Unicompartmental knee arthroplasty (UKA) - also known as unicondylar knee arthroplasty or partial knee replacement - is an excellent surgical option for the treatment of isolated medial, lateral and patellofemoral compartment arthritis of the knee, as long term results suggest high patient satisfaction and survivability that rivals total knee arthroplasty (TKA). These procedures are well-suited for rapid recovery protocols and outpatient surgery through well-structured surgical pathways. With demand increasing for knee arthroplasty, patients presenting sooner and at a younger age, and an ever-increasing interest from patients, surgeons and payors in outpatient surgery, the demand for unicompartmental arthroplasty is expected to increase significantly. This text will assist orthopedic surgeons, sports medicine specialists, residents and attendings in developing successful pathways for unicompartmental knee arthroplasty, divided into three thematic sections. Part one discusses the history, indications and patient selection for UKA, including how to manage patient expectations, as well as implant choices. Surgical techniques for UKA are presented in part two, both the medial and lateral sides, with discussion of mobile bearings, pain management, blood preservation strategies, and therapy options both before and after surgery. Complications and their prevention are presented in part three, including periprosthetic fractures and infection. Timely and practical, Unicompartmental Knee Arthroplasty will provide orthopedic surgeons and related clinical staff with all they need to know to bring this increasingly common technique into practice.
This book offers a concise review and international perspective on state-of-the art unicompartmental knee reconstruction procedures. To apply less invasive procedures resulting in fewer complications and shorter recoveries, it provides insights on patient selection, equipment design, and surgical techniques. Newer concepts such as the use of robotics and haptic surgery as well as outpatient surgeries are natural extensions of these surgeries. Long term outcomes along with complications and future directions are discussed as well. Partial Knee Arthroplasty presents an ideal resource for the occasional partial knee arthroplastic surgeon to the expert interested in international and contemporary advances in partial knee replacement.
|Author||: Raghunandan Kanvinde|
|Release Date||: 1994|
|Pages||: 329 pages|
|Author||: Kevin D. Plancher|
|Publisher||: Elsevier Health Sciences|
|Release Date||: 2014-02-10|
|ISBN 10||: 0323227414|
|Pages||: 201 pages|
This issue of Clinics in Sports Medicine will cover the latest technology and techniques in partial knee arthroplasty, including the use of robotics, different types of custom implants, and advice on return-to-activity. It will also offer information on different possible outcomes and complications that could occur after surgery. This topic has not been covered in Sports Medicine in at least the past ten years, and, as it grows as a popular treatment, it should become a useful issue of CSM.
|Release Date||: 2017|
|Pages||: 329 pages|
Abstract: Background: Both high tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA) are well-established treatments for medial knee osteoarthritis (OA). However, it is unclear whether HTO or UKA leads to better clinical outcomes and lower complication rates. This meta-analysis compared the clinical outcomes and complications of HTO and UKA in patients with medial knee OA. Methods: All studies comparing the functional outcome, postoperative pain, revision rate to total knee arthroplasty (TKA), postoperative complications, postoperative velocity, and postoperative range of motion (ROM) as assessed with various measurement tools in patients with medial knee OA treated with HTO or UKA were included. Results: Sixteen studies were included in the meta-analysis. The proportion of patients who underwent revision to TKA (OR 1.56, 95% CI: 0.61–3.98; P = .35) did not differ significantly between HTO and UKA. In contrast, functional outcome (OR 0.47, 95% CI: 0.24 to 0.95; P = .04), postoperative pain (OR 0.28, 95% CI: 0.12 to 0.62; P = .002), postoperative complications (OR 2.48, 95% CI: 1.26 to 4.90; P = .009), postoperative velocity (95% CI: −0.11 to −0.00; P = .03), and postoperative ROM (95% CI: 2.02 to 15.23; P = .01) were significantly different between the 2 groups. Conclusions: There were no significant differences in the revision rate to TKA between HTO and UKA. However, results from subgroup analyses suggested that opening-wedge HTO resulted in a lower revision rate to TKA than did UKA, whereas closing-wedge HTO resulted in a higher revision rate to TKA than did UKA. In addition, UKA resulted in significantly better functional outcomes and postoperative velocity, along with less postoperative pain, fewer postoperative complications, and lower postoperative ROM. Based on the findings of current meta-analysis, UKA appears to be as efficacious and safe as HTO in the treatment of medial knee OA.
|Author||: John Goodfellow,John O'Connor,Hemant Pandit,Christopher Dodd,David Murray|
|Release Date||: 2015-05-31|
|ISBN 10||: 9781910158456|
|Pages||: 288 pages|
A review of the First Edition said "This excellent presentation gives a detailed history of the development and scientific principles behind the Oxford mobile bearing unicompartmental knee replacement. The elegant prose makes it very readable and the book presents a comprehensive review of the implant with good illustrations. With nearly a million knee arthroplasties being performed worldwide per annum and the possibility of up to a third of these cases being eligible for unicompartmental replacement, this is an important document. The work provides an excellent bibliography and the accompanying DVD is essential viewing for all knee surgeons involved in unicompartmental prosthetic arthroplasty." Journal of Bone and Joint Surgery, Vol 89-B (2), 2007, p. 283. The Second Edition of the book traces the 40 year development by surgeons and engineers in Oxford of a unique method of unicompartmental knee replacement with the 'Oxford Knee' prosthesis. The challenge to the surgeon is to replace the damaged surfaces of the arthritic joint so effectively that the soft tissues of the whole joint and the surfaces of the other compartments can resume all their physiological functions, a more difficult task than total knee replacements confront. As a user's guide, the book allows the surgeon to gain a good understanding of the biomechanics of the normal knee, of the pathological anatomy of unicompartmental arthritis, and the rationale of the design of instruments and implants. The outcome of the operation depends greatly on choice of the right patient and exact implantation of the prosthesis, subjects that are dealt with exhaustively. The reader can use this book as an adjunct to the implant specific instructional courses available. Additionally this Second Edition describes additional clinical evidence published up to mid-2016, and gives a more detailed description of the biomechanics of the natural and replaced knee together with the use of the new Microplasty instruments and the Domed Lateral operation. The book also provides long-term data on wear and revision rates for the Oxford Knee and covers common questions asked and the problems confronted by users. Animations of mathematical models of the intact and replaced knee, as well as full video footage of knee replacement operations and other accompanying information, can be found at www.oxfordpartialknee.com.
"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.
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.
The popularity of NXT and the success of The Da Vinci Code book and movie are combined in this fascinating book. Projects for building and programming five of Leonardo s most famous inventions are covered in detail: the Tank, the Helicopter, the Catapult, the Flying Machine, and the Revolving Bridge. This book is written for serious NXT programmers and covers the most popular programming environments available today. The book is abundantly illustrated and includes sample code and countless best practices strategies. Advanced NXT: The Da Vinci Inventions Book complements Apress successful line of Mindstorms books by providing advanced programming techniques in a rich historical context.
Partial Knee Arthroplasty helps you optimize outcomes using the latest best-practice techniques for this increasingly popular procedure. Drs. Keith R. Berend and Fred D. Cushner discuss recent advances and hot topics—such as custom guided implants, biologics, failed PKA, TKA conversion, and more—along with the challenges of choosing the right technique for each patient. The clear focus on surgical techniques, bulleted key points, and procedural videos online at www.expertconsult.com make this comprehensive, practical reference ideal for learning how to achieve the best results. Access the fully searchable text online at www.expertconsult.com, along with a gallery of procedural videos. Apply recent advances and best-practice techniques effectively thanks to global perspectives and analyses of surgical approaches. Improve patient outcomes with clear, direct, and focused coverage of surgical techniques. Find information quickly and easily with a bulleted format for convenient "at-a-glance" reference to key details and ease of use in a mobile environment.
|Author||: Laura Jill Kleeblad|
|Release Date||: 2020|
|ISBN 10||: 9789464022285|
|Pages||: 241 pages|
Written by the foremost experts, this text is a comprehensive clinical reference on osteoarthritis. Chapters review current information on the epidemiology, etiopathogenesis, and pathology of osteoarthritis, the biochemistry and molecular and cell biology of articular cartilage, and experimental models of osteoarthritis. Major sections focus on clinical presentations, roentgenologic and laboratory diagnosis, and treatment, including pharmacologic treatment, intra-articular therapy, surgery, arthroscopy, and complementary and alternative medicine. The authors discuss the indications, outcomes, and complications of various orthopaedic procedures. Chapters present orthopaedic approaches to osteoarthritis of various joints—the shoulder, hand, wrist, elbow, hip, knee, foot, ankle, and cervical, thoracic, and lumbar spine.
An invaluable guide for orthopaedic surgeons at all levels of experience, Total Knee Arthroplasty, 3rd Edition, takes a practical, authoritative approach to this widely performed procedure. Dr. Richard Scott, co-designer of the Total Knee System, walks you step by step through a wide range of surgical scenarios, offering consistent, readable coverage of the techniques you need to know. A user-friendly index, hundreds of detailed, full-color illustrations and photographs, and bulleted summaries make information easy to find and put to use in practice. Covers all facets of operative and non-operative knee replacement in depth, from simple varus knees to complex valgus and more. Features new topics such as posterior-stabilized TKA, measured resection techniques, and gap balancing techniques, as well as new high-quality figures and photographs, practical examples, tips, challenges, and recommendations. Contains step-by-step coverage of techniques and complex methods, including key tips on what to avoid in every situation. Shares the knowledge and expertise of Dr. Richard Scott, who highlights personal pearls and pitfalls, answers frequently asked questions, and provides expert guidance in the design and technique of PCL retaining TKA and Unicompartmental knee arthroplasty.
The purpose of this book will be to meticulously describe and detail the vast knee surgery experience gained at the Lyon School of Medicine and to present it as comprehensive step by step guides for diagnosis, treatment options and pre/post operative management. Cases of common pathology, such as knee osteoarthritis or ligament rupture will be presented along with other less common situations, such as revision surgery.
Pushed by the progress of biology, technology and biomechanics, knee surgery has dramatically evolved in the last decades. This book is a "state of the art" concerning all aspects of knee surgery from ligament reconstruction to Total Knee Arthroplasty. An international panel of renowned authors have worked on this didactic fully illustrated book. It will help young surgeons to understand basic sciences and modern sugical techniques. The experienced surgeon will find help to deal with difficult cases and clarifications in recent technologic advances such as cartilage surgery, navigation and mini invasive surgery.
|Release Date||: 2019|
|Pages||: 329 pages|
|Release Date||: 2017|
|Pages||: 329 pages|
Mobile-bearing Oxford medial unicompartmental knee arthroplasty (UKA) has been widely used and has produced good results in the treatment of medial compartmental osteoarthritis. But it is associated with the potential risk of meniscal bearing dislocation. Symptoms caused by most meniscal bearing dislocations include acute pain, knee swelling, and locking. We report two unusual cases of meniscal bearing spinning of 180° without remarkable symptoms, which would have been easily missed if we had not watched carefully. Therefore, if there is sudden locking, pain, swelling, or a slight locking history, the possibility of meniscal bearing spin out as well as meniscal bearing dislocation should be considered and the direction of meniscal bearing markers should be confirmed, especially on lateral radiographs.
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
|Author||: Giles R Scuderi|
|Publisher||: Elsevier Health Sciences|
|Release Date||: 2014-04-23|
|ISBN 10||: 1455737321|
|Pages||: 608 pages|
Techniques in Revision Hip and Knee Arthroplasty is the one authoritative volume that gives you an efficient, problem-based approach to revision arthroplasty of both the hip and knee. Dr. Giles Scuderi and other leading experts from North America and Western Europe present their favored surgical procedures and post-surgical management strategies in this straightforward, heavily illustrated, video-intensive reference. It’s your one-stop, go-to guide for successful revision surgery for a myriad of complications, such as implant loosening, polyethylene wear, osteolysis, or infection of the hip and knee. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Get expert guidance on implant choice, management of complications (including infection and wound healing), and failure of mechanisms, as well as step-by-step surgical techniques. Quickly find the exact information you need with a straightforward "just what you need to know" approach, including surgical tips and pearls. Stay up to date with new insights regarding anatomic landmarks, recommended reconstruction options in revision surgery, including management of bone defects and instability. Access an abundance of surgical videos at Expert Consult.