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Total Hip Arthroplasty
960
Mayo Clin Proc, September 1988, Vol 63
BOOK REVIEWS
of graft failure and prolonged synovitis asso ciated with some devices is documented but should be further emphasized. A particularly valuable aspect of the book is the current status of prosthetic devices as re viewed by the Food and Drug Administration. As the experience with these devices accrues, the book will need to be revised and expanded to provide data concerning long-term results. Per haps with increasing experience, the indications for these devices can be further defined. Overall, this text provides an excellent intro duction for surgeons interested in prosthetic liga ment devices. The ultimate indications for their use and the expected results, however, have not yet been determined. James A. Rand, M.D. Department of Orthopedics
Total Hip Arthroplasty, by Robert E. Booth, Jr., Richard A. Balderston, and Richard H. Rothman, 310 pp, with illus, $75, Philadelphia, W. B. Saunders Company, 1988 In this text, Drs. Booth, Balderston, and Rothman review the subject of total hip arthroplasty, as performed at Pennsylvania Hospital in Philadel phia. This extremely well-organized book thorough ly discusses an approach to total hip arthro plasty, from the preoperative assessment of the patient through long-term follow-up. It is well written, will be easily understood by practicing orthopedists, and should be informative to all who read it. The book will be particularly useful for those who do not perform total hip arthroplasty on an everyday basis and who therefore may not have developed a routine approach to dealing with patients who undergo this operation. It should be especially helpful to residents in orthopedics who are attempting to develop a patterned approach to such patients, the importance of which is obvious to those who routinely perform total hip arthroplasty. A patterned approach helps the surgeon avoid overlooking factors that may lead to variation in the results of the procedure, to complications, or to other associated problems. The chapters on the patient-surgeon interview and the preoperative evaluation are extremely
valuable. The authors briefly describe the ana tomic features of and surgical approaches to the hip, as well as the radiologic patterns of various conditions that may necessitate total hip replace ment. These chapters provide a good background review and introduction to the remaining chap ters on the actual technique of the hip replace ment. Dr. Rothman thoroughly describes his technique for primary total hip arthroplasty. Un fortunately, alternative methods are not ad dressed with the same thoroughness, nor does the author discuss some of the new techniques of total hip arthroplasty with use of second- and third-generation components. Further attention could have been given to the selection of prostheses for total hip arthroplasty and to the pros and cons of various designs of these prostheses. The results of total hip replacement reported in the literature are comprehensively reviewed and compared with the experience at Pennsyl vania Hospital in two chapters—one on clinical results and the other on complications, including such topics as the roentgenographic evaluation and loosening. The chapter on uncemented hip replacement provides a brief introduction to this subject and correctly identifies the lack of 5- and 10-year data on this procedure. The extremely brief discussion of this subject, which certainly is of great interest to practicing orthopedists and could have been a valuable addition to the vol ume, however, is one of the deficiencies of this text. In addition, the chapter on secondary or revision total hip arthroplasty is somewhat brief in comparison with the attention and detail given to primary hip arthroplasty throughout the vol ume. Revision hip arthroplasty without the use of cement, currently a major topic in this area, is not discussed at all. In summary, Total Hip Arthroplasty is a thorough, well-organized, and well-written review of the subject, from preoperative evaluation and planning through long-term follow-up. Therefore, it should be of value to the practicing orthopedist who only occasionally performs total hip replace ment and to residents who are learning to per form the procedure. Readers should be aware, however, that the scope of the book is limited and that, basically, it presents the philosophy of total hip arthroplasty at Pennsylvania Hospital. It does not discuss a variety of currently available techniques of total hip arthroplasty, nor does it cover some of the new horizons in hip replace-
Mayo Clin Proc, September 1988, Vol 63
BOOK REVIEWS
961
ment, such as uncemented hip replacement, un- geon. Chapters in this section discuss techniques cemented revision of hip replacement, and the of cardiomyoplasty and cardiac transplantation. Overall, the book is easy to read and provides new-generation components intended for use with a vast resource of clinical experience and data cement. related to cardiac valve replacement. The editors have put together a remarkably useful, concise Brian F. Kavanagh, M.D. Department of Orthopedics text that presents clinically relevant material based on many years of experience and followup of patients with cardiac valvular prostheses. Heart Valve Replacement & Future Trends The text is not an atlas of cardiac surgical proce in Cardiac Surgery, edited by Gregorio dures but does contain pertinent illustrations in Räbago and Denton A. Cooley, 515 pp, with the appropriate chapters. One shortcoming of the illus, $65, Mount Kisco, New York, Futura Pub book is that the section on noninvasive evalua tion of prosthetic heart valves spends little time lishing Company, 1987 discussing Doppler echocardiography and transThis handy book is a compilation of the experi esophageal echocardiography, which can be ex ences and practices of world-renowned experts in tremely useful in the assessment of patients with the field of cardiac valve surgery. The clinical valvular problems. In addition, as mentioned aspects of both simple and complicated cardiac previously, the material on cardiomyoplasty and valve operations are discussed and backed up heart transplantation is totally unrelated to the with considerable data. The book covers a broad main topic of the book. spectrum of valvular problems. As the title em This book provides a vast resource of clinically phasizes, the text is concerned only with the relevant material that will be enjoyed by resi pertinent aspects of cardiac valve replacement dents in cardiac surgery, fellows, practicing sur and does not cover methods of valve repair. geons, and cardiologists alike. In fact, anyone The book is divided into seven sections. Part with an interest in heart valve replacement and I deals with historical aspects, statistical analy the associated complications will enjoy this book ses, and definitions pertinent to cardiac valve immensely. replacement. Part II addresses technical aspects of cardiac valve replacement in general. In part Ben M. Westbrook, M.D. III, the long-term experiences with the porcine Division of Thoracic and bioprosthesis, the aortic homograft, and the most Cardiovascular Surgery commonly used mechanical prosthetic valves are discussed in detail. In addition, a chapter on valve replacement in the pediatric age group is Thrombolytic Therapy, edited by Anthony J. included. A final chapter dealing with the com Comerota, 306 pp, with illus, $49.50, Philadel parative aspects of mechanical and bioprosthetic phia, Grune & Stratton, 1988 valves completes the section. Part IV details thromboembolic complications and anticoagu An economically priced book entitled Thrombolant regimens in patients with various heart lytic Therapy can hardly fail to attract attention valve prostheses in different anatomic locations. these days. This mode of therapy has become of Part V discusses the clinical, noninvasive, and prime importance in the management of acute invasive investigation of heart valve prostheses. myocardial infarction, as well as having clinical Part VI contains several chapters on reoperative application in a broad spectrum of disorders in valve procedures. The first chapter deals with cluding deep venous thrombosis, central retinal general considerations of reoperations and with vein thrombosis, peripheral arterial occlusion, and specific technical problems that may be encoun pulmonary embolism. A plethora of new agents, tered. The remaining chapters deal with reasons applications, strategies, and trials has made for valve failure and expected results with re- keeping pace a challenge, even for subspecialists. The concept behind this book is an excellent operation. The final section is totally unrelated to the main subject of the book but is, neverthe one—that is, presenting all the thrombolytic less, of interest to the practicing cardiac sur agents and the strategies for their use in a single
Mayo Clin Proc, September 1988, Vol 63
BOOK REVIEWS
of graft failure and prolonged synovitis asso ciated with some devices is documented but should be further emphasized. A particularly valuable aspect of the book is the current status of prosthetic devices as re viewed by the Food and Drug Administration. As the experience with these devices accrues, the book will need to be revised and expanded to provide data concerning long-term results. Per haps with increasing experience, the indications for these devices can be further defined. Overall, this text provides an excellent intro duction for surgeons interested in prosthetic liga ment devices. The ultimate indications for their use and the expected results, however, have not yet been determined. James A. Rand, M.D. Department of Orthopedics
Total Hip Arthroplasty, by Robert E. Booth, Jr., Richard A. Balderston, and Richard H. Rothman, 310 pp, with illus, $75, Philadelphia, W. B. Saunders Company, 1988 In this text, Drs. Booth, Balderston, and Rothman review the subject of total hip arthroplasty, as performed at Pennsylvania Hospital in Philadel phia. This extremely well-organized book thorough ly discusses an approach to total hip arthro plasty, from the preoperative assessment of the patient through long-term follow-up. It is well written, will be easily understood by practicing orthopedists, and should be informative to all who read it. The book will be particularly useful for those who do not perform total hip arthroplasty on an everyday basis and who therefore may not have developed a routine approach to dealing with patients who undergo this operation. It should be especially helpful to residents in orthopedics who are attempting to develop a patterned approach to such patients, the importance of which is obvious to those who routinely perform total hip arthroplasty. A patterned approach helps the surgeon avoid overlooking factors that may lead to variation in the results of the procedure, to complications, or to other associated problems. The chapters on the patient-surgeon interview and the preoperative evaluation are extremely
valuable. The authors briefly describe the ana tomic features of and surgical approaches to the hip, as well as the radiologic patterns of various conditions that may necessitate total hip replace ment. These chapters provide a good background review and introduction to the remaining chap ters on the actual technique of the hip replace ment. Dr. Rothman thoroughly describes his technique for primary total hip arthroplasty. Un fortunately, alternative methods are not ad dressed with the same thoroughness, nor does the author discuss some of the new techniques of total hip arthroplasty with use of second- and third-generation components. Further attention could have been given to the selection of prostheses for total hip arthroplasty and to the pros and cons of various designs of these prostheses. The results of total hip replacement reported in the literature are comprehensively reviewed and compared with the experience at Pennsyl vania Hospital in two chapters—one on clinical results and the other on complications, including such topics as the roentgenographic evaluation and loosening. The chapter on uncemented hip replacement provides a brief introduction to this subject and correctly identifies the lack of 5- and 10-year data on this procedure. The extremely brief discussion of this subject, which certainly is of great interest to practicing orthopedists and could have been a valuable addition to the vol ume, however, is one of the deficiencies of this text. In addition, the chapter on secondary or revision total hip arthroplasty is somewhat brief in comparison with the attention and detail given to primary hip arthroplasty throughout the vol ume. Revision hip arthroplasty without the use of cement, currently a major topic in this area, is not discussed at all. In summary, Total Hip Arthroplasty is a thorough, well-organized, and well-written review of the subject, from preoperative evaluation and planning through long-term follow-up. Therefore, it should be of value to the practicing orthopedist who only occasionally performs total hip replace ment and to residents who are learning to per form the procedure. Readers should be aware, however, that the scope of the book is limited and that, basically, it presents the philosophy of total hip arthroplasty at Pennsylvania Hospital. It does not discuss a variety of currently available techniques of total hip arthroplasty, nor does it cover some of the new horizons in hip replace-
Mayo Clin Proc, September 1988, Vol 63
BOOK REVIEWS
961
ment, such as uncemented hip replacement, un- geon. Chapters in this section discuss techniques cemented revision of hip replacement, and the of cardiomyoplasty and cardiac transplantation. Overall, the book is easy to read and provides new-generation components intended for use with a vast resource of clinical experience and data cement. related to cardiac valve replacement. The editors have put together a remarkably useful, concise Brian F. Kavanagh, M.D. Department of Orthopedics text that presents clinically relevant material based on many years of experience and followup of patients with cardiac valvular prostheses. Heart Valve Replacement & Future Trends The text is not an atlas of cardiac surgical proce in Cardiac Surgery, edited by Gregorio dures but does contain pertinent illustrations in Räbago and Denton A. Cooley, 515 pp, with the appropriate chapters. One shortcoming of the illus, $65, Mount Kisco, New York, Futura Pub book is that the section on noninvasive evalua tion of prosthetic heart valves spends little time lishing Company, 1987 discussing Doppler echocardiography and transThis handy book is a compilation of the experi esophageal echocardiography, which can be ex ences and practices of world-renowned experts in tremely useful in the assessment of patients with the field of cardiac valve surgery. The clinical valvular problems. In addition, as mentioned aspects of both simple and complicated cardiac previously, the material on cardiomyoplasty and valve operations are discussed and backed up heart transplantation is totally unrelated to the with considerable data. The book covers a broad main topic of the book. spectrum of valvular problems. As the title em This book provides a vast resource of clinically phasizes, the text is concerned only with the relevant material that will be enjoyed by resi pertinent aspects of cardiac valve replacement dents in cardiac surgery, fellows, practicing sur and does not cover methods of valve repair. geons, and cardiologists alike. In fact, anyone The book is divided into seven sections. Part with an interest in heart valve replacement and I deals with historical aspects, statistical analy the associated complications will enjoy this book ses, and definitions pertinent to cardiac valve immensely. replacement. Part II addresses technical aspects of cardiac valve replacement in general. In part Ben M. Westbrook, M.D. III, the long-term experiences with the porcine Division of Thoracic and bioprosthesis, the aortic homograft, and the most Cardiovascular Surgery commonly used mechanical prosthetic valves are discussed in detail. In addition, a chapter on valve replacement in the pediatric age group is Thrombolytic Therapy, edited by Anthony J. included. A final chapter dealing with the com Comerota, 306 pp, with illus, $49.50, Philadel parative aspects of mechanical and bioprosthetic phia, Grune & Stratton, 1988 valves completes the section. Part IV details thromboembolic complications and anticoagu An economically priced book entitled Thrombolant regimens in patients with various heart lytic Therapy can hardly fail to attract attention valve prostheses in different anatomic locations. these days. This mode of therapy has become of Part V discusses the clinical, noninvasive, and prime importance in the management of acute invasive investigation of heart valve prostheses. myocardial infarction, as well as having clinical Part VI contains several chapters on reoperative application in a broad spectrum of disorders in valve procedures. The first chapter deals with cluding deep venous thrombosis, central retinal general considerations of reoperations and with vein thrombosis, peripheral arterial occlusion, and specific technical problems that may be encoun pulmonary embolism. A plethora of new agents, tered. The remaining chapters deal with reasons applications, strategies, and trials has made for valve failure and expected results with re- keeping pace a challenge, even for subspecialists. The concept behind this book is an excellent operation. The final section is totally unrelated to the main subject of the book but is, neverthe one—that is, presenting all the thrombolytic less, of interest to the practicing cardiac sur agents and the strategies for their use in a single