A Practical Operative Guide for Total Knee and Hip Replacement

A Practical Operative Guide for Total Knee and Hip Replacement

by Ajit Kumar Mehta


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Product Details

ISBN-13: 9789351524823
Publisher: Jp Medical Pub
Publication date: 05/30/2015

About the Author

Ajit Kumar Mehta, MBBS, D Ortho, MS (Ortho), is Consultant Orthopedic Surgeon, Orthopedic and Joint Replacement Centre, Jagjivan Ram Hospital, Mumbai, India.

Table of Contents

Contents Chapter 1—Introduction 1 • History and clinical examination 1• Investigations 2• Physiotherapy, education and training 3• Consent for surgery 3• Patient and relative’s signature for risk/benefit ratio 4• Preoperative planning for TKR 4• Arrangement of neurovascular structures around the knee 6• Blood supply to the knee 6• Preparation of the patient for surgery and arranging blood 7Chapter 2—Total Knee Replacement (Cruciate-Substituting Fixed Bearing TKR) 8• Tourniquet application 8• Positioning 8• Scrubbing 8• Draping 9• Incision 10• Tibial cut 11• Femoral cuts 12• Resurfacing of patella 21• Tibial preparation 23• Cementing 24• Application of tibial insert 27• Wound closure 28• Postoperative advice 28• Follow-up schedule 34• Assessment during follow-up 34Chapter 3—Difficult Situations and Important Points 36• Total knee replacement (TKR) in difficult situations 36• Post HTO TKR 45• Important points 49• Take care of (precautions to prevent peroperative complications) 52• Avoid silly mistake 53• Contraindications of TKR 53• Ideal indicated patients for successful TKR 53• Complications 53• Implants and cement required for primary TKR 54• Summary of TKR (steps in sequence) 55• Instruments required for TKR 56Chapter 4—Rotating Platform High Flexed TKR (RPF) 59• Fixed bearing versus mobile bearing TKR (RPF) 59• Instruments required for RPF TKR 63Chapter 5—Management of Complications after TKR 64• Periprosthetic fracture 64• Infection 66• Knee arthrodesis with LRS in cases of infected TKR 71• Aseptic loosening 75• Revision TKR 76• Implants required for revision TKR 86• Instruments required for revision TKR 87Chapter 6—OT Setup for Joint Replacement Surgery 89• Introduction 89• Vertical laminar flow ventilation 90• Prevention of infection 91Chapter 7—Total Hip Replacement 92• Preoperative planning 92• Positioning — Lateral position 101• Draping 102• Posterior approach 103• Cemented THR (C-stem) 104• Instruments required for cemented THR (C-stem) 110• Features of triple taper C-stem 111• Bone cements 112• Uncemented THR (Summit stem) 115• Combinations in hip replacement 123• Assessment during follow-up 128• Instruments required for uncemented THR (Summit stem) 130• Implants and cement required for cemented THR (C-stem) 131• Implants required for uncemented THR (Summit stem) 131• Implants required for metal on metal, Articulating surface replacement (ASR) 132• Instruments required for metal on metal, ASR and Pinnacle 133• Implants for metal on metal or ceramic on ceramic, Pinnacle cup and head 134• Different measurements of femoral stem 134• Features of summit tapered hip system 135• Important points 136• Summary of THR (Steps in sequence for cemented and uncemented) 143• Proxima hip 144• Proxima instruments 147• Proxima implants 147Chapter 8—Patient’s Guide to Arthritis and Joint Replacement 148Chapter 9—High Tibial Osteotomy by Hemicallotasis Using a Dynamic Axial Fixator 151Bibliography 171Index 175

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