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News & Articles > Q&A with Dr. Neil P. Sheth, author of Treatment of Acetabular Bone Loss and Chronic Pelvic Discontinuity, 1st Edition

Interview with Neil P. Sheth, MD

Why did you feel that it was important to write a book on this topic? What does Treatment of Acetabular Bone Loss and Chronic Pelvic Discontinuity, 1st Edition add to the field?  

The initial premise was to create a resource which consolidates all of the different surgical treatment options for addressing acetabular bone loss, with and without a chronic pelvic discontinuity.  Partnering with Dr. Paprosky on this project provides instant credibility to the textbook as the most commonly used acetabular bone loss classification bears his name.   

What is the most exciting aspect of your new publication? What chapter or topic covered are you most excited about?  

This is the first textbook of its kind in the field of revision total hip replacement. There are several published textbooks that exhaustively cover the main topics in revision total hip replacement surgery. However, this textbook is only focused on treating one of the most severe problems encountered at the time of revision, acetabular bone loss. Authors from 5 continents have been included to delineate surgical pearls and pitfalls of the most common methods by which to address this complex clinical problem. In addition, the online version of the textbook has a video associated with a majority of the chapters as a visual medium by which to learn a specific technique.

Who will find the greatest value from Treatment of Acetabular Bone Loss and Chronic Pelvic Discontinuity, 1st Edition, and why?   

The greatest benefit from this textbook will be recognized by any hip surgeons that are engaged in treating acetabular bone loss.  With the increasing global revision hip burden, surgeons will continue to encounter acetabular bone loss at the time of revision.  With the online version of the text, a surgeon in the Czech Republic, Vietnam, Chile, Egypt, Australia or the USA can access the video content of any specific technique and apply it to the pre-operative planning phase for their specific patient.  

What new ideas, practices, or procedures do you hope your readers take away from your text?   

This textbook was meant to be exhaustive with inclusion of every surgical technique available for treating acetabular bone loss.  For the most complex clinical scenario, severe acetabular bone loss with an associated chronic pelvic discontinuity, the most popular surgical techniques [cages (Ch. 3 and 16), cup-cage (Ch. 17), custom triflange (Ch. 19), jumbo cup and augments (Ch. 21), and acetabular distraction technique (Ch. 22)] have been meticulously highlighted in this textbook.   

What problem do you hope the future generation of surgeons will be able to solve?   

The contents of this textbook should provide a consolidated resource which delineates the available treatments for acetabular bone loss at the time of revision total hip replacement.  By choosing world experts on their specific surgical technique, our hope is to reach as many hip surgeons in all corners of the globe to help them effectively treat their patients.  

The online version will be the key selling point for this textbook.  Currently, there are not a lot of options on where to view tips and tricks to perform these complex surgical techniques.  Anywhere on the planet with internet access will be able to access this content from a single source. 

Is there anything else about the book you’d like to say?   

There is one additional feature of this textbook which makes it absolutely unique. 

At the end of each chapter, there is a short written paragraph (audio section on the online version) entitled Editorial Comment.  This is a summary of a 7-hour session I had with Dr. Paprosky in an effort to download his 40-year experience as to why the classification was created or why a specific surgical technique came about.  A sample question I asked was as follows: “what was happening across the globe at this specific time that called for the use of a cage to treat bone loss?”  

For the true revision total hip enthusiast, of which most surgeons treating this clinical entity are, take the time to hear in Dr. Paprosky’s own words what he witnessed over the past four decades in the arena of complex revision total hip surgery and the treatment of acetabular bone loss.  Being able to sit with Dr. Paprosky and document this history was the most amazing professional experience I have had in my career thus far.  

About the Author

My name is Neil P. Sheth, MD, and I am currently the Chief of Orthopedic Surgery at Pennsylvania Hospital and an Associate Professor of Orthopedic Surgery at the University of Pennsylvania.  After my orthopedic residency at the University of Pennsylvania, I completed a fellowship at Rush University in Adult Hip and Knee Reconstruction.  My co-editor, Wayne G. Paprosky, MD, a Professor of Orthopedic Surgery at Rush University, is one of the pioneers and leading global experts in the field of revision total hip replacement, specifically as it pertains to the treatment of acetabular bone loss.    

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