Charnley Low-Frictional Torque Arthroplasty of the Hip: Practice and Results

Front Matter....Pages i-xxvii
Front Matter....Pages 1-1
The Concept of Total Hip Arthroplasty: The Beginning....Pages 3-11
Arthroplasty of the Hip: A New Operation....Pages 13-20
A New Surgical Science....Pages 21-35
Clinical Results....Pages 37-46
Leg Over-Lengthening After Total Hip Arthroplasty Identification of Patients at Risk....Pages 47-57
Radiographic Assessment of the Osteoarthritic Hip....Pages 59-68
Instrument Tray System....Pages 69-72
Exposure of the Hip Joint....Pages 73-83
Post-operative Length of Hospital Stay....Pages 85-88
Results of Low-Friction Arthroplasty of the Hip Performed as a Primary Intervention....Pages 89-92
Loosening of Components....Pages 93-97
Pulmonary Embolism After Total Hip Arthroplasty....Pages 99-105
Front Matter....Pages 107-107
Deep Infection....Pages 109-119
Deep Infection: The Role of Acrylic Cement....Pages 121-125
Management of Deep Infection....Pages 127-129
Front Matter....Pages 131-131
Dislocation....Pages 133-137
Revision for Recurrent or Irreducible Dislocation....Pages 139-141
Trochanteric Osteotomy and Dislocation....Pages 143-146
Design of Components, Range of Movement. Impingement, Dislocation....Pages 147-158
Front Matter....Pages 159-159
Stem Design and Fixation....Pages 161-179
Front Matter....Pages 159-159
Patterns of Failure of Stem Fixation....Pages 181-186
Fracture of the Stem....Pages 187-201
Intramedullary Cancellous Bone Block....Pages 203-205
Loosening of the Stem....Pages 207-212
Position of the Stem Within the Medullary Canal....Pages 213-220
C-Stem....Pages 221-223
Front Matter....Pages 225-225
The Charnley Acetabular Cup....Pages 227-238
Bone-Cement Interface: The Cup: Radiographic Appearances....Pages 239-243
The Effect of Cup Inclination on Contact Mechanics....Pages 245-246
Front Matter....Pages 247-247
Wear of the UHMWPE Cup....Pages 249-251
The Principle of Low Frictional Torque in Clinical Practice....Pages 253-258
Comparison of Direct and Radiographic Wear Measurements....Pages 259-261
Penetration of UHMWPE Cup: Wear or Creep....Pages 263-265
Factors Affecting Wear of the UHMWPE Cup....Pages 267-277
Factors Affecting Wear. Patient Activity Level....Pages 279-281
Wear of UHMWPE Cup and Consequences....Pages 283-292
Wear of the UHMWPE Cup, Tissue Reaction to Wear Particles, Endosteal Cavitation and Component Loosening. Is the Problem Mechanical or Biological?....Pages 293-300
Improving Design and Surgical Technique Reducing the Incidence of Component Loosening....Pages 301-303
Wear of the Cup. 22.225 mm Alumina Ceramic Head, Charnley Femoral Component and Cross-Linked Polyethylene Cup....Pages 305-307
Front Matter....Pages 309-309
Clinical Results....Pages 311-313
Front Matter....Pages 309-309
The Reasons for Follow-Up....Pages 315-318
Patterns of Failure and Revisions: Guidelines for Follow-Up....Pages 319-330
Changing Patterns of Patients Presenting for the Operation....Pages 331-336
Increasing Follow-Up: Changing Age Patterns....Pages 337-339
Back Matter....Pages 341-357