.jpg)
Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
Dr. Adam Rosen is an orthopedic surgeon who specializes in total joint replacement. He created this podcast which is aimed at interns, residents, fellows, and general orthopedists who are looking to dive into the details of total knee replacements, hip replacement, and classic articles.
Be sure to check out my YouTube page: https://www.youtube.com/playlist?list=PL226EPMMG9vZmOiuDpmmh36nNzyPrYcRS
(Disclaimer: This is my opinion. Any information gathered is not medical education. Practitioners need to use their education and experience to determine how to treat their own patients.)
Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
Paprosky Classification of femoral bone loss
Paprosky Classification of Femoral Bone Loss
Type I - minimal metaphyseal bone loss
Type II - extensive metaphyseal bone loss, minimal diaphyseal bone loss
Type IIIA - extensive metaphyseal and diaphyseal bone loss with greater or equal to 4 cm intact diaphysis for "scratch fit"
Type IIIB - extensive metaphyseal and diaphyseal bone loss with less than 4 cm of intact diaphysis
Type IV - extensive metaphyseal and diaphyseal bone loss with a non-supportive isthmus
Treatments
I - cylindrical fully porous coated stem (consider tapered proximal geometry or cemented stem)
II - diaphyseal engaging stem
IIIA - diaphyseal engaging stem (impaction grafting, modular stems)
IIIB - tapered stem with splines for rotational stability (impaction grafting, modular stems, PFR)
IV - PFR, impaction grafting with cemented stem, allografts
Aribindi, Barba, Solomon, Arp, Paprosky. Bypass fixation. Orthop Clin North AM. 1998;29:319.
Paprosky, Aribindi. Hip Replacement: treatment of femoral bone loss using distal bypass fixation. ICL 2000;49:119-130.
Della Valle, Paprosky. The femur in revision total hip arthroplasty evaluation and classification. CORR 2004;420:55-62.
Cross, Paprosky. Managing femoral bone loss in revision total hip replacement: fluted tapered modular stems. Bone Joint J. 2013;95 (11 supp A):95-97.
Podcasts we love
Check out these other fine podcasts recommended by us, not an algorithm.
The Ortho Show
Dr. Scott Sigman