This has been aided by years of experience in proper selection and utilization of banked bone for allografts. We obtained an entire femur from the Bone Bank that allowed us to completely rebuild her femur and restore her to pain-free walking. Revolutionary Intraoperative Engineering Cuckler also has designed a modular hip prosthesis that allows the surgeon to customize the implant intraoperatively to meet the complex challenges of revision surgeries. The ceramic, similar to that used on the Apollo spacecraft, is so smooth that it produces the least possible wear against the plastic socket. Jaffe and Stephenson, who along with Cuckler make up the newly formed UAB Joint Reconstruction Service, point to other advances that have impacted outcomes, noting that anesthetic demands are much greater for revisions.
Improved anesthesia allows for safer lengthy operations.
A major challenge following total joint revision is the need for carefully planned and supervised rehabilitation. Invitation to Referring Physicians Another facet of the successful revision is preparation and communication with physicians. Cuckler works closely with referring physicians as he completes preoperative medical evaluations. We invite the referring physician to come and observe the procedure here, and we can provide them lodging as well. In many cases, we send back a videotape of the procedure to acquaint them with exactly what we did, which can assist greatly in postoperative management.