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Operative Techniques: Sports Knee Surgery E-Book

Operative Techniques: Sports Knee Surgery E-Book

Mark D. Miller | Brian J. Cole | Andrew Cosgarea | Jon K. Sekiya

(2008)

Additional Information

Book Details

Abstract

This multimedia resource offers you all the how-to step-by-step guidance you need to perform all of the latest and best techniques in sports knee surgery. The complete, lavishly illustrated volume is made even better with a state-of-the-art companion web site! With chapters on such hot topics as knee arthroscopy and meniscus, articular cartilage procedures, knee ligament procedures, and patellofemoral procedures, you will appreciate the clear and concise, detailed, and visual approach of this atlas and video collection. Large full-color intraoperative photos, diagrammable illustrations, dedicated website, and companion DVD demonstrate the full range of procedures. This short, accessible multimedia resource shows you what you need to know and how to do it all. The result is a detailed, easy-to-use reference that no orthopedic surgeon should be without.
This is a title in the Operative Techniques series. Please visit www.operativetechniques.com for more information.

  • Includes full-text web access so you can search the text online and surgical video clips that let you see the experts perform the techniques and perfect your own.
  • Discusses pearls and pitfalls with an emphasis on optimizing outcomes to improve the quality of your technique and learn the expert’s approach to getting the best results.
  • Outlines positioning, exposures, instrumentation, and implants to give you a step-by-step guide for every procedure.
  • Provides post-operative care and expected outcomes including potential complications and brief notes on controversies and supporting evidence to give you important details about patient-focused surgery.
  • Highlights key anatomies with color photos and illustrations as well as diagrams that present cases as they appear in real life to help you see every detail with clarity.

Table of Contents

Section Title Page Action Price
Front cover Cover
Operative Techniques: Sports Knee Surgery iii
Copyright page iv
CONTRIBUTORS vii
PREFACE ix
FOREWORD xi
Table of contents xiii
SECTION I: KNEE ARTHROSCOPY/MENISCUS PROCEDURES 1
PROCEDURE 1: Knee Examination and Imaging 3
Knee History and Physical Examination 4
Imaging 14
Evidence 20
PROCEDURE 2: Knee Arthroscopy—The Basics 23
Indications 24
Examination/Imaging (see Procedure 1) 24
Surgical Anatomy 24
Positioning 26
Portals/Exposures 28
Procedure 31
Postoperative Care and Expected Outcomes 37
Evidence 38
PROCEDURE 3: Arthroscopic Synovectomy 41
Indications 42
Examination/Imaging 44
Surgical Anatomy 46
Positioning 46
Portals/Exposures 47
Procedure 50
Postoperative Care and Expected Outcomes 53
Evidence 54
PROCEDURE 4: Arthroscopic Lysis of Adhesions 57
Indications 58
Examination/Imaging 58
Surgical Anatomy 58
Positioning 59
Portals/Exposures 59
Procedure 60
Postoperative Care and Expected Outcomes 66
Evidence 67
PROCEDURE 5: Arthroscopic Meniscectomy 69
Indications 70
Examination/Imaging 71
Surgical Anatomy 73
Positioning 74
Portals/Exposures 74
Procedure 75
Postoperative Care and Expected Outcomes 81
Evidence 82
PROCEDURE 6: Meniscal Cyst and Discoid Meniscus 87
Indications 88
Examination/Imaging 88
Surgical Anatomy 90
Positioning 90
Portals/Exposures 90
Procedure 91
Postoperative Care and Expected Outcomes 96
Evidence 98
PROCEDURE 7: Inside-Out and Outside-In Meniscal Repair 101
Indications 102
Examination/Imaging 102
Surgical Anatomy 103
Positioning 103
Portals/Exposures 104
Procedure 1: Preparation for Meniscal Repair 105
Procedure 2: Medial Meniscus Repair—Inside-Out Technique 107
Procedure 3: Lateral Meniscus Repair—Inside-Out Technique 111
Procedure 4: Outside-In Meniscal Repair 117
Postoperative Care and Expected Outcomes 120
Evidence 121
PROCEDURE 8: All-Inside Meniscal Repair 123
Indications 124
Examination/Imaging 124
Surgical Anatomy 125
Positioning 125
Portals/Exposures 126
Procedure 126
Postoperative Care and Expected Outcomes 138
Evidence 140
PROCEDURE 9: Arthroscopically Assisted Meniscus Transplantation 143
Indications 144
Examination/Imaging 144
Surgical Anatomy 146
Positioning 146
Portals/Exposures 146
Procedure 149
Postoperative Care and Expected Outcomes 161
Evidence 162
SECTION II: ARTICULAR CARTILAGE PROCEDURES 165
PROCEDURE 10: Chondroplasty and Microfracture 167
Indications 168
Examination/Imaging 168
Positioning 169
Portals/Exposure 170
Procedure 170
Postoperative Care and Expected Outcomes 176
Evidence 177
PROCEDURE 11: Osteochondral Autograft Transplantation 179
Indications 180
Examination/Imaging 180
Positioning 180
Portals/Exposure 181
Procedure 182
Postoperative Care and Expected Outcomes 189
Evidence 189
PROCEDURE 12: Autologous Chondrocyte Implantation 191
Indications 192
Examination/Imaging 192
Positioning 193
Portals/Exposure 194
Procedure 1: Cartilage Biopsy 195
Procedure 2: Cartilage Implantation 198
Postoperative Care and Expected Outcomes 205
Evidence 205
PROCEDURE 13: Osteochondral Allograft Transplantation 207
Indications 208
Examination/Imaging 208
Positioning 209
Portals/Exposure 209
Procedure 210
Postoperative Care and Expected Outcomes 218
Evidence 218
PROCEDURE 14: Osteochondritis Dissecans 221
Indications 222
Examination/Imaging 222
Positioning 225
Portals/Exposure 225
Procedure 226
Postoperative Care and Expected Outcomes 234
Evidence 235
PROCEDURE 15: Avascular Necrosis and Core Decompression 237
Indications 238
Examination/Imaging 238
Positioning 240
Portals/Exposure 240
Procedure 241
Postoperative Care and Expected Outcomes 244
Potential Complications of Core Decompression 244
Evidence 244
PROCEDURE 16: Opening Wedge High Tibial Osteotomy 247
Indications 248
Examination/Imaging 248
Positioning 250
Portals/Exposure 250
Procedure 251
Postoperative Care and Expected Outcomes 256
Evidence 258
PROCEDURE 17: Unicondylar Knee Arthroplasty 259
Indications 260
Examination/Imaging 260
Positioning 262
Portals/Exposure 263
Procedure 263
Postoperative Care and Expected Outcomes 274
Evidence 276
SECTION III: KNEE LIGAMENT PROCEDURES 277
PROCEDURE 18: Single-Bundle Anterior Cruciate Ligament Reconstruction 279
Indications 280
Examination/Imaging 280
Surgical Anatomy 284
Positioning 285
Portals/Exposures 286
Procedure 286
Postoperative Care and Expected Outcomes 296
Evidence 297
PROCEDURE 19: Complex (Double-Bundle and Revision) Anterior Cruciate Ligament Reconstruction 299
Indications 300
Examination/Imaging 300
Surgical Anatomy 302
Positioning 303
Portals/Exposures 303
Procedure 1: Double-Bundle ACL Reconstruction 303
Procedure 2: Revision ACL Reconstruction 307
Postoperative Care and Expected Outcomes 312
Evidence 312
PROCEDURE 20: Pediatric Anterior Cruciate Ligament Injuries 315
Indications 316
Examination/Imaging 318
Surgical Anatomy 318
Positioning 318
Portals/Exposures 319
Procedure 1: Tibial Eminence Reduction and Repair 319
Procedure 2: Femoral Physeal-Sparing Procedure for ACL Reconstruction 322
Postoperative Care and Expected Outcomes 324
Evidence 324
PROCEDURE 21: Posterior Cruciate Ligament Reconstruction 327
Indications 328
Examination/Imaging 328
Surgical Anatomy 330
Positioning 332
Portals/Exposures 334
Procedure 334
Procedure: Pediatric PCL Injuries 340
Postoperative Care and Expected Outcomes 343
Evidence 343
PROCEDURE 22: Knee Medial Collateral Ligament Reconstruction 345
Indications 346
Examination/Imaging 346
Surgical Anatomy 350
Positioning 351
Portals/Exposures 351
Procedure 1: Primary Repair 352
Procedure 2: Autograft Repair—Modified Bosworth Reconstruction 354
Procedure 3: Allograft Repair 356
Postoperative Care and Expected Outcomes 358
Evidence 358
PROCEDURE 23: Posterolateral Corner Reconstruction 361
Indications 362
Examination/Imaging 362
Surgical Anatomy 366
Positioning 368
Portals/Exposures 368
Procedure 1: Primary Repair of PLC Injuries 370
Procedure 2: PLC Reconstruction 371
Postoperative Care and Expected Outcomes 375
Evidence 375
PROCEDURE 24: Multiple Ligament Injury 377
Indications 378
Examination/Imaging 378
Surgical Anatomy 383
Positioning 385
Portals/Exposures 386
Procedure 386
Postoperative Care and Expected Outcomes 392
Evidence 392
SECTION IV: PATELLOFEMORAL PROCEDURES 395
PROCEDURE 25: Acute and Chronic Patellar Tendon Ruptures 397
Indications 398
Examination/Imaging 398
Surgical Anatomy 400
Positioning 400
Portals/Exposures 401
Procedure 1: Repair of Acute Rupture from the Inferior Pole of the Patella 402
Procedure 2: Repair of Acute Midsubstance Ruptures 408
Procedure 3: Repair of Acute Tibial Tuberosity Rupture 408
Procedure 4: Chronic Rupture Repair with Hamstring Autograft 409
Procedure 5: Chronic Rupture Repair with Achilles Allograft 411
Postoperative Care and Expected Outcomes 416
Evidence 416
PROCEDURE 26: Quadriceps Tendon Repair 419
Indications 420
Examination/Imaging 420
Surgical Anatomy 422
Positioning 422
Portals/Exposures 422
Procedure 1: Acute Repair 424
Procedure 2: Chronic Repair 428
Postoperative Care and Expected Outcomes 431
Evidence 431
PROCEDURE 27: Arthroscopic Lateral Retinacular Release 433
Indications 434
Examination/Imaging 434
Surgical Anatomy 437
Positioning 438
Portals/Exposures 438
Procedure 439
Postoperative Care and Expected Outcomes 441
Evidence 441
PROCEDURE 28: Patellar Tendinopathy 443
Indications 444
Examination/Imaging 444
Surgical Anatomy 444
Positioning 446
Portals/Exposures 446
Procedure 1: Open Débridement 446
Procedure: Arthroscopic Débridement 456
Postoperative Care and Expected Outcomes 457
Evidence 457
PROCEDURE 29: Acute Patella Dislocation: Medial Patellofemoral Ligament Repair 459
Indications 460
Examination/Imaging 460
Surgical Anatomy 463
Positioning 464
Portals/Exposures 464
Procedure 1: Repair of Patellar Avulsion 464
Procedure 2: Repair of Midsubstance Tear 467
Procedure 3: Repair of Femoral Avulsion 468
Postoperative Care and Expected Outcomes 469
Evidence 469
PROCEDURE 30: Patella Fracture 471
Indications 472
Examination/Imaging 472
Surgical Anatomy 472
Positioning 474
Portals/Exposures 474
Procedure 1: Transverse Patella Fracture Repair 474
Procedure 2: Inferior Pole Fracture Repair 478
Procedure 3: Patella Sleeve Fracture Repair 482
Postoperative Care and Expected Outcomes 487
Evidence 488
PROCEDURE 31: Proximal Realignment: Medial Patellofemoral Ligament Reconstruction 489
Indications 490
Examination/Imaging 490
Surgical Anatomy 491
Positioning 491
Portals/Exposures 492
Procedure 493
Postoperative Care and Expected Outcomes 505
Evidence 505
PROCEDURE 32: Distal Realignment 507
Indications 508
Examination/Imaging 508
Surgical Anatomy 509
Positioning 509
Portals/Exposures 510
Procedure 510
Postoperative Care and Expected Outcomes 522
Evidence 522
INDEX 525