Treatment of Acetabular Bone Loss and Chronic Pelvic Discontinuity

Neil Sheth is the Chief of Orthopaedic Surgery and Assistant Professor of Orthopaedic Surgery at the University of Pennsylvania. He obtained his undergraduate degree in Biomedical Engineering with a minor in Finance at the University of Pennsylvania. He then spent 2 years on Wall Street as a Financial Analyst in Solomon Smith Barney's Healthcare Investment Banking division prior to attending medical school at the Albany Medical College. Following medical school, he completed a six-year Orthopaedic Surgery residency at the Hospital of the University of Pennsylvania. Following residency, he completed an adult hip and knee reconstruction fellowship at Rush University as well as a three month mini-fellowship at the Endo Klinik in Hamburg, Germany focusing on peri-prosthetic infection. Dr. Sheth returned in 2012 to join the faculty at the University of Pennsylvania and focuses his research on bone loss pertaining to revision total hip arthroplasty, peri-prosthetic infection and the role of orthopaedic surgery in global health. Wayne Paprosky was one of the first surgeons to perform total hip surgery with cement less implants, which is today's standard. He developed the Paprosky Classification used worldwide for performing Revision surgery. Dr. Paprosky developed and implanted the first gender specific hip for women 15 years ago. These concepts have led to the development of today's gender specific implants for active females. In addition, Dr. Paprosky performs minimally invasive total hip and knee surgery enabling patients to go home within 24 hours.

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Editor to invite and edit ( NS or WP)

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Foreword

Daniel J. Berry

1

Introduction

Neil. P. Sheth Wayne G. Paprosky

2

Acetabular Bone Loss Classifications

Christopher M. Melnic

3

Radiographic Evaluation of Severe Acetabular Bone Loss +/- Chronic Pelvic Discontinuity

Rafael J. Sierra

4

Cementless Acetabular Revision (Type I Defects)

H. John Cooper

5

Cemented Acetabular Revision (Type I Defects)

Frank Piccaluga

6

Cementless Acetabular Revision for the Distorted Acetabulum with Intact Columns (Type IIA, B and C Defects)

Mathias P. Bostrom

7

Cemented Acetabular Revision for the Distorted Acetabulum with Intact Columns (Type IIA, B and C Defects)

Michael Nogler

8

Cementless Acetabular Revision for Severe Acetabular Bone Loss without Pelvic Discontinuity (Type IIIA and B Defects)

William J. Maloney

9

Cementless Acetabular Revision for Severe Acetabular Bone Loss without Pelvic Discontinuity (Type IIIA and B Defects)

Willen Schreurs

10

Intra-operative Identification and bone grafting of a Chronic Pelvic Discontinuity

P. Max Courtney

11

Plating of an Acute Pelvic Discontinuity

Clive Duncan

12

Primer on Treatment options for Chronic Pelvic Discontinuity

Neil. P. Sheth ; Wayne G. Paprosky

13

Cages / Anti-protrusio Rings (Bursch Schneider / Ganz) Reconstruction

Rajesh Malhotra

14

Acetabular Bulk Allograft Reconstruction with a Cage

Alejandro Della Valle

15

Kerboull Acetabular Ring Device with Aloograf

M. Hamadouche; or Tomohisa Nakamura

16

Acetabular Impaction Grafting and Posteiror Column Plating

Graham A. Gie

17

Acetabular Augments and Cages

Allan E. Gross

18

Cup-Cage / Half Cage

David Lewallen

19

Ice cream Cone (Pedestal) Prosthesis

Reinhard Windhager

20

Custom Triflange Acetabular Component

David K. DeBoer

21

Custom 3-D Printed Acetabular Component

Thorsten Gehrke

22

Jumbo Cup and Porous Metal Augments

Donald W. Howie

23

Acetabular Distraction Technique +/- Porous Metal Augments

Neil. P. Sheth ; Wayne G. Paprosky

24

Summary / Conclusion

Neil. P. Sheth ; Wayne G. Paprosky