Adult Reconstruction

  • Richard A. Gosselin
  • Harry E. Jergesen
  • Daniel-John Lavaly


This chapter deals with the sequelae of adult orthopedic conditions, neglected injuries, failed treatments, and end-stage degenerative joint disease as they are dealt with by osteotomies, arthrodeses, and/or arthroplasties.


  1. 1.
    Bhandari M, Fong K, Sprague S, Williams D, Petrisor B. Variability in the definition and perceived causes of delayed unions and nonunions. J Bone Joint Surg. 2012;94(15):1367.CrossRefGoogle Scholar
  2. 2.
    Vallamshetla VR, Sayana MK, Vutukuru R. Management of ununited intracapsular femoral neck fractures by using quadratus femoris muscle pedicle bone grafting in young patients. Acta Orthop Traumatol Turc. 2010;44(4):257–61.CrossRefGoogle Scholar
  3. 3.
    Rigal S, Merloz P, Le Nen D, Mathevon H, Masquelet AC. Bone transport techniques in posttraumatic bone defects. Orthop Traumatol Surg Res. 2012;98(1):103–8. Free PMC articleCrossRefGoogle Scholar
  4. 4.
    Masquelet AC, Begue T. The concept of induced membrane for reconstruction of long bone defects. Orthop Clin N Am. 2010;41(1):27–37.CrossRefGoogle Scholar
  5. 5.
    Papineau LJ, Alfageme A, Dalcourt JP, Pilon L. Chronic osteomyelitis: open excision and grafting after saucerization. Int Orthop. 1979;3(3):165–76.CrossRefGoogle Scholar
  6. 6.
    Tall M, Ouedraogo I, Nd Kasse A, Tekpa BJ, et al. Femur malunion treated with open osteotomy and intramedullary nailing in developing countries. Orthop Traumatol Surg Res. 2012;1:49–55.Google Scholar
  7. 7.
    Russell GV, Graves ML, Archdeacon MT, Barei DP, Brien GA, Porter SE. The clamshell osteotomy: a new technique to correct complex diaphyseal malunions. J Bone Joint Surg Am. 2009;91(2):314–24.CrossRefGoogle Scholar
  8. 8.
    Weinhandl JT, O’Connor KM. Assessment of a greater trochanter-based method of locating the hip joint center. J Biomech. 2010;43:2633–6.CrossRefGoogle Scholar
  9. 9.
    Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal elbow motion. J Bone Joint Surg Am. 1981;63:872–7.CrossRefGoogle Scholar
  10. 10.
    Jones L. The shoulder joint-observations on the anatomy and physiology with analysis of reconstructive operation following extensive injury. Surg Gynecol Obstet. 1942;75:433.Google Scholar
  11. 11.
    Girdlestone GR. Acute pyogenic arthritis of the hip: an operation giving free access and effective drainage. Lancet. 1943;241:419–21.CrossRefGoogle Scholar
  12. 12.
    Sawadogo M, Kafando H, Ouedraogo S. Is head and neck resection of the femur (Girdlestone’s procedure) still relevant? Indications and results about 24 cases. Open Orthop J. 2018;12:69–74. Free PMC articleCrossRefGoogle Scholar
  13. 13.
    Grauer JD, Amstutz HC, O’Carroll PF, Dorey FJ. Resection arthroplasty of the hip. J Bone Joint Surg Am. 1989;71(5):669–78.CrossRefGoogle Scholar
  14. 14.
    Froimson AI, Morrey BF. Interposition arthroplasty of the elbow. In: Morrey BF, editor. Master techniques in orthopedic surgery, the elbow. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 2002.Google Scholar
  15. 15.
    Akpuaka FC, Eze CB, Anyaehie UE. The use of the radial recurrent fasciocutaneous flap in interposition arthroplasty of elbow ankylosis: case report and review of literature. Int Surg. 2010;95(4):315–8.PubMedGoogle Scholar
  16. 16.
    Sie EJB, Kacou AD, Lambin Y. Austin Moore hemiarthroplasty for displaced femoral neck fractures in patients aged 55 years and above. An Ivorian experience. Niger J Orthop Trauma. 2006;5:8–13.Google Scholar


  1. ( This video describing an extensive take-down from chronically dislocated shoulder has been described, though we have no experience with it.

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Richard A. Gosselin
    • 1
  • Harry E. Jergesen
    • 2
  • Daniel-John Lavaly
    • 3
  1. 1.San Francisco General Hospital, Institute for Global Orthopedics and TraumatologySan FranciscoUSA
  2. 2.Department of Orthopedic SurgeryUniversity of California San Francisco, San Francisco General HospitalSan FranciscoUSA
  3. 3.Orthopedics and Rehabilitation, Moi Teaching & Referral Teaching HospitalEldoretKenya

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