James V. Bono, MD, and Richard D. Scott, MD, two leading authorities in the field, edited this invaluable how-to book on corrective surgery for failed total knee arthroplasty. The text has an in-depth, comprehensive approach geared for orthopedic surgeons, sports medicine specialists, and residents. All fundamental aspects of revision total knee arthroplasty and its complications are covered. More than 350 illustrations–60 in full color–complement well-written explanations of general principles, surgical procedures, and special considerations. Top experts in orthopedics offer clinical pearls on topics such as diagnosis and evaluation, pre-op planning and component selection, surgical approach, revision technique, post-op complications, and salvage. Radiologists also detail the use of imaging for evaluation. Economics and reimbursement are addressed as well. Readers will find that this thorough and accurate book is an unprecedented guide that unravels the complexity of revision total knee arthroplasty.
Knee arthroplasty is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. It may also be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. Improving Accuracy in Knee Arthroplasty discusses new technology allowing the design of implants to be adapted for individual patients. Beginning with an introduction to knee alignment and misalignment, the following sections examine anatomical landmarks in the normal and arthritic knee, instruments, navigation in knee arthroplasty, robotics and soft tissue guided surgery. With contributions from a renowned author and editor team from the UK, USA and Europe, this comprehensive manual includes more than 400 colour images and illustrations. Key Features Comprehensive guide to improving accuracy in knee arthroplasty Discusses new technology allowing implant design to be adapted to individual patients Renowned author and editor team from the UK, USA and Europe More than 400 colour images and illustrations
This book, comprising the Instructional Course Lectures delivered at the 19th ESSKA Congress in Milan in 2021, provides an excellent update on current scientific and clinical knowledge in the field of orthopaedics and sports traumatology. It addresses a variety of interesting and controversial topics relating to the shoulder, elbow, hip, knee and foot, all of which are highly relevant to orthopaedic surgeons’ daily practice. Featuring contributions written by leading experts from around the globe, it enables readers to gain a better understanding of pathologies, which in turn can lead to more individualized treatments for patients. The book is of interest to clinicians and researchers alike.
"Take away my knee pain and give me better motion." This is what the arthritic patient expects from a Total Knee Arthroplasty (TKA). By virtue of standardization of the TKA procedure, surgeons can nowadays solve the pain issue for the majority of the patients. Restoration of function is a goal of a different order and forms the scope of this book. The editors confronted today's leading knee surgeons with the limitations of current surgical techniques and technology. They challenged them to define new thresholds of functional capacity after Total Knee Arthroplasty. "A Guide to Get Better Performance in TKA" describes the cutting edge in surgical techniques, prosthetic design and achievement of excellent function for these patients.
This book presents a compilation of topics related to primary total knee arthroplasty. The chapters cover, in a clear and didactic way, the current themes, written by experts from the area, from different parts of the world. Topics related to the three surgical phases (before surgery, during surgery, and after surgery) are discussed here. This is very important because the surgeon is not a "factory worker." First of all, it is a medicine doctor who has to feel and understand the particularities of each patient. Demographic studies show an aging population. Osteoarthritis and inflammatory diseases are becoming much more prevalent. In addition, a worldwide epidemic of trauma has led to the need for arthroplasties much more frequently. Therefore, total knee arthroplasty will be an increasingly important subject.
|Release Date||: 2017|
|Pages||: 329 pages|
Abstract: Background: This meta-analysis compared clinical and radiographic outcomes and complications of kinematic alignment (KA) and mechanical alignment (MA) techniques in primary total knee arthroplasty (TKA). Methods: All studies comparing the operation time, change in hemoglobin, length of hospital stay, postoperative complications, and clinical and radiographic outcomes as assessed with various measurement tools, from direct interview to imaging methods, in patients who underwent primary TKA through the KA or MA technique were included. Results: Six studies were included in the meta-analysis. The proportion of patients who developed postoperative complications (OR: 1.10, 95% CI: 0.49–2.46; P = .69) did not differ significantly between the KA and MA techniques. The 2 groups were also similar in terms of change in hemoglobin (95% CI: −0.38 to 0.34; P = .91), length of hospital stay (95% CI: −0.04 to 0.55; P = .10), hip-knee-ankle angle (95% CI: −1.76 to 0.75; P = .43), joint line orientation angle (95% CI: −4.27 to 4.23; P = .99), tibial component slope (95% CI: −0.53 to 3.56; P = .15), and femoral component flexion (95% CI: −2.61 to 7.57; P = .34). In contrast, operation time (95% CI: −27.16 to −3.71; P = .01), overall functional outcome (95% CI: 6.59–11.51; P
Online and in print, Insall & Scott Surgery of the Knee, edited by W. Norman Scott, MD, and 11 section editors who are experts in their fields, is your complete, multimedia guide to the most effective approaches for diagnosis and management of the full range of knee disorders affecting patients of all ages. From anatomical and biomechanical foundations, to revision total knee replacement, this authoritative reference provides the most up-to-date and complete guidance on cutting-edge surgical procedures, the largest collection of knee videos in one knee textbook. Expanded coverage and rigorous updates—including 40 online-only chapters—keep you current with the latest advances in cartilage repair and regeneration, allograft and autografts, computer robotics in total knee arthroplasty, and other timely topics. This edition is the first book ever endorsed by The Knee Society. Access the full text - including a wealth of detailed intraoperative photographs, a robust video library, additional online-only chapters, a glossary of TKR designs, quarterly updates, and more - at www.expertconsult.com. Get all you need to know about the clinical and basic science aspects of the full range of knee surgeries as well as the latest relevant information, including imaging and biomechanics; soft tissue cartilage; ligament/meniscal repair and reconstructions; partial and total joint replacement; fractures; tumors; and the arthritic knee. Master the nuances of each new technique through step-by-step instructions and beautiful, detailed line drawings, intraoperative photographs, and surgical videos. See exactly how it’s done. Watch master surgeons perform Partial and Primary TKR, Revision TKR, Tumor Replacement, Fracture Treatment, and over 160 videos on the expertconsult.com. Find information quickly and easily thanks to a consistent, highly templated, and abundantly illustrated chapter format and streamlined text with many references and chapters appearing online only. Access the fully searchable contents of the book online at www.expertconsult.com, including 40 online-only chapters, a downloadable image library, expanded video collection, quarterly updates, and a glossary of TKR designs with images and text from various device manufacturers. Grasp and apply the latest knowledge with expanded coverage of cartilage repair and regeneration techniques, expanded ligament techniques in allograft and autografts, computer robotics in surgical prognostics, fitting and techniques in partial and total knee arthroplasty, and more. Consult with the best. Renowned knee surgeon and orthopaedic sports medicine authority Dr. W. Norman Scott leads an internationally diverse team of accomplished specialists—many new to this edition—who provide dependable guidance and share innovative approaches to reconstructive surgical techniques and complications management.
In this booklet, experts from across the world, including members of the ISAKOS Knee Arthroplasty Committee, offer clear, up-to-date guidance on all aspects of soft tissue or ligament balancing in primary total knee arthroplasty with the aim of enabling the reader to achieve optimal patient outcomes. After an introduction explaining the normal soft tissue condition in the native knee, surgical procedures are described, including techniques for the management of severe deformity. The most striking feature of the booklet, however, is the many pages devoted to the accurate evaluation and clinical relevance of ligament balancing. Different techniques and devices for intraoperative soft tissue assessment are discussed, highlighting, for example, the use of gap-measuring devices or trial liners with load-bearing sensors to achieve more objective evaluation. Above all, special attention is devoted to the crucial issue of the impact of intraoperative soft tissue balance on postoperative results. In the closing chapter, very experienced surgeons introduce intraoperative troubleshooting in order to assist successful completion of arthroplasty.
|Author||: Michael A Mont,Michael Tanzer|
|Publisher||: Lippincott Williams & Wilkins|
|Release Date||: 2020-11-30|
|ISBN 10||: 1975158024|
|Pages||: 568 pages|
Explore the many changes in hip and knee arthroplasty in recent years with completely new chapters on thromboprophylaxis, outpatient surgery, pain management, retrieval—hip and knee, medical and biologic treatment of arthritis, nonarthroplasty management, infection, periprosthetic fracture, anatomy and surgical approaches, and dual-mobility cups and large-diameter heads for primary and revision total hip arthroplasty. Expand your knowledge with the standard in adult hip and knee reconstruction, while you advance patient care with the best practices available. Developed in partnership with The Hip Society and The Knee Society, OKU® Hip and Knee Reconstruction 6 examines current research and reviews of the most relevant topics chosen by recognized authorities. Find a wealth of information on cutting-edge developments and approaches for surgically challenging conditions. Orthopaedic surgeons with a specialty interest in hip and knee reconstruction, and physicians and allied health interested in staying up to date on best practices will benefit from this edition. Residents in training can review key topics paired with helpful guidelines and images.
This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery.
Minimally invasive surgery has evolved as an alternative to the traditional approaches in orthopedic surgery and has gathered a great deal of attention. Many surgeons are now p- forming all types of procedures through smaller surgical felds. Along with changes in the surgical technique, there have been rapid advances in computer navigation and robotics as tools to enhance the surgeon’s vision in the limited operative felds. With these new techniques and technologies, we must ensure that these procedures are performed safely and effectively with predictable clinical outcomes. This book has been expanded from our previous publi- tions to include spine and foot and ankle surgery, along with updated sections on knee arth- plasty, hip arthroplasty, and upper extremity surgery. The clinical information and surgical techniques, along with tips and pearls, provided by experts in the feld allows the reader to grasp a comprehensive understanding of the nuances of MIS. It is our intention that this text will be a valuable reference for all orthopedic surgeons. New York, NY Giles R. Scuderi, MD Piscataway, NJ Alfred J. Tria, MD v BookID 127440_ChapID FM_Proof# 1 - 14/09/2009 Contents Section I The Upper Extremities 1 What Is Minimally Invasive Surgery and How Do You Learn It? . . . . . . . . . . . . . . . . . . . . . 3 Aaron G. Rosenberg 2 Overview of Shoulder Approaches: Choosing Between Mini-incision and Arthroscopic Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Raymond A. Klug, Bradford O. Parsons, and Evan L. Flatow 3 Mini-incision Bankart Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Edward W. Lee, Kenneth Accousti, and Evan L. Flatow 4 Mini-open Rotator Cuff Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Computer-assisted surgery is a growing sub-discipline of orthopaedic surgery. This book offers a comprehensive presentation of scientific work and clinical experience including new technologies like individual templating in unicompartmental and total knee arthoplasty based on computer-assisted design technology. Computer-assisted surgery involves not only total knee and total hip arthroplasty, but also trauma, sports and revision surgery. In this edition we have added sections on 3D fluoroscopy-based spinal surgery as well as 3D fluoroscopy-based trauma surgery. Even in total hip surgery, navigation systems offer exciting new aspects, and the clinical benefit of navigation in total knee arthroplasties has now been demonstrated. We believe that this textbook will be of interest to those new to this specific field, while also providing an update for experienced users. An added benefit is the international character of this textbook, including experiences from Switzerland, Israel, the United States and the German-speaking countries.
As knee replacement surgeries continue to grow in number worldwide, the need for an authoritative and comprehensive reference in this key area is a must for today’s orthopaedic surgeon. The Adult Knee: Knee Arthroplasty, Second Edition, brings together the knowledge and expertise of internationally recognized experts in the field in one convenient volume.
Written in an accessible and instructive format, this richly illustrated text covers the analysis, planning, and treatment of lower limb deformities, with a view to teaching deformity correction. A foundation of understanding normal alignment is presented, using new nomenclature that is easy to remember and can even be derived without memorization. The work offers detailed information on deformities and malalignment, radiographic assessment, mechanical and anatomic axis planning, osteotomies, and hardware considerations. The part dealing with planning is further facilitated via an exercise workbook and an animated CD-ROM which is available separately. The methods taught are simple and intuitive.
|Author||: James B. Stiehl,Werner H. Konermann,Rolf G. Haaker|
|Publisher||: Springer Science & Business Media|
|Release Date||: 2012-12-06|
|ISBN 10||: 3642592902|
|Pages||: 566 pages|
This book reviews the recent international experience with the applications of computer assisted orthopaedic surgery in clinical practice. Recent decades of the human condition have witnessed the dramatic evolution of technology and the application to everyday existence. The ability to use such innovation in surgical practice is now easily within our grasp. Though clinical experience is short term, as will be demonstrated the problems are finite and limited only by the need for refinement. We can now clearly state that current surgical practice will be revolutionized by these new methodologies. This edition is all encompassing for musculoskeletal surgery including the spine, trauma, sports, and reconstructive surgery. Because of its simplicity, computer navigation will be an early tool in such areas as total joint replacement, anterior cruciate ligament reconstruction, and placement of pedicle screws in complex spinal surgery. New techniques in Minimally Invasive Surgery will require the precision and digital "surgical exposure" offered by the computer. However, we anticipate in a few years, that robotics with computer activated technology will rise to an important role for the practicing surgeon. Surgeons who are comfortable with technology and yearn for better solutions with their techniques will benefit from the knowledge of this experience. Americans at the AAOS 2003 annual meeting in New Orleans, have now joined the wave of enthusiasm for computer assisted orthopaedic surgery (CAOS) as well as the exciting new vistas of Minimally Invasive Surgery.
Covering both primary and revision total knee arthroplasty (TKA), each technique-oriented chapter in this book opens with a clinical case and an overview of the challenges and multiple options for management, and each section within the chapter will describe the physical exam, surgical approach, clinical outcome and recent supporting literature. Chapters will utilize bullet points for quick reference and plentiful intra-operative photos to illustrate the various techniques described. Part one covers primary TKA, with cases demonstrating management strategies for the varus and valgus knee, flexion contracture, patellofemoral arthritis, and extra-articular deformity, among others, while part two covers revision TKA, with cases demonstrating acute infection, flexion and global instability, severe tibial and femoral bone loss, and periprosthetic fracture, among others. Written and edited by experts in the field, Complex Cases In Total Knee Arthroplasty: A Collection of Current Techniques will be a useful reference for orthopedic surgeons, residents and fellows as well as sports medicine specialists and anyone involved in surgical care of the knee.
With rapid advancement in technology and materials in total knee arthroplasty (TKA), long-term survival and function of the total knee is now more and more dependent on restoring accurate limb alignment, precise component position and optimum soft-tissue balance. Proper technique is key to ensuring this and is all the more crucial and challenging to achieve in arthritic knees with severe and complex deformities. Correction of such knee deformities forms an important part of TKA for orthopedic surgeons working in both emerging and developed nations. Deformity Correction in Total Knee Arthroplasty fills the void that exists in treating severe and complex knee deformities and the use of computer-navigation in TKA. It covers the principles of deformity correction and soft-tissue balancing in primary TKA in an illustrative, step-wise and algorithmic fashion. Starting with the initial key step of preoperative planning, this book goes on to specifically describe how to deal with different types of deformities encountered in patients who undergo TKA - varus, valgus, flexion, hypertension, rotational and extra-articular deformities - as well as the stiff knee, the unstable knee, osteotomies in primary TKA and postoperative pain management and rehabilitation. This focused how-to manual includes plentiful images and clear, concise text from authors who have performed thousands of TKAs, making it a must-have reference for any surgeon unfamiliar or frequently confronted with this type of procedure.
This book focuses on the current clinical practice, outcome and the future development of Total Knee Arthroplasty (TKA) in surgical settings. A major objective of this work is to address “What is the optimal design and fixation of the implants we use for knee arthroplasty reconstruction? What are the gold standards? and, Can we do better?”. In an attempt to throw light on these questions, the authors evaluate data from clinical studies and assess various factors which may influence the long term outcome of TKA. Many variables such as age, severity, implant design and surgical techniques for appropriate component placement and soft tissue balancing are explored in great detail by expert surgeons in the field. Total Knee Arthroplasty: Long Term Outcomes will be a useful resource for recently qualified surgeons in search of an introduction to this topic and for more experienced surgeons seeking an in-depth critical review of current practices in TKA.