Surgical Techniques in Total Knee Arthroplasty / Edition 1

Surgical Techniques in Total Knee Arthroplasty / Edition 1

by Giles R. Scuderi
     
 

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 "gi ants" in the

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Overview

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 "gi ants" in the field to present a book encompassing the best techniques for total knee arthroplasty. Concise chapters will cover indications, contraindications, complications, results, instrumentation, infection, preop planning, prosthetic choice, revision arthroplasty, and more wi th the emphasis on the best techniques and surgical "pearls", supporte d by line drawings, intraoperative photographs and radiographs. This d efinitive volume will serve as the complete and quick reference on "ho w to do" total knee arthroplasty.

Product Details

ISBN-13:
9780387983899
Publisher:
Springer New York
Publication date:
07/01/2001
Edition description:
2002
Pages:
773
Product dimensions:
8.77(w) x 11.28(h) x 1.51(d)

Related Subjects

Table of Contents

Foreword
Preface
Contributors
Sect. 1Preoperative Planning1
1Indications and Patient Selection3
2Preoperative Radiographic Assessment9
3Cost Considerations: An Historical Perspective19
Sect. 2Clinical Evaluation29
4Knee Scores in Total Knee Arthroplasty31
5Outcomes Data Collection39
Sect. 3Prosthetic Design47
6PCL-Sparing Total Knee Arthroplasty49
7Posterior Cruciate-Sacrificing Total Knee Arthroplasty61
8The Insall-Burstein Posterior Stabilized Condylar Knee Prosthesis67
9Constrained Prostheses75
10Meniscal-Bearing Total Knee Arthroplasty81
11Mensical-Bearing Knee: Principles, Technique, and Preliminary Results90
12Constrained Total Knee Designs for Revision Arthroplasty97
13Unicondylar Replacement106
Sect. 4Surgical Approaches113
14Medial Parapatellar Arthrotomy115
15Subvastus Approach119
16Midvastus Approach127
17The Trivector-Retaining Arthrotomy131
18The Lateral Approach137
19Quadriceps Snip149
20V-Y Quadricepsplasty155
21Tibial Tubercle Osteotomy159
Sect. 5Principles of Primary Total Knee Arthroplasty163
22The Basic Principles165
23Draping Technique for Total Knee Arthroplasty168
Sect. 6Instrumentation175
24Total Knee Arthroplasty177
Sect. 7Correction of Deformity187
25Medial Release for Fixed-Verus Deformity189
26Lateral Release for Fixed-Valgus Deformity197
27Medial and Lateral Ligament Advancement205
28Flexion Contracture in Total Knee Arthroplasty210
29Correction of Combined Deformity216
Sect. 8Component Position225
30The Epicondylar Axis for Femoral Component Rotation227
31Tibial Shaft Axis for Femoral Component Rotation236
32Alternatives for Rotational Alignment of the Femoral Component240
33Tibial Component Position243
Sect. 9Fixation255
34Cement in Primary Total Knee Arthroplasty257
35Cementless Total Knee Arthroplasty262
36Hybrid Total Knee Arthroplasty273
37Hydroxyapatite277
Sect. 10Bone Defects287
38Autogenous Bone Grafting for Tibial Deficiency289
39Bone Grafting in Primary Femoral Deficiency295
Sect. 11Patellar Preparation299
40Onset Patella301
41Inlay Technique304
42Rotating Patella310
Sect. 12Extensor Mechanism Alignment315
43The Intraoperative Assessment of Patellar Tracking317
44Benefits and Pitfalls of Lateral Patella Release326
45Proximal Patellar Realignment for Recurrent Patellar Instability332
46Distal Realignment for Recurrent Patellar Instability337
Sect. 13Evaluation of the Painful Total Knee Arthroplasty343
47Clinical Evaluation345
48Imaging of the Painful TKR351
49Arthroscopic Management of Problematic Total Knee Arthroplasty368
Sect. 14Revision Arthroplasty375
50Component Removal377
51Three-Step Technique for Revision Total Knee Arthroplasty384
Sect. 15Management of Bone Loss in Revision Arthroplasty391
52General Concepts393
53Classification of Bone Defects: Femur and Tibia401
54Bone Defects: Tibial Modularity409
55Bone Defects: Tibial Allograft415
56Bone Defects: Femoral Allograft424
Sect. 16Fixation Techniques in Revision Knee Arthroplasty433
57Cemented Revision Knee Arthroplasty435
58Cementless Fixation440
59Press-Fit Stem Fixation451
Sect. 17Infection463
60Single-Stage Revision of Infected Total Knee Replacement465
61Two-Stage Reimplantation471
62Evolution and Design Rationale of the PROSTALAC Knee System in the Management of the Infected Total Knee Prosthesis473
63Alternative Procedures for the Management of an Infected Total Knee491
Sect. 18Extensor Mechanism Dysfunction503
64Patellar Fracture505
65Acute and Chronic Rupture of the Quadriceps Tendon Treated with Direct Repair514
66Total Knee Arthroplasty516
67Management of Patella Tendon Disruptions in Total Knee Arthroplasty519
68Revision of Loose Patellar Components524
69Revision of Metal-Backed Patellar Components533
70Patellar Dislocation539
Sect. 19Management of Periprosthetic Fractures543
71Femoral periprosthetic Fractures: Nonoperative Treatment545
72Femoral Periprosthetic Fractures: Rush Rods553
73Femoral Periprosthetic Fractures: Retrograde Intramedullary Nail558
74Femoral Periprosthetic Fractures: Blade Plates Fixation563
75Revision of Periprosthetic Femur Fractures573
76Classification of Periprosthetic Tibial Fractures576
77Tibial Periprosthetic Fractures: Nonoperative Treatment584
78Tibial Periprosthetic Fractures: Open Reduction Internal Fixation587
79Revision Arthroplasty for Tibial Periprosthetic Fractures592
Sect. 20Special Situations599
80Total Knee Arthroplasty Following High Tibial Osteotomy601
81Total Knee Arthroplasty after Supracondylar Femoral Osteotomy610
82Total Knee Replacement after Maquet Osteotomy613
83Total Knee Arthroplasty after Patellectomy621
84Total Knee Arthroplasty for Patients with Prior Knee Arthrodesis627
85The Effect of Extra-Articular Deformity on the Tibial Component632
86Total Knee Replacement with Associated Extra-Articular Angular Deformity of the Femur635
87The Effect of Extra-Articular Deformity on the Femoral Component640
88Total Knee Replacement with Associated Extra-Articular Angular Deformity of the Tibia645
Sect. 21Postoperative Management649
89Rehabilitation651
90Postoperative Pain Management680
91The Stiff Knee687
92Deep Vein Thrombosis (DVT) and Total Knee Arthroplasty694
Glossary of Implants705
Index737

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