presently. He is a full time orthopaedic surgeon in the Division of Orthopaedic Surgery at Hospital La Paz and was Associate Professor of Orthopaedic Surgery at the Universidad Autonoma of Madrid until 2012. Dr Garcia Cimbrelo is a Founder-Member of the European Hip Society which was founded in October 1992, and was President of the EHS from 2006 to 2008. He is also Full-Member of the International Hip Society since 2002. Dr. Garcia-Cimbrelo has published books, chapters on primary and revision surgery of the hip and 47 peer-reviewed papers in English literature as primary or second author. Most are related to primary total hip arthroplasty, complications of THA and revision revision arthroplasty of the hip.