Surgical Techniques in Total Knee Arthroplasty / Edition 1

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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.

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Editorial Reviews

Doody's Review Service
Reviewer: Mark R Hutchinson, MD (University of Illinois at Chicago College of Medicine)
Description: This is a compendium of total knee techniques co-edited by two orthopedic surgeons who trained with John Insall, one of the most respected leaders in the field. They brought together a myriad of impressive authors to share the skills, ideas, and reviews of every facet of total knee arthroplasty.
Purpose: Their purpose is to create a comprehensive and thorough book on techniques of total knee arthroplasty. Although this goal is not unique, the collection of experts gathered by the editors is impressive and provides an excellent range of topics from preoperative planning to the most complex of revision or complication issues.
Audience: Residents and practitioners alike would find this a worthy addition to their library. It is an excellent reference for any surgeon who performs total knee arthroscopy, including revision surgeons, and it would make an worthwhile addition for the orthopedic library.
Features: The table of contents is well organized and easily guides the user to specific areas of interest. The glossary of implants at the back of the book is a unique and valuable feature. Numerous available implants with their radiographic images are presented, which assists the revision surgeon in identifying any pre-existing implant which in turn can simplify revision or polyethylene exchange. The quality of radiographs and line drawings is excellent and assists the reader tremendously. "A picture is worth a thousand words."
Assessment: This is a valuable addition to the literature and has unique and current contributions even if you already own a book on total knee arthroplasty.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780387983899
  • Publisher: Springer New York
  • Publication date: 7/1/2001
  • Edition description: 2002
  • Edition number: 1
  • Pages: 773
  • Product dimensions: 8.77 (w) x 11.28 (h) x 1.51 (d)

Table of Contents

Sect. 1 Preoperative Planning 1
1 Indications and Patient Selection 3
2 Preoperative Radiographic Assessment 9
3 Cost Considerations: An Historical Perspective 19
Sect. 2 Clinical Evaluation 29
4 Knee Scores in Total Knee Arthroplasty 31
5 Outcomes Data Collection 39
Sect. 3 Prosthetic Design 47
6 PCL-Sparing Total Knee Arthroplasty 49
7 Posterior Cruciate-Sacrificing Total Knee Arthroplasty 61
8 The Insall-Burstein Posterior Stabilized Condylar Knee Prosthesis 67
9 Constrained Prostheses 75
10 Meniscal-Bearing Total Knee Arthroplasty 81
11 Mensical-Bearing Knee: Principles, Technique, and Preliminary Results 90
12 Constrained Total Knee Designs for Revision Arthroplasty 97
13 Unicondylar Replacement 106
Sect. 4 Surgical Approaches 113
14 Medial Parapatellar Arthrotomy 115
15 Subvastus Approach 119
16 Midvastus Approach 127
17 The Trivector-Retaining Arthrotomy 131
18 The Lateral Approach 137
19 Quadriceps Snip 149
20 V-Y Quadricepsplasty 155
21 Tibial Tubercle Osteotomy 159
Sect. 5 Principles of Primary Total Knee Arthroplasty 163
22 The Basic Principles 165
23 Draping Technique for Total Knee Arthroplasty 168
Sect. 6 Instrumentation 175
24 Total Knee Arthroplasty 177
Sect. 7 Correction of Deformity 187
25 Medial Release for Fixed-Verus Deformity 189
26 Lateral Release for Fixed-Valgus Deformity 197
27 Medial and Lateral Ligament Advancement 205
28 Flexion Contracture in Total Knee Arthroplasty 210
29 Correction of Combined Deformity 216
Sect. 8 Component Position 225
30 The Epicondylar Axis for Femoral Component Rotation 227
31 Tibial Shaft Axis for Femoral Component Rotation 236
32 Alternatives for Rotational Alignment of the Femoral Component 240
33 Tibial Component Position 243
Sect. 9 Fixation 255
34 Cement in Primary Total Knee Arthroplasty 257
35 Cementless Total Knee Arthroplasty 262
36 Hybrid Total Knee Arthroplasty 273
37 Hydroxyapatite 277
Sect. 10 Bone Defects 287
38 Autogenous Bone Grafting for Tibial Deficiency 289
39 Bone Grafting in Primary Femoral Deficiency 295
Sect. 11 Patellar Preparation 299
40 Onset Patella 301
41 Inlay Technique 304
42 Rotating Patella 310
Sect. 12 Extensor Mechanism Alignment 315
43 The Intraoperative Assessment of Patellar Tracking 317
44 Benefits and Pitfalls of Lateral Patella Release 326
45 Proximal Patellar Realignment for Recurrent Patellar Instability 332
46 Distal Realignment for Recurrent Patellar Instability 337
Sect. 13 Evaluation of the Painful Total Knee Arthroplasty 343
47 Clinical Evaluation 345
48 Imaging of the Painful TKR 351
49 Arthroscopic Management of Problematic Total Knee Arthroplasty 368
Sect. 14 Revision Arthroplasty 375
50 Component Removal 377
51 Three-Step Technique for Revision Total Knee Arthroplasty 384
Sect. 15 Management of Bone Loss in Revision Arthroplasty 391
52 General Concepts 393
53 Classification of Bone Defects: Femur and Tibia 401
54 Bone Defects: Tibial Modularity 409
55 Bone Defects: Tibial Allograft 415
56 Bone Defects: Femoral Allograft 424
Sect. 16 Fixation Techniques in Revision Knee Arthroplasty 433
57 Cemented Revision Knee Arthroplasty 435
58 Cementless Fixation 440
59 Press-Fit Stem Fixation 451
Sect. 17 Infection 463
60 Single-Stage Revision of Infected Total Knee Replacement 465
61 Two-Stage Reimplantation 471
62 Evolution and Design Rationale of the PROSTALAC Knee System in the Management of the Infected Total Knee Prosthesis 473
63 Alternative Procedures for the Management of an Infected Total Knee 491
Sect. 18 Extensor Mechanism Dysfunction 503
64 Patellar Fracture 505
65 Acute and Chronic Rupture of the Quadriceps Tendon Treated with Direct Repair 514
66 Total Knee Arthroplasty 516
67 Management of Patella Tendon Disruptions in Total Knee Arthroplasty 519
68 Revision of Loose Patellar Components 524
69 Revision of Metal-Backed Patellar Components 533
70 Patellar Dislocation 539
Sect. 19 Management of Periprosthetic Fractures 543
71 Femoral periprosthetic Fractures: Nonoperative Treatment 545
72 Femoral Periprosthetic Fractures: Rush Rods 553
73 Femoral Periprosthetic Fractures: Retrograde Intramedullary Nail 558
74 Femoral Periprosthetic Fractures: Blade Plates Fixation 563
75 Revision of Periprosthetic Femur Fractures 573
76 Classification of Periprosthetic Tibial Fractures 576
77 Tibial Periprosthetic Fractures: Nonoperative Treatment 584
78 Tibial Periprosthetic Fractures: Open Reduction Internal Fixation 587
79 Revision Arthroplasty for Tibial Periprosthetic Fractures 592
Sect. 20 Special Situations 599
80 Total Knee Arthroplasty Following High Tibial Osteotomy 601
81 Total Knee Arthroplasty after Supracondylar Femoral Osteotomy 610
82 Total Knee Replacement after Maquet Osteotomy 613
83 Total Knee Arthroplasty after Patellectomy 621
84 Total Knee Arthroplasty for Patients with Prior Knee Arthrodesis 627
85 The Effect of Extra-Articular Deformity on the Tibial Component 632
86 Total Knee Replacement with Associated Extra-Articular Angular Deformity of the Femur 635
87 The Effect of Extra-Articular Deformity on the Femoral Component 640
88 Total Knee Replacement with Associated Extra-Articular Angular Deformity of the Tibia 645
Sect. 21 Postoperative Management 649
89 Rehabilitation 651
90 Postoperative Pain Management 680
91 The Stiff Knee 687
92 Deep Vein Thrombosis (DVT) and Total Knee Arthroplasty 694
Glossary of Implants 705
Index 737
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