Additional Information
Book Details
Abstract
This multimedia resource offers you all the how-to guidance you need to perform all of the latest and best techniques in total knee replacement. 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 cementless fixation, quadriceps sparing MIS TKR, unicompartmental TKR, soft tissue balancing, and extensor mechanism allografting, you, as well as the members of your cross-disciplinary team, will appreciate the clear and concise, but detailed and visual approach of this atlas and video collection. The result is a detailed, easy-to-use reference that no orthopaedic surgeon should be without.
- Stay on top of your field with detailed discussions of the hottest topics, including cementless fixation, quadriceps sparing MIS TKR, unicompartmental TKR, soft tissue balancing, extensor mechanism allografting, and much more!
- Search the book online with full-text web access and links to PubMed.
- See exactly what to do using step-by-step intraoperative photos demonstrating each technique and radiographs showing presenting problems and post-surgical outcomes.
- See cases as they present in real life using full-color photographs and interpretive diagrams that highlight key anatomical structures.
- Improve the quality of your technique and optimize outcomes with pearls and pitfalls from the authors.
- Be more thoroughly prepared with important details on positioning, exposures, instrumentation, and implants.
- Get just the information and guidance you need with the book’s hands-on, clinical emphasis.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | Cover | ||
| OPERATIVE TECHNIQUES: total knee replacement | iii | ||
| Copyright page | iv | ||
| CONTRIBUTORS | vii | ||
| PREFACE | xi | ||
| ACKNOWLEDGMENTS | xiii | ||
| FOREWORD | xv | ||
| TABLE OF CONTENTS | xvii | ||
| SECTION I: PRIMARY TOTAL KNEE REPLACEMENT | 1 | ||
| PROCEDURE 1: Unicompartmental Knee Arthroplasty | 3 | ||
| Indications | 4 | ||
| Examination/Imaging | 4 | ||
| Surgical Anatomy | 6 | ||
| Positioning | 6 | ||
| Portals/Exposures | 7 | ||
| Procedure | 11 | ||
| Postoperative Care and Expected Outcomes | 23 | ||
| Evidence | 23 | ||
| PROCEDURE 2: Posterior Cruciate Ligament–Retaining Total Knee Arthroplasty | 25 | ||
| Indications | 26 | ||
| Examination/Imaging | 26 | ||
| Surgical Anatomy | 26 | ||
| Positioning | 27 | ||
| Portals/Exposures | 27 | ||
| Procedure | 28 | ||
| Postoperative Care and Expected Outcomes | 32 | ||
| Evidence | 32 | ||
| PROCEDURE 3: Posterior-Stabilized Technique | 35 | ||
| Indications | 36 | ||
| Examination/Imaging | 36 | ||
| Surgical Anatomy | 36 | ||
| Positioning | 38 | ||
| Portals/Exposures | 38 | ||
| Procedure | 40 | ||
| Postoperative Care and Expected Outcomes | 50 | ||
| Evidence | 52 | ||
| PROCEDURE 4: Methods of Rotational Alignment in Primary Total Knee Arthroplasty | 53 | ||
| Indications | 54 | ||
| Examination/Imaging | 54 | ||
| Surgical Anatomy | 57 | ||
| Positioning | 57 | ||
| Portals/Exposures | 58 | ||
| Procedure 1: Determining Proper Femoral Component Rotational Alignment | 60 | ||
| Procedure 2: Determining Proper Tibial Component Rotational Alignment | 66 | ||
| Postoperative Care and Expected Outcomes | 70 | ||
| Evidence | 70 | ||
| PROCEDURE 5: Valgus Total Knee Replacement | 73 | ||
| Indications | 74 | ||
| Examination/Imaging | 74 | ||
| Surgical Anatomy | 77 | ||
| Positioning | 80 | ||
| Portals/Exposures | 80 | ||
| Procedure | 81 | ||
| Postoperative Care and Expected Outcomes | 86 | ||
| Evidence | 89 | ||
| PROCEDURE 6: Total Knee Replacement in the Varus Knee | 91 | ||
| Indications | 92 | ||
| Examination/Imaging | 92 | ||
| Surgical Anatomy (Fig. 4A and 4B) | 94 | ||
| Positioning | 95 | ||
| Portals/Exposures | 96 | ||
| Procedure | 98 | ||
| Postoperative Care and Expected Outcomes | 101 | ||
| Evidence | 103 | ||
| PROCEDURE 7: Tibial Component Alignment in Total Knee Arthroplasty: Intramedullary, Extramedullary, and Computer-Assisted Techniques | 105 | ||
| Indications | 106 | ||
| Examination/Imaging | 106 | ||
| Surgical Anatomy | 108 | ||
| Positioning | 108 | ||
| Portals/Exposures | 110 | ||
| Procedure | 112 | ||
| Postoperative Care and Expected Outcomes | 116 | ||
| Evidence | 117 | ||
| PROCEDURE 8: Quadriceps-Sparing Total Knee Arthroplasty | 119 | ||
| Indications | 120 | ||
| Examination/Imaging | 120 | ||
| Surgical Anatomy | 122 | ||
| Positioning | 122 | ||
| Portals/Exposures | 123 | ||
| Procedure | 124 | ||
| Postoperative Care and Expected Outcomes | 134 | ||
| Evidence | 135 | ||
| PROCEDURE 9: Minimally Invasive Total Knee Arthroplasty with Limited Medial Parapatellar Arthrotomy | 137 | ||
| Introduction | 138 | ||
| Indications | 138 | ||
| Examination/Imaging | 139 | ||
| Positioning | 140 | ||
| Portals/Exposures | 140 | ||
| Procedure | 143 | ||
| Postoperative Care and Expected Outcomes | 150 | ||
| Clinical Results | 151 | ||
| Evidence | 152 | ||
| PROCEDURE 10: Minimally Invasive Subvastus Approach for Total Knee Arthroplasty | 153 | ||
| Indications | 154 | ||
| Examination/Imaging | 154 | ||
| Surgical Anatomy | 155 | ||
| Positioning | 156 | ||
| Portals/Exposures | 156 | ||
| Procedure | 159 | ||
| Postoperative Care and Expected Outcomes | 167 | ||
| Evidence | 167 | ||
| PROCEDURE 11: Minimal Incision Total Knee Arthroplasty: the Mini-Midvastus Approach | 169 | ||
| Introduction | 170 | ||
| Indications | 170 | ||
| Examination/Imaging | 170 | ||
| Surgical Anatomy | 171 | ||
| Positioning | 172 | ||
| Portals/Exposure | 172 | ||
| Procedure | 174 | ||
| Postoperative Care and Expected Outcomes | 180 | ||
| Evidence | 182 | ||
| PROCEDURE 12: Monoblock Total Knee Arthroplasty | 185 | ||
| Indications | 186 | ||
| Examination/Imaging | 186 | ||
| Surgical Anatomy | 186 | ||
| Positioning | 186 | ||
| Portals/Exposures | 187 | ||
| Procedure | 188 | ||
| Postoperative Care and Expected Outcomes | 193 | ||
| Evidence | 193 | ||
| PROCEDURE 13: Cementless Fixation | 195 | ||
| Indications | 196 | ||
| Examination/Imaging | 196 | ||
| Surgical Anatomy | 196 | ||
| Positioning | 196 | ||
| Portals/Exposures | 197 | ||
| Procedure | 197 | ||
| Postoperative Care and Expected Outcomes | 200 | ||
| Evidence | 200 | ||
| PROCEDURE 14: Cemented Total Knee Arthroplasty | 203 | ||
| Indications | 204 | ||
| Examination/Imaging | 204 | ||
| Positioning | 204 | ||
| Portals/Exposures | 204 | ||
| Procedure | 204 | ||
| Postoperative Care and Expected Outcomes | 216 | ||
| Evidence | 217 | ||
| SECTION II: REVISION TOTAL KNEE REPLACEMENT | 219 | ||
| PROCEDURE 15: Principles of Revision Total Knee Replacement | 221 | ||
| Indications | 222 | ||
| Examination/Imaging | 222 | ||
| Surgical Anatomy | 224 | ||
| Positioning | 225 | ||
| Portals/Exposures | 225 | ||
| Procedure | 227 | ||
| Postoperative Care and Expected Outcomes | 232 | ||
| Evidence | 233 | ||
| PROCEDURE 16: Preoperative Planning for Revision Total Knee Replacement | 235 | ||
| Overview | 236 | ||
| Establish the Mechanism of TKA Failure | 236 | ||
| Establish the Surgical Requirements for Revision | 241 | ||
| Establish the Nonsurgical Requirements for Perioperative Care | 245 | ||
| Evidence | 246 | ||
| PROCEDURE 17: Surgical Exposures for Revision Total Knee Arthroplasty | 247 | ||
| Indications | 248 | ||
| Examination/Imaging | 248 | ||
| Surgical Anatomy | 248 | ||
| Positioning | 250 | ||
| Portals/Exposures | 250 | ||
| Procedure 1: Quadriceps Snip | 256 | ||
| Procedure 2: Tibial Tubercle Osteotomy | 257 | ||
| Procedure 3: V-Y Quadricepsplasty | 259 | ||
| Postoperative Care and Expected Outcomes | 260 | ||
| Evidence | 260 | ||
| PROCEDURE 18: Soft Tissue Balancing in Revision Total Knee Arthroplasty | 263 | ||
| Indications | 264 | ||
| Examination/Imaging | 264 | ||
| Surgical Anatomy | 266 | ||
| Positioning | 268 | ||
| Portals/Exposures | 268 | ||
| Procedure | 270 | ||
| Postoperative Care and Expected Outcomes | 276 | ||
| Evidence | 277 | ||
| PROCEDURE 19: Removing Well-Fixed Implants | 279 | ||
| Indications | 280 | ||
| Examination/Imaging | 280 | ||
| Surgical Anatomy | 280 | ||
| Positioning | 282 | ||
| Portals/Exposures | 282 | ||
| Procedure | 282 | ||
| Evidence | 288 | ||
| PROCEDURE 20: Revision of Failed Unicompartmental Knee Arthroplasty | 289 | ||
| Indications | 290 | ||
| Examination/Imaging | 290 | ||
| Surgical Anatomy | 292 | ||
| Positioning | 292 | ||
| Portals/Exposures | 292 | ||
| Procedure | 292 | ||
| Postoperative Care and Expected Outcomes | 296 | ||
| Evidence | 297 | ||
| PROCEDURE 21: Cemented Stem Fixation in Revision Total Knee Arthroplasty | 299 | ||
| Indications | 300 | ||
| Examination/Imaging | 300 | ||
| Positioning | 300 | ||
| Portals/Exposures | 302 | ||
| Procedure | 302 | ||
| Postoperative Care and Expected Outcomes | 310 | ||
| Evidence | 310 | ||
| PROCEDURE 22: Uncemented Stems in Revision Total Knee Arthroplasty | 311 | ||
| Indications | 312 | ||
| Examination/Imaging | 312 | ||
| Surgical Anatomy | 315 | ||
| Positioning | 315 | ||
| Portals/Exposures | 315 | ||
| Procedure | 315 | ||
| Postoperative Care and Expected Outcomes | 319 | ||
| Evidence | 320 | ||
| PROCEDURE 23: PROSTALAC Articulating Spacer for Infected Total Knee Replacements | 321 | ||
| Indications | 322 | ||
| Examination/Imaging | 322 | ||
| Surgical Anatomy | 324 | ||
| Positioning | 326 | ||
| Portals/Exposures | 328 | ||
| Procedure | 329 | ||
| Postoperative Care and Expected Outcomes | 339 | ||
| Evidence | 341 | ||
| PROCEDURE 24: Impaction Bone Grafting for Defects in Revision Total Knee Arthroplasty | 343 | ||
| Indications | 344 | ||
| Examination/Imaging | 344 | ||
| Surgical Anatomy | 345 | ||
| Positioning | 345 | ||
| Exposure | 345 | ||
| Procedure | 345 | ||
| Postoperative Care and Expected Outcomes | 349 | ||
| Evidence | 350 | ||
| PROCEDURE 25: Treatment of Periprosthetic Femoral Fractures above a Total Knee Arthroplasty | 351 | ||
| Introduction | 352 | ||
| Indications | 352 | ||
| Examination/Imaging | 353 | ||
| Treatment Techniques | 354 | ||
| Positioning | 358 | ||
| Procedure: Percutaneous Technique of ORIF of the Distal Femur Using Locked Plating | 358 | ||
| Postoperative Care and Expected Outcomes | 362 | ||
| Intramedullary Femoral Stems | 363 | ||
| Replacement Megaprostheses | 364 | ||
| Allograft Prosthetic Composite | 365 | ||
| Conclusions | 365 | ||
| Evidence | 366 | ||
| PROCEDURE 26: Knee Arthrodesis with an Intramedullary Nail After Failed Total Knee Arthroplasty | 369 | ||
| Indications | 370 | ||
| Examination/Imaging | 370 | ||
| Surgical Anatomy | 372 | ||
| Positioning | 372 | ||
| Portals/Exposures | 372 | ||
| Procedure | 374 | ||
| Postoperative Care and Expected Outcomes | 379 | ||
| Evidence | 379 | ||
| PROCEDURE 27: Flexion and Extension Gap Balancing in Revision Total Knee Arthroplasty | 381 | ||
| Indications | 382 | ||
| Examination/Imaging | 382 | ||
| Surgical Anatomy | 384 | ||
| Positioning | 384 | ||
| Portals/Exposures | 385 | ||
| Procedure | 386 | ||
| Postoperative Care and Expected Outcomes | 402 | ||
| Evidence | 403 | ||
| PROCEDURE 28: Extensor Mechanism Reconstruction in Total Knee Arthroplasty | 405 | ||
| Introduction | 406 | ||
| Preoperative Considerations | 406 | ||
| Portals/Exposures | 408 | ||
| Procedure: Autograft Repair | 408 | ||
| Procedure: Allograft Repair | 411 | ||
| Postoperative Care and Expected Outcomes | 415 | ||
| Evidence | 417 | ||
| PROCEDURE 29: Metal Augments | 419 | ||
| Indications | 420 | ||
| Examination/Imaging | 420 | ||
| Surgical Anatomy | 420 | ||
| Positioning | 422 | ||
| Portals/Exposures | 422 | ||
| Procedure 1: Augmentation of Bony Defects | 422 | ||
| Procedure 2: Posterior Augments for Flexion Instability | 426 | ||
| Procedure 3: Posterior Augmentation to Change Femoral Component Rotation | 428 | ||
| Procedure 4: Complete Tibial Augmentation | 429 | ||
| Postoperative Care and Expected Outcomes | 430 | ||
| Evidence | 430 | ||
| PROCEDURE 30: Metaphyseal Porous Metal Cones | 431 | ||
| Introduction | 432 | ||
| Indications | 432 | ||
| Examination/Imaging | 433 | ||
| Positioning | 434 | ||
| Portals/Exposures | 435 | ||
| Procedure | 435 | ||
| Postoperative Care and Expected Outcomes | 441 | ||
| Evidence | 441 | ||
| PROCEDURE 31: Structural Allografting | 443 | ||
| Indications | 444 | ||
| Examination/Imaging | 444 | ||
| Surgical Anatomy | 446 | ||
| Positioning | 446 | ||
| Portals/Exposures | 447 | ||
| Procedure | 448 | ||
| Postoperative Care and Expected Outcomes | 453 | ||
| Evidence | 454 | ||
| PROCEDURE 32: Porous Tantalum for Patellar Reconstruction in Revision Total Knee Arthroplasty | 457 | ||
| Indications | 458 | ||
| Examination/Imaging | 458 | ||
| Surgical Anatomy | 458 | ||
| Positioning | 461 | ||
| Portals/Exposures | 461 | ||
| Procedure | 462 | ||
| Postoperative Care and Expected Outcomes | 466 | ||
| Evidence | 467 | ||
| PROCEDURE 33: Cancellous Patellar Bone Grafting in Revision Total Knee Arthroplasty | 469 | ||
| Indications | 470 | ||
| Examination/Imaging | 470 | ||
| Surgical Anatomy | 470 | ||
| Positioning | 472 | ||
| Portals/Exposures | 472 | ||
| Procedure | 472 | ||
| Postoperative Care and Expected Outcomes | 476 | ||
| Evidence | 477 | ||
| PROCEDURE 34: Hinged Total Knee Arthroplasty | 479 | ||
| Indications | 480 | ||
| Examination/Imaging | 482 | ||
| Surgical Anatomy | 484 | ||
| Positioning | 484 | ||
| Portals/Exposures | 485 | ||
| Procedure | 485 | ||
| Postoperative Care and Expected Outcomes | 493 | ||
| Evidence | 493 | ||
| INDEX | 495 |