VOLUME 2 • NUMBER 1 August 2012 Reconstructive REVIEW OFFICIAL JOURNAL OF THE Joint Implant Surgery and Research Foundation Strategic Alliance with The Greenbrier Medical Institute Future Site Selected for Cutting-Edge Medical Initiative World Class Healthcare, Orthopaedics “Sports Medicine,” Rehabilitation, Plastic Surgery, Research & Education At America’s Greenbrier Resort White SulphurSprings, West Virginia Since 1948, the Greenbrier Clinic has been recognized as an industry leader in executive health and wellness through utilizing advanced diagnostics in the early diagnosis, prevention and treatment of disease. Building upon that history of medical excellence, Jim Justice, Chairman and owner of the Greenbrier Resort, has announced the creation of the Greenbrier Medical Institute. The institute’s 1st phase is projected to cost about $250 million, employ more than 500 people and include 3 buildings. This phase will include an expansion of our world renowned executive health and wellness practice, The Greenbrier Clinic, which will be bolstered by a world-class sports medicine program, including an orthopedic surgery center and athletic performance/rehabilitation facility, all led by the Founder of the American Sports Medicine Institute, Dr. Jim Andrews and Chair of Cleveland Clinic Innovations, Thomas Graham. Rounding out the Institute’s services will be a first-in-class plastic and cosmetic surgery and Lifestyle Enhancement Academy, helping people look and feel their best. Physicians, universities, research foundations, medical journals and other healthcare industry leaders, all of whom are on the cutting edge of medical technology, research and care, have committed to join the project and establish an international research and education destination or “think tank” to stimulate research, drive innovation, force change and redefine how the world approaches health, wellness and longevity. The Institute’s facility, designed by Willie Stokes, will feature Georgian architecture similar to the resort’s façade, a replica of the Springhouse, the site of the famous sulphur springs and special guests suites for patients Interior Rendering and their families. Jack Diamond, President and CEO, and Mark Krohn, COO, are leading the development of this exciting project and are actively looking for other physicians and medical thought leaders to be involved. For more information, please contact: Mark E. Krohn, Chief Operating Officer Greenbrier Medical Institute, 330-697-6581 [email protected] Joint Implant Surgery & Research Foundation Reconstructive Review A Journal Published by the Joint Implant Surgery & Research Foundation Editor Emeritus Editor-in-Chief M.A.R. Freeman, MD, FRCS Co-Directors of Research & Timothy McTighe, Dr. HS (hc) London, UK Development, JISRF Executive Director, JISRF Declan Brazil, PhD Chagrin Falls, OH, USA Medical Director for JISRF NSW, Australia, Branch [email protected] Lorence Trick, MD Professor Ian Clarke, PhD San Antonio, TX Orthopaedic Research at Loma Linda University & Co-Director, DARF Implant Retrieval Center USA. Editorial Board Tony Aram, MD Kristaps J. Keggi, MD Russell Nevins, MD Keith R. Berend, MD John M. Keggi, MD Robert L. Thornberry, MD Charles Bryant, MD Louis Keppler, MD Thomas Tkach, MD Edward Cheal, PhD Robert “Ted” Kennon, MD Lee Rubin, MD Terry Clyburn, MD Richard Kyle, MD H. Del Schutte, MD Douglas Dennis, MD Stefan Kreuzer, MD Frank Schmidt, MD Thomas K. Donaldson, MD James Kudrna, MD, PhD W. Norman Scott, MD Chris Drinkwater, MD Chris Leslie, DO Evert Smith, Bsc, MBBCh, FRCS Mark Froimson, MD Audley Mackel, MD David Stulberg, MD William Griffin, MD Michael B. Mayor, MD Sam Sydney, MD Ron Hillock, MD Ed McPherson, MD Stephen S. Tower, MD Riyaz Jinnah, MD Joseph McCarthy, MD Bradley Walter, MD Richard “Dickey” Jones, MD David Mauerhan, MD Bradley K. Vaughn, MD Michael Kaplan, MD International Editorial Board Declan Brazil, PhD Lafayette Lage, MD Duncan Whitwell, MD Warwick Bruce, MD Lewis Samuels, MD David Wood, MD David Campbell, MD Evert J. Smith, MD Ian Woodgate, MD Dermot Collopy, MD Allen Turnbull, MD Hugh U. Cameron, MB, ChB, FRCS Adrian van der Rijt, MD John M. Harrison, MD Peter Walker, MD www.jisrf.org Reconstructive Review • August 2012 3 JISRF Board Members Lifetime Achievement Honorees Regional Offices Charles O. Bechtol, MD 1991 Charles O. Bechtol, MD Texas Division (Founder 1971-1998) 1992 Charles O. Townley, MD Director Louise Bechtol, R.N. 1993 Irwin S. Leinbach, MD Richard E. Jones, MD (Founding member) 1994 Bruce D. Shepherd, MB 5920 Forest Park Rd. 1995 James E. Bateman, MD Suite #600 Keith Berend, MD 1996 Roderick H. Turner, MD Dallas, TX 75235 Hugh U. Cameron, MB, ChB 1997 William R. Murray, MD Ian Clarke, PhD 2003 Thomas H. Mallory, MD California Division Jack Diamond, Esq. 2007 Ian Clarke, PhD Director Thomas Donaldson, MD 2010 Kristaps J. Keggie, MD Edward J. McPherson, MD, FACS Kristaps J. Keggi, MD 1414 S. Grand Ave. John M. Harrison, MD Clinical/Surgical Research Advisors: Suite #123 Edward James McPherson, MD Los Angeles, CA 90015 Richard E. Jones, MD Warwick Bruce, MD Terry Clyburn, MD Timothy McTighe, Dr. HS (hc) Co-Directors of Research John Keggi, MD H. Del Schutte, MD Declan Brazil, PhD, Sydney, Australia Louis Keppler, MD Professor Ian Clarke, PhD, Loma Linda, S. David Stulberg, MD California Thomas Tkach, MD Allan Turnbull, MD Members of the TSI™ Study Group Director posted on www.jisrf.org. Bradley K. Vaughn, MD CME & Media Office Mark Sacaris 2033 San Elijo Ave., Suite 351 Cardiff, CA 92007 760-942-7859 The Reconstructive Review will be published four times per year by JISRF. Hard mail address is 46 Chagrin Plaza #118, Chagrin Falls, Ohio 44023. Web site: www.jisrf.org • Email: [email protected] Submit manuscripts and correspondence electronically to Executive Director, at email: [email protected] Manuscript submissions are accepted with the following requirements: • Manuscript must be submitted as Word or PDF files • Any images files should be included as TIFF, JPG, or EPS at a minimum of 300 dpi. • Any questions regarding these requirements please send to [email protected] There is no subscription charge for receipt of this publication. This is done as a service keeping with the overall mission of JISRF. Mission Statement: The specific and primary purposes are to operate for scientific purposes by conducting medical research of improvements in medical and surgical methods and materials for preserving and restoring the functions of the human body joints and associated structures which are threatened or impaired by defects, lesions or diseases. Copyright 2012. All rights reserved by the authors. In line with our mission JISRF gives permission for reproduction of articles as long as notification and recognition is provided to JISRF. General Statement: The ideas, opinions and statements expressed in the Reconstructive Review do not necessarily reflect those of the publisher and or editor of this publication. Publication of advertisement does not indicate an endorsement of product or service by the publisher or editor of JISRF. The publisher and editor assume no responsibility for any injury or damage resulting out of any publication of material within the Reconstructive Review. The reader is advised to review and regard with balance any information published within this publication with regard to any medical claim, surgical technique, product features or indications and contraindications. It is the responsibility of the professional treating medical physician to review any and all information before undertaking any change of treatment for their patients. 4 Reconstructive Review • August 2012 www.jisrf.org Joint Implant Surgery & Research Foundation Reconstructive Review Contents 1] Editorial Comments ……………………………………………………………………………… 6 John Harrison and Timothy McTighe 2] Lesson Learned From Retrieval Analysis Of A Dislocating, Large Diameter MoM Revision THA, A Case Report ……………………………………………………………… 10 Edward J. McPherson, MD, FACS, Ian Clarke, PhD, Thomas K. Donaldson, MD 3] The Role of Stem Modularity for THA in a Community Based Practice ………………………… 16 Louis Keppler, MD and Timothy McTighe, Dr. HS (hc) 4] Clinical Assessment of Proximal Tibial Morphology at Total Knee Arthroplasty ………………… 28 William J. Long MD FRCSC, Vinod Dasa MD, Mary S. S. Wentorf BSc, Giles R. Scuderi MD, W. Norman Scott MD 5] Total Hip Arthroplasty for ‘Dysplasia’ and Congenital Disease of the Hip, Review Paper ……………………………………………………………………………………… 32 Evert J. Smith, MD, Timothy McTighe, Dr. HS (hc) 6] Overview of Cementless Stems in Total Hip Arthroplasty – Review Paper on the Corial Style Stem ………………………………………………………………………………… 40 Christian Wright, BS, Declan Brazil, PhD, and Timothy McTighe, HS (hc) 7] Rotational Alignment of the Femoral Component in Computer-Assisted Total Knee Arthroplasty ………………………………………………………………………………… 46 Mark G. Clatworthy, MD, Kimberly Lindberg, MD, Walter Harrill Wray III, MD, Christi J. Sychterz Terefenko, MS, Douglas A. Dennis, MD, David C. Pollock, MD 8] Unicompartmental Knee Arthroplasty: Past, Present, Future …………………………………… 52 Johannes F. Plate, MD; Ali Mofidi, MB, BAO, BCh, M.Med., Sci., FRCSI, FRCS Orth; Sandeep Mannava, MD, PhD; Cara M. Lorentzen, MD; Beth P. Smith, PhD; Thorsten M. Seyler, MD; Timothy McTighe, Dr. HS (hc) and Riyaz H. Jinnah, MD, FRCS 9] Resection Guide For the ARC™ Tissue Conserving (Neck Sparing) Total Hip Stem, Case Report ……………………………………………………………………………………… 63 Robert L. Pierron, MD, and Timothy McTighe, Dr. HS (hc) 10] Simultaneous Bilateral