1st Edition

Fundamentals of Revision Hip Arthroplasty Diagnosis, Evaluation, and Treatment

By David Jacofsky, Anthony Hedley Copyright 2012

    Fundamentals of Revision Hip Arthroplasty: Diagnosis, Evaluation, and Treatment is a unique and very timely book designed for surgeons who are beginning to more commonly encounter hip revisions in their practice.

    Unlike many traditional books on revision, Fundamentals of Revision Hip Arthroplasty does not focus on the most difficult and challenging of cases. Rather, Fundamentals of Revision Hip Arthroplasty is intended to guide the surgeon in the evaluation of the failed or painful total joint replacement, review basic tenants and surgical principles of revision arthroplasty, and guide the surgeon in determining  whether a given case is one that should be managed or is best referred to a tertiary orthopedic center.

    Along with their 32 contributors, Dr. David J. Jacofsky and Dr. Anthony K. Hedley provide detailed information inside Fundamentals of Revision Hip Arthroplasty, including appropriate preoperative evaluation, equipment requirements, surgical planning, need for augments and allograft, and surgical techniques.

    Surgeons will be tackling hip revision surgery more frequently as the number of these cases is exponentially increasing. Fundamentals of Revision Hip Arthroplasty provides a “go-to” resource to turn to for guidance by community arthroplasty surgeons, arthroplasty fellows, and residents.


    About the Editors

    Contributing Authors


    Chapter 1 Evaluation of the Painful Total Hip Arthroplasty

    Steven L. Myerthall, MD, FRCS(C)

    Chapter 2 Modes of Failure in Total Hip Arthroplasty

    David E. Jaffe, MD; Antonia Woehnl, MD; Michael A. Mont, MD; and Aaron J. Johnson, MD

    Chapter 3 Preoperative Planning for Revision Total Hip Arthroplasty

    Andrew Michael, MD and Scott Sporer, MD

    Chapter 4 Surgical Exposure in Revision Total Hip Arthroplasty

    Robert M. Cercek, MD

    Chapter 5 Component Removal in Revision Total Hip Arthroplasty

    Viktor E. Krebs, MD; Ian M. Gradisar, MD; Creighton C. Tubb, MD; and Kenneth A. Greene, MD

    Chapter 6 Reconstruction and Management Options for Femoral Bone Loss in Revision Total Hip Arthroplasty

    Jared R. H. Foran, MD and Craig J. Della Valle, MD

    Chapter 7 Reconstruction and Management Options for Acetabular Bone Loss

    Michael D. Ries, MD

    Chapter 8 Femoral Component Options in Revision Total Hip Arthroplasty

    Michael R. Bloomf ield, MD; Carlos A. Higuera, MD; and Wael K. Barsoum, MD

    Chapter 9 Revision for Instability: Options to Consider in Challenging Cases

    David C. Markel, MD; Jonathan M. Vigdorchik, MD; and Gregory J. Golladay, MD

    Chapter 10 Management of Infection in Total Hip Arthroplasty: Fundamentals of Hip Arthroplasty

    Bryan D. Springer, MD; Raymond H. Kim, MD; and Douglas A. Dennis, MD

    Chapter 11 Minimizing Complications

    James Cashman, MD; Justin Brothers, MD; and Javad Parvizi, MD, FRCS

    Chapter 12 Special Topic: Osteolysis and Stress Shielding

    Michael T. Manley, FRSA, PhD; Steven M. Kurtz, PhD; and Kevin L. Ong, PhD

    Chapter 13 Periprosthetic Hip Fractures

    Adam J. Schwartz, MD and Christopher P. Beauchamp, MD

    Financial Disclosures



    David J. Jacofsky, MD was born in Long Island, New York and is an international authority on adult reconstruction of the hip and knee. He received his residency training at the Mayo Clinic in Rochester, Minnesota and did his fellowship training at Johns Hopkins University in Baltimore, Maryland, during which time he was awarded the Mayo Scholar's Award and the Joe Janes' Humanitarian award. Dr. Jacofsky started his career as an attending at the Mayo Clinic and subsequently moved to Phoenix, Arizona where he founded The Center for Orthopedic Research and Education (CORE) Institute. Dr. Jacofsky has published over 40 articles and 20 book chapters and has lectured around the world. He has a keen interest in health care reform, cost containment, improved outcomes, and the changing demographics of arthroplasty. Dr. Jacofsky is an avid martial artist and enjoys weight-lifting and running.

    Anthony K. Hedley, MD, FRCS is a fellow of the Royal College of Surgeons of Edinburgh and an acclaimed orthopedic surgeon, author, researcher, and educator specializing in joint reconstruction. After graduating from medical school in South Africa, Dr. Hedley completed his general and orthopedic residency training at Natalspruit Hospital in Johannesburg. He then sat for the exams and was named a Fellow of The Royal College of Surgeons of Edinburgh. Dr. Hedley returned to South Africa to complete an orthopedic residency at Johannesburg General Hospital. After, having registered as a Specialist Orthopedic Surgeon with the South African boards, he traveled to London and did a brief sojourn with the late, world-famous teacher and author Alan Apley at St. Thomas Hospital. Dr. Hedley came to the University of California, Los Angeles (UCLA) in 1977 to start a fellowship in Orthopedic Bioengineering with Dr. Harlan Amstutz of the Division of Orthopedic Surgery at UCLA. This was followed by 4 years in the Junior Professor ranks as an Assistant Professor. Dr. Hedley left UCLA at the end of 1982 and moved to Phoenix, Arizona to join a private practice partnership. He served as the Chairman of the Department of Orthopedics at St. Luke’s Hospital from 1987 to 2005. He became an inventor with Howmedica in 1982. He is currently an inventor and consultant with Stryker Orthopaedics and is involved in several clinical research projects. Dr. Hedley is well known in the arthroplasty world for his various contributions both from the podium and in referee journals. He has headed a joint replacement fellowship since 1983 and continues to do so. From this, he is now associated with 45 fellows who have gone out into the community to continue their work as hip or knee arthroplasty surgeons.

     “This will prove to be a very useful general guide and cookbook for skilled general orthopedic surgeons who perform total-hip replacements and, occasionally, total hip revisions.”         
    - Samuel J. Chmell, MD, University of Illinois at Chicago College of Medicine, Doody’s Book Review Service 

    “The concise neat presentation of this material makes it an essential tool to accompany any hip surgeon.”

    - Firas Arnaout, MD, MRCS, MSc, Orthopaedic Business News