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Book Details
Abstract
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.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | cover | ||
| Partial Knee Arthroplasty | i | ||
| Copyright page | iv | ||
| Dedication | v | ||
| Contributors | vii | ||
| Preface | xi | ||
| Table of contents | xiii | ||
| Video Table of Contents | xv | ||
| SECTION 1: Uni History | 1 | ||
| Chapter 1: Uni: History and Look to the Future | 3 | ||
| Key Points | 3 | ||
| Early Clinical Experience with Unicondylar Implants | 3 | ||
| Minimally Invasive Surgery: An Epiphany for UKA | 6 | ||
| UKA Today: Comparing Apples to Apples | 7 | ||
| UKA Versus TKA Revision | 8 | ||
| The Future for UKA (see Video 1-1) | 8 | ||
| References | 9 | ||
| Chapter 2: Classical Patient Selection for Unicondylar Knee Arthroplasty | 11 | ||
| Key Points | 11 | ||
| Introduction | 11 | ||
| History | 11 | ||
| Laboratory Tests | 12 | ||
| Physical Examination | 12 | ||
| Imaging Studies | 14 | ||
| Conclusions | 15 | ||
| References | 15 | ||
| Chapter 3: Indications for Unicompartmental Knee Arthroplasty | 17 | ||
| Key Points | 17 | ||
| Introduction | 17 | ||
| Indications | 17 | ||
| “Contraindications” | 20 | ||
| Summary | 22 | ||
| References | 22 | ||
| Chapter 4: Spacer Devices—Old and New | 25 | ||
| Key Points | 25 | ||
| Introduction | 25 | ||
| Early Development of Hemiarthroplasty | 25 | ||
| Recent Developments | 26 | ||
| Discussion | 27 | ||
| References | 29 | ||
| Chapter 5: Incidence of Partial Knee Arthroplasty: A Growing Phenomenon? | 31 | ||
| Key Points | 31 | ||
| Introduction | 31 | ||
| Growth of PKA in the United States | 31 | ||
| Incidence of PKA in Scandinavia | 32 | ||
| Incidence of Partial Knee Replacement in Other Countries | 32 | ||
| Conclusion | 32 | ||
| References | 32 | ||
| SECTION 2: \rBiologic Options | 33 | ||
| Chapter 6: Use of Biologics for Degenerative Joint Disease of the Knee | 35 | ||
| Key Points | 35 | ||
| Introduction | 35 | ||
| Treatment Options | 35 | ||
| Emerging and Developing Technologies | 36 | ||
| Patient Education | 41 | ||
| Conclusions | 41 | ||
| References | 42 | ||
| Chapter 7: Allografts for the Arthritic Knee | 43 | ||
| Key Points | 43 | ||
| Introduction | 43 | ||
| Setup and Equipment | 43 | ||
| Approach | 44 | ||
| Technical Description | 44 | ||
| Special Considerations | 48 | ||
| Postsurgical Follow-Up | 49 | ||
| Tips and Pearls | 50 | ||
| References | 50 | ||
| Chapter 8: Nonarthroplasty Treatment Options for Unicompartmental Degenerative Joint Disease | 51 | ||
| Key Points | 51 | ||
| Introduction | 51 | ||
| Arthroscopic Débridement | 51 | ||
| Cartilage Restoration | 52 | ||
| High Tibial Osteotomy | 53 | ||
| Distal Femoral Osteotomy | 54 | ||
| Summary | 55 | ||
| References | 55 | ||
| SECTION 3: Techniques | 57 | ||
| Chapter 9: Surgical Pearls for Fixed-Bearing Medial Unicompartmental Knee Arthroplasty | 59 | ||
| Key Points | 59 | ||
| Introduction | 59 | ||
| Skin Incision | 59 | ||
| Decreasing Blood Loss | 59 | ||
| Solid Repair of the Arthrotomy | 60 | ||
| Tibial Bone Cuts | 60 | ||
| Cement Technique | 61 | ||
| Femoral Component | 62 | ||
| Conclusion | 62 | ||
| References | 62 | ||
| Chapter 10: Medial Unicompartmental Knee Arthroplasty: | 63 | ||
| Key Points | 63 | ||
| Introduction | 63 | ||
| Setup and Equipment | 63 | ||
| Approach | 64 | ||
| Technical Description | 65 | ||
| Special Considerations | 69 | ||
| Postsurgical Follow-Up | 70 | ||
| Tips and Pearls | 70 | ||
| References | 70 | ||
| Chapter 11: Unicompartmental Knee Arthroplasty: Mobile-Bearing Techniques | 71 | ||
| Key Points | 71 | ||
| Introduction | 71 | ||
| Setup and Equipment | 71 | ||
| Approach | 71 | ||
| Technical Description | 72 | ||
| Postsurgical Follow-Up | 80 | ||
| Tips and Pearls | 81 | ||
| References | 81 | ||
| Chapter 12: Medial Unicompartmental Knee Replacement: Cementless Options | 83 | ||
| Key Points | 83 | ||
| Introduction | 83 | ||
| Rationale | 83 | ||
| Indications | 85 | ||
| Setup And Equipment | 85 | ||
| Approach | 86 | ||
| Technical Description | 86 | ||
| Postsurgical Follow-Up | 87 | ||
| Clinical Results | 87 | ||
| Summary | 89 | ||
| References | 89 | ||
| Chapter 13: Lateral Unicompartmental Knee Arthroplasty | 91 | ||
| Key Points | 91 | ||
| Introduction | 91 | ||
| Indications | 91 | ||
| Contraindications | 91 | ||
| Discussion | 91 | ||
| Setup And Equipment | 92 | ||
| Surgical Approach (see Video 13-1) | 92 | ||
| Technical Description | 93 | ||
| Special Considerations | 95 | ||
| Postsurgical Management | 96 | ||
| Summary | 97 | ||
| Tips and Pearls | 97 | ||
| References | 97 | ||
| Selected Reading | 98 | ||
| Chapter 14: Computer-Guided Partial Knee Replacement | 99 | ||
| Key Points | 99 | ||
| Introduction | 99 | ||
| Patient Selection | 100 | ||
| Planning | 100 | ||
| Operating Room And Patient Setup | 100 | ||
| Surgical Approach | 101 | ||
| Results | 102 | ||
| Summary | 104 | ||
| References | 104 | ||
| Chapter 15: Individualized Unicompartmental Knee Arthroplasty | 105 | ||
| Key Points | 105 | ||
| Introduction | 105 | ||
| Femoral Components | 105 | ||
| Conclusions | 113 | ||
| References | 113 | ||
| Chapter 16: The Patella in Medial Unicompartmental Knee Arthroplasty | 115 | ||
| Key Points | 115 | ||
| Introduction | 115 | ||
| Technique | 116 | ||
| Results | 116 | ||
| Discussion | 116 | ||
| References | 117 | ||
| Chapter 17: Minimally Invasive Surgery: Medial Fixed-Bearing Onlay Unicompartmental Knee Arthroplasty | 119 | ||
| Key Points | 119 | ||
| Introduction | 119 | ||
| Preoperative Evaluation | 119 | ||
| Surgical Technique for Medial Fixed-Bearing Onlay UKA | 120 | ||
| Postsurgical Care and Follow-Up | 125 | ||
| Summary | 126 | ||
| References | 126 | ||
| SECTION 4: Outcomes | 127 | ||
| Chapter 18: Mobile-Bearing Uni: Long-Term Outcomes | 129 | ||
| Key Points | 129 | ||
| Introduction: Prosthesis Design | 129 | ||
| Measuring Outcome: Explanation of Study Types | 130 | ||
| Long-Term Outcome | 132 | ||
| Summary | 134 | ||
| References | 135 | ||
| Chapter 19: Fixed-Bearing Uni: Long-Term Outcomes | 137 | ||
| Key Points | 137 | ||
| Introduction | 137 | ||
| Historical Background | 137 | ||
| UKA Long-Term Results (Table 19–1) | 138 | ||
| Lateral UKA Results (Table 19–2) | 138 | ||
| Conclusion | 140 | ||
| References | 141 | ||
| SECTION 5: Patella and \rHybrid Options | 143 | ||
| Chapter 20: Patellofemoral Arthroplasty: Indications and Outcomes | 145 | ||
| Key Points | 145 | ||
| Introduction | 145 | ||
| Indications/Contraindications | 146 | ||
| Clinical Evaluation and Preoperative Planning | 147 | ||
| Surgical Technique | 148 | ||
| Postsurgical Follow-Up | 157 | ||
| Clinical Results | 159 | ||
| Complications | 160 | ||
| Tips and Pearls | 160 | ||
| References | 161 | ||
| Suggested Reading | 162 | ||
| Chapter 21: Long-Term Patellofemoral Progression | 163 | ||
| Key Points | 163 | ||
| Introduction | 163 | ||
| Preexisting Patellofemoral Arthrosis | 163 | ||
| Long-Term Patellofemoral Arthritic Progression | 164 | ||
| Conclusion | 168 | ||
| References | 168 | ||
| Chapter 22: Hybrid Arthroplasty: Two-Compartment Approach | 171 | ||
| Key Points | 171 | ||
| Setup and Equipment | 171 | ||
| Approach | 171 | ||
| Technical Description (see Video 22-1) | 172 | ||
| Special Considerations, Indications, and Patient Selection | 174 | ||
| Postsurgical Follow-Up | 175 | ||
| Tips and Pearls | 176 | ||
| Conclusions | 176 | ||
| References | 177 | ||
| Chapter 23: Modular Bicompartmental Knee Arthroplasty | 179 | ||
| Key Points | 179 | ||
| Introduction | 179 | ||
| Rationale for Bicompartmental Knee Arthroplasty | 179 | ||
| Indications for Bicompartmental Knee Arthroplasty | 180 | ||
| Rationale for Unlinked Modular Bicompartmental Knee Arthroplasty | 180 | ||
| Clinical Results of Modular Bicompartmental Knee Arthroplasty | 182 | ||
| Staged Bicompartmental Resurfacing | 183 | ||
| Conclusion | 183 | ||
| References | 183 | ||
| SECTION 6: Complications | 185 | ||
| Chapter 24: Failure Modes of Unicompartmental Arthroplasty | 187 | ||
| Key Points | 187 | ||
| Introduction | 187 | ||
| Indications | 187 | ||
| Contraindications | 187 | ||
| Etiology of Failures | 187 | ||
| The Importance of Surgical Technique (see Video 24-1) | 188 | ||
| Complications of Surgical Technique | 188 | ||
| Conclusions | 192 | ||
| References | 193 | ||
| Chapter 25: The Failed Uni | 195 | ||
| Key Points | 195 | ||
| Introduction | 195 | ||
| Clinical Evaluation and Preoperative Planning | 196 | ||
| Setup and Technique | 200 | ||
| Special Considerations | 209 | ||
| Postsurgical Follow-Up | 211 | ||
| Conclusion | 211 | ||
| Tips and Pearls | 212 | ||
| References | 213 | ||
| Suggested Readings | 214 | ||
| Chapter 26: The Painful Medial Unicompartmental Knee Arthroplasty | 215 | ||
| Key Points | 215 | ||
| Introduction | 215 | ||
| Clinical Evaluation | 215 | ||
| Radiographic Evaluation | 216 | ||
| Biomechanics of UKA Loading … A Possible Explanation of Pain? | 217 | ||
| Summary | 218 | ||
| References | 218 | ||
| SECTION 7: Putting It All Together | 221 | ||
| Chapter 27: Practical Issues in Unicompartmental Knee Arthroplasty—The Secrets for Success | 223 | ||
| Key Points | 223 | ||
| Introduction | 223 | ||
| Technique | 224 | ||
| Lateral Uka | 229 | ||
| Conclusion | 230 | ||
| References | 230 | ||
| Chapter 28: Anesthesia, Pain Management, and Early Discharge for Partial Knee Arthroplasty | 231 | ||
| Key Points | 231 | ||
| Historical Perspective | 231 | ||
| Indications/Contraindications | 231 | ||
| Preoperative Planning | 232 | ||
| Postoperative Management | 236 | ||
| Results | 237 | ||
| Possible Concerns, Future Of The Technique | 238 | ||
| References | 238 | ||
| Chapter 29: Deep Vein Thrombosis Prophylaxis following Unicompartmental Knee Arthroplasty | 239 | ||
| Key Points | 239 | ||
| Introduction | 239 | ||
| Etiopathogenesis Of Vted | 239 | ||
| Sequelae Of Vted | 239 | ||
| Modernization Of Thromboprophylaxis | 240 | ||
| Mechanical Thromboprophylaxis | 242 | ||
| Inferior Vena Cava Filters | 242 | ||
| Hypotensive Regional Anesthesia | 242 | ||
| Routine Screening And Risk Stratification | 243 | ||
| Differences Between Unicompartmental Knee Arthroplasty And Tka And Tha | 243 | ||
| Our Protocol And Experience | 244 | ||
| Conclusions | 244 | ||
| References | 244 | ||
| Chapter 30: A Multimodal Approach to Transfusion Avoidance and Blood Loss Management in Partial Knee Arthroplasty | 247 | ||
| Key Points | 247 | ||
| Introduction | 247 | ||
| Why We Should Try To Avoid Transfusions | 247 | ||
| Risk Factors For Transfusion | 248 | ||
| Preoperative Blood Management | 249 | ||
| Intraoperative Blood Management | 251 | ||
| Postoperative Management | 253 | ||
| Conclusion | 254 | ||
| References | 255 | ||
| Chapter 31: Bilateral Unicompartmental Knee Arthroplasty | 259 | ||
| Key Points | 259 | ||
| Introduction | 259 | ||
| Rationale | 259 | ||
| Outcomes | 260 | ||
| Authors’ Preferred Methods | 261 | ||
| Summary | 262 | ||
| References | 262 | ||
| Index | 265 |