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Revision Total Hip and Knee Arthroplasty

Daniel J. Berry, Robert T. Trousdale, Douglas A. Dennis, Wayne G. Paprosky. pp. 736 Lippincott Williams & Wilkins, 2011. ISBN-13: 978-0781760430

This first edition sets out to provide the surgeon performing revision hip and knee arthroplasty with a comprehensive reference source for every conceivable scenario. It is edited by four American academic surgeons with much revision experience.

There are 12 sections with 59 chapters in over 650 pages, and it contains a huge amount of information. The early chapters  cover perioperative management (anaesthesia, venous thromboembolism etc.) while later chapters include complications and post-operative management. The main bulk of the book is surgically orientated, firstly focusing on the evaluation of the failed implant and preoperative planning. The importance of the operative approach, implant choice and implant fixation are made clear, with strategies for each described.

The hip section separates acetabular and femoral component with each type of defect, bone loss, failure mechanism and implant given their due airing.

The knee section similarly follows this pattern with chapter examples including major bone defect management, fixation techniques and the management of instability.

There are consistent themes throughout the book while various methods are described for managing individual scenarios putting more arrows in the reader’s quiver.

Particularly useful are many radiographic examples of failed implants and the revision surgery, with descriptions of why and how the surgery was performed.  There are helpful illustrations of  approaches and to demonstrate particular examples more clearly, such as segmental bone loss around the acetabulum. The text is clear and well written throughout although more could have been made of the summary sections with key points highlighted more clearly.

The editors and contributors are all based in North America, which is reflected in some of the techniques described and some of the language used. However, this does not reduce the international applicability of the detailed well-referenced source material from highly-qualified authors.

Much like revision surgery itself, this book should really only be attempted by those with a strong interest and some experience of the subject matter. For those consultants, fellows and senior trainees this is a most valuable book.

Review by Mr Sam Heaton and Mr Lucky Jeyaseelan