Full Description
Currently, younger and more active patients with arthritis, trauma and other joint diseases are getting predictable and durable results from total knee arthroplasty. Studies show that this procedure maintains a high level of performance, longevity and patient satisfaction for all age groups. Two well-known knee experts have assembled a group of "giants" in the field to present a book encompassing the best techniques for total knee arthroplasty. Concise chapters covers indications, contraindications, complications, results, instrumentation, infection, preoperative planning, prosthetic choice, revision arthroplasty, and more - with the emphasis on the best techniques and surgical "pearls", supported by line drawings, intraoperative photographs and radiographs. This definitive volume will serve as the complete and quick reference on "how to do" total knee arthroplasty.
Contents
Preoperative Planning.- Indications and Patient Selection.- Preoperative Radiographic Assessment.- Cost Considerations: An Historical Perspective.- Clinical Evaluation.- Knee Scores in Total Knee Arthroplasty.- Outcomes Data Collection.- Prosthetic Design.- PCL-Sparing Total Knee Arthroplasty.- Posterior Cruciate-Sacrificing Total Knee Arthroplasty.- The Insall-Burstein® Posterior Stabilized Condylar Knee Prosthesis.- Constrained Prostheses.- Meniscal-Bearing Total Knee Arthroplasty.- Meniscal-Bearing Knee—Principles, Technique, and Preliminary Results.- Constrained Total Knee Designs for Revision Arthroplasty.- Unicondylar Replacement.- Surgical Approaches.- Medial Parapatellar Arthrotomy.- Subvastus Approach.- Midvastus Approach.- The Trivector-Retaining Arthrotomy.- The Lateral Approach.- Quadriceps Snip.- V-Y Quadricepsplasty.- Tibial Tubercle Osteotomy.- Principles of Primary Total Knee Arthroplasty.- The Basic Principles.- Draping Technique for Total Knee Arthroplasty.- Instrumentation.- Total Knee Arthroplasty.- Correction of Deformity.- Medial Release for Fixed-Varus Deformity.- Lateral Release for Fixed-Valgus Deformity.- Medial and Lateral Ligament Advancement.- Flexion Contracture in Total Knee Arthroplasty.- Correction of Combined Deformity.- Component Position.- The Epicondylar Axis for Femoral Component Rotation.- Tibial Shaft Axis for Femoral Component Rotation.- Alternatives for Rotational Alignment of the Femoral Component.- Tibial Component Position.- Fixation.- Cement in Primary Total Knee Arthroplasty.- Cementless Total Knee Arthroplasty.- Hybrid Total Knee Arthroplasty.- Hydroxyapatite.- Bone Defects.- Autogenous Bone Grafting for Tibial Deficiency.- Bone Grafting in Primary Femoral Deficiency.- Patellar Preparation.- Onset Patella.- Inlay Technique.- Rotating Patella.- Extensor Mechanism Alignment.- The Intraoperative Assessment of Patellar Tracking.- Benefits and Pitfalls of Lateral Patella Release.- Proximal Patellar Realignment for RecurrentPatellar Instability.- Distal Realignment for Recurrent Patellar Instability.- Evaluation of the Painful Total Knee Arthroplasty.- Clinical Evaluation.- Imaging of the Painful TKR.- Arthroscopic Management of Problematic Total Knee Arthroplasty.- Revision Arthroplasty.- Component Removal.- Three-Step Technique for Revision Total Knee Arthroplasty.- Management of Bone Loss in Revision Arthroplasty.- General Concepts.- Classification of Bone Defects.- Bone Defects.- Bone Defects.- Bone Defects.- Fixation Techniques in Revision Knee Arthroplasty.- Cemented Revision Knee Arthroplasty.- Cementless Fixation.- Press-Fit Stem Fixation.- Infection.- Single-Stage Revision of Infected Total Knee Replacement.- Two-Stage Reimplantation.- Evolution and Design Rationale of the PROSTALAC Knee System in the Management of the Infected Total Knee Prosthesis.- Alternative Procedures for the Management of an Infected Total Knee.- Extensor Mechanism Dysfunction.- Patellar Fracture.- Acute and Chronic Rupture of the Quadriceps Tendon Treated with Direct Repair.- Reconstruction of the Extensor Mechanism with an Allograft Following Total Knee Arthroplasty.- Management of Patella Tendon Disruptions in Total Knee Arthroplasty.- Revision of Loose Patellar Components.- Revision of Metal-Backed Patellar Components.- Patellar Dislocation.- Management of Periprosthetic Fractures.- Femoral Periprosthetic Fractures: Nonoperative Treatment.- Femoral Periprosthetic Fractures: Rush Rods.- Femoral Periprosthetic Fractures: Retrograde Intramedullary Nail.- Femoral Periprosthetic Fractures: Blade Plates Fixation.- Revision of Periprosthetic Femur Fractures.- Classification of Periprosthetic Tibial Fractures.- Tibial Periprosthetic Fractures: Nonoperative Treatment.- Tibial Periprosthetic Fractures: Open Reduction Internal Fixation.- Revision Arthroplasty for Tibial Periprosthetic Fractures.- Special Situations.- Total Knee Arthroplasty Following High Tibial Osteotomy.- Total Knee Arthroplasty after Supracondylar Femoral Osteotomy.- Total Knee Replacement after Maquet Osteotomy.- Total Knee Arthroplasty after Patellectomy.- Total Knee Arthroplasty for Patients with Prior Knee Arthrodesis.- The Effect of Extra-Articular Deformity on the Tibial Component.- Total Knee Replacement with Associated Extra-Articular Angular Deformity of the Femur.- The Effect of Extra-Articular Deformity on the Femoral Component.- Total Knee Replacement with Associated Extra-Articular Angular Deformity of the Tibia.- Postoperative Management.- Rehabilitation.- Postoperative Pain Management.- The Stiff Knee.- Deep Vein Thrombosis (DVT) and Total Knee Arthroplasty.
