Ships from: Fort Worth, TX
Usually ships in 1-2 business days
Ships from: Chatham, NJ
Usually ships in 1-2 business days
Written by leading experts in total knee arthroplasty, this volume is a technique-oriented "how-to" guide to revision of failed arthroplasties. The book is sharply focused on the practical skills the surgeon needs to evaluate a failed knee replacement and safely and successfully reconstruct the joint. More than 500 illustrations—including 188 full-color photographs—complement the detailed descriptions of surgical procedures.The book describes the clinical and radiological evaluation of a painful total knee arthroplasty and presents techniques for correcting specific problems, such as malalignments, severe bone loss, medial collateral ligament loss, extensor mechanism loss, and infection. Complete information is provided on all surgical techniques, components, and reconstructive adjuncts that are now in the orthopaedist's armamentarium, including use of stems, bone grafting, constrained components, allografts, and free flaps. The authors offer advice on preventing and managing intraoperative and postoperative complications. A section on salvage of a failed total knee replacement is also included.
The book contains both black-and-white and color illustrations.
| Contributors | ||
| Preface | ||
| Acknowledgments | ||
| Sect. I | Introduction | |
| 1 | Successes and Failures | 3 |
| Sect. II | Basic Science | |
| 2 | The Effects of Design on Long-Term Survivorship | 17 |
| 3 | Particulate Debris and Osteolysis | 31 |
| 4 | Ultra-High-Molecular-Weight Polyethylene: The Weak Link | 43 |
| 5 | Failures Related to Axial and Rotational Malalignment | 67 |
| 6 | The Issue of Ligament Balance in Revision Total Knee Replacement | 77 |
| Sect. III | Evaluation of the Painful Total Knee Arthroplasty | |
| 7 | The Patient with a Painful Total Knee Replacement | 91 |
| 8 | Radiographic Evaluation of the Painful Total Knee Replacement | 107 |
| 9 | Decision-Making in Managing a Painful Total Knee | 123 |
| Sect. IV | Revising the Aseptic Total Knee | |
| 10 | Preoperative Planning and Prosthetic Choices for Revision Total Knee Arthroplasty | 137 |
| 11 | Surgical Exposures in Revision Total Knee Arthroplasty | 157 |
| 12 | Balancing and Alignment: Surgical Techniques on How to Achieve Soft-Tissue Balancing | 173 |
| 13 | Component Removal during Revision Total Knee Arthroplasty | 187 |
| 14A | Management of Severe Bone Loss: The Role and Results of Bone Grafting in Revision Total Knee Replacement | 197 |
| 14B | Management of Severe Bone Loss: Prosthetic Modularity and Custom Implants | 207 |
| 14C | Management of Severe Bone Loss: Methylmethacrylate Cement as Fill | 217 |
| 15 | Management of Medial Collateral Ligament Loss: Repair and Augmentation | 227 |
| 16 | Extensor Mechanism Complications in Total Knee Arthroplasty | 251 |
| 17 | Fixation Techniques in Revision Total Knee Surgery: Stem Designs, Rationale, and Fixation | 269 |
| 18 | Fixation Technique Without Cement | 283 |
| 19 | Cement Fixation Techniques for Revision Total Knee Arthroplasty | 295 |
| 20 | Postoperative Management and Rehabilitation | 311 |
| 21 | Surgical Technique for Revision of the Failed Unicompartmental Arthroplasty | 329 |
| 22 | Results of Revision Knee Replacement with Standard, Modular, and Constrained Devices | 355 |
| Sect. V | Surgical Management of the Infected Total Knee Arthroplasty | |
| 23 | Medical and Surgical Management of the Patient with an Infected Total Knee Arthroplasty | 371 |
| 24 | Surgical Techniques for Staged Revision of the Infected Total Knee | 387 |
| 25 | Outcomes Following Revision of Infected Total Knee Arthroplasty | 401 |
| Sect. VI | Complications | |
| 26 | Intraoperative Complications of Revision Total Knee Arthroplasty | 411 |
| 27 | Postoperative Complications of Deep Vein Thrombosis: Prevention and Treatment | 437 |
| 28 | Postoperative Complications of Wounds and Skin Necrosis | 447 |
| 29 | Stiffness and Limitation of Motion: Prevention and Management | 461 |
| Sect. VII | Salvage of a Failed Total Knee Replacement | |
| 30 | Resection Arthroplasty of the Knee: Technique and Results | 471 |
| 31 | Arthrodesis: Techniques and Results | 487 |
| 32 | Limb Salvage Techniques in Revision Total Knee Arthroplasty | 501 |
| Subject Index | 519 |
Overview
Written by leading experts in total knee arthroplasty, this volume is a technique-oriented "how-to" guide to revision of failed arthroplasties. The book is sharply focused on the practical skills the surgeon needs to evaluate a failed knee replacement and safely and successfully reconstruct the joint. More than 500 illustrations—including 188 full-color photographs—complement the detailed descriptions of surgical procedures.The book describes the clinical and radiological evaluation of a painful total knee ...