Revision Total Joint Arthroplasty
This comprehensive book is devoted to revision total joint arthroplasty and provides state-of-the-art guidance in a field where level-I evidence is difficult to produce.In the book’s respective sections, each of which focuses on a specific joint – the kne
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Revision Total Joint Arthroplasty
E. Carlos Rodríguez-Merchán Editor
Revision Total Joint Arthroplasty
Editor E. Carlos Rodríguez-Merchán Department of Orthopedic Surgery “La Paz” University Hospital Madrid Spain
ISBN 978-3-030-24772-0 ISBN 978-3-030-24773-7 (eBook) https://doi.org/10.1007/978-3-030-24773-7 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
In the twenty-first century, we are observing a greater longevity of the population, which in developed countries reaches an average of 80–85 years. This circumstance means that many elderly patients, from approximately 65–70 years of age, suffer from painful degenerative osteoarthritis (OA), especially in the hips and knees and to a lesser extent in other joints (shoulders, elbows, ankles). However, degenerative OA is not the only form of OA that the aforementioned large articulations can present. When the conservative treatment of OA fails, elderly patients will need a primary total arthroplasty of the damaged joint. The goal is to relieve the intense pain associated with the problem and to improve the quality of life of patients for the remainder of their lives. Contemporary primary total hip arthroplasties have a duration of 20–25 years, whereas those of the knee last approximately 15–20 years. Primary arthroplasties of the other large joints do not maintain such a long survival, but they help to alleviate the intense pain and functional disability that advanced OA produces. To deal with the problem, we must better understand the causes and risk factors that cause primary total joint arthroplasties to fail. Our goal is to delay as long as possible the need for a revision total
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