Full Description
Now in a fully revised and updated third edition, this comprehensive text covers all aspects of revision total knee arthroplasty (TKA), complete with step-by-step descriptions of surgical techniques. Sensibly divided into four thematic sections, part I discusses evaluation and diagnosis of the failed TKA, including imaging, updates on implant bearings, and rationale for reoperation. General principles of revision surgery are presented in part II, addressing skin and extensile exposure, component removal, allografts, metaphyseal sleeves and cones, femoral and tibial alignment, and restoration of stability. Part III presents the many special considerations that come into play with revision TKA, including periprosthetic fracture, infection, stiffness and other post-operative complications and complexities. The role of arthrodesis and the economics of revision TKA are also elucidated. A final, brand new section describes cutting edge topics for TKA in the near future, such as patient specific 3D implants, the use of robotics, and sensor and digital technology.
Utilizing the most current evidence and generously illustrated, orthopedic surgeons, sports medicine specialists, residents and fellows alike will find Revision Total Knee Arthroplasty, Third Edition a thorough and informative resource when treating the patient following knee replacement surgery.
Contents
Part I. Diagnosis and Evaluation of Revision Total Knee Arthroplasty.- Reoperation after Total Knee Arthroplasty.- Implant Bearings in Total Knee Arthroplasty.- The Painful Total Knee Arthroplasty.- Imaging of Total Knee Arthroplasty.- Part II. General Principles of Revision Total Knee Arthroplasty.- Skin Exposure Issues.- Extensile Exposures for Total Knee Arthroplasty.- Removal of the Femoral and Tibial Components for Revision Total Knee Arthroplasty.- Allograft in Revision Total Knee Arthroplasty.- Modular Augments in Revision Total Knee Arthroplasty.- Metaphyseal Sleeves and Cones in Revision Total Knee Arthroplasty.- Femoral Alignment and Femoral Rotation.- Tibial Malalignment.- The Use of Stems in Revision Total Knee Arthroplasty.- Restoration of Stability, Maintaining Joint Line, Gap Balancing, and Constraint Selection in Revision Total Knee Arthroplasty.- Management of Extensor Mechanism during Revision Total Knee Arthroplasty.- Restoration of Stability, Maintaining Joint Line, Gap Balancing, and Constraint Selection Through the Use of a Trial Cutting Guide.- Part III. Special Considerations for Revision Total Knee Arthroplasty.- Infection in Total Knee Arthroplasty.- Use of an Antibiotic-Impregnated Spacer in Revision Total Knee Arthroplasty.- Periprosthetic Fractures After Total Knee Arthroplasty.- Total Knee Arthroplasty After Failed High Tibial Osteotomy.- Total Knee Arthroplasty Following Prior Unicompartmental Replacement.- Hinge Implants.- Total Knee Arthroplasty After Fractures About the Knee.- Management of the Stiff Total Knee Arthroplasty.- Aseptic Synovitis.- Prodromes of Failure After Revision Total Knee Arthroplasty.- Assessing the High-Risk Patient for Revision Total Knee Replacement.- Salvage Knee Surgery: Arthrodesis.- Part IV. Future Considerations.- Custom 3D Implants.- Robotic Revision TKA.- Sensor Technology.- Digital Technology.
