Uncemented Femoral Stems for Revision Surgery (eBook)

Prof. Le Beguec served as an orthopedic surgeon and was a leading specialist in hip surgery. He has registered several patents for femoral prostheses which are now recognized and used worldwide, notably by Zimmer, a leading company in the field for the commercialization of the Revitan system.

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.