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The Journal of Bone and Joint Surgery 81:1483-98 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Femoral Bone Loss in Total Hip Arthroplasty: Classification and Preoperative Planning*{dagger}

FARES S. HADDAD, B.SC., M.CH.(ORTH), F.R.C.S.(ORTH){ddagger}, BASSAM A. MASRI, M.D., F.R.C.S.(C){ddagger}, DONALD S. GARBUZ, M.D., F.R.C.S.(C){ddagger} and CLIVE P. DUNCAN, M.D., F.R.C.S.(C){ddagger}, VANCOUVER, BRITISH COLUMBIA, CANADA

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons


   Introduction
 
Despite the excellent results of total hip arthroplasty, the number of patients who need a revision operation is increasing. Moreover, reconstructive surgeons now are faced with complex primary cases for which a total hip arthroplasty may not have been considered in the past, such as hips with a previous arthrodesis or severe dysplasia3,9,33,40,58,66. These arthroplasties present many challenges, foremost of which is the management of bone abnormalities and of bone loss in particular. Therefore, the preoperative evaluation and description of bone deficits are of great importance.

A number of investigators have produced systems for classification of bone loss about the hip48,49. These systems have been devised in order to quantify the severity of femoral bone loss, to explain the indications for particular revision arthroplasty techniques, and to assess the results of these interventions8,55. Many of these classification systems are similar in principle, yet are described differently. Without . . . [Full Text of this Article]


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