Total Knee Arthroplasty E-Book

Richard D. Scott

Description

Learn the latest innovations and techniques of one of the most performed procedures in the world with Total Knee Arthroplasty. Dr. Richard Scott, co-designer of the Total Knee System, brings his years of experience to each clinical challenge, walking you through myriad scenarios and highlighting the pearls and pitfalls he experienced himself along the way. This single-author format lends a consistent, authoritative voice to this medical reference book.

• Regularly consult this expansive reference with topics of interest to surgeons of all levels of experience.
• Quickly find pertinent information with a user-friendly index and hundreds of detailed, full-color illustrations.

• Explore in-depth topics covering all facets of knee replacement, both operative and nonoperative, to restore function to diseased knee joints.
• Comprehend complex methods through an easy-to-access procedure-based format that includes tips on what surgeons should avoid in every situation.
• Take advantage of Dr. Scott's expert guidance in the design and technique of PCL retaining TKA and Unicompartmental knee arthroplasty.
• Access frequently asked questions concerning total knee arthroplasty.
• Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.

Informations

• Publié par: Saunders
• Date de parution: 26 août 2014
• Nombre de lectures: 9
• EAN13: 9780323340724
• Langue: English
• Poids de l'ouvrage: 4 Mo

Extrait

Total Knee Arthroplasty
Second Edition
Richard D. Scott, MD
Professor of Orthopaedic Surgery, Emeritus, Harvard Medical School, Boston, Massachusetts
Table of Contents
Cover image
Title page
Copyright
Dedication
Preface
Chapter 1 Posterior Cruciate Ligament Retention Versus Substitution
Advantages of Posterior Cruciate Ligament Retention
Candidates for Posterior Cruciate Ligament Retention
Balancing the Posterior Cruciate Ligament
Disadvantages of Posterior Cruciate Ligament Retention
Indications for Posterior Stabilized Primary Total Knee Arthroscopy
Disadvantages of Posterior Cruciate Ligament Substitution
References
Chapter 2 Mobile Versus Fixed Bearings in Total Knee Arthroplasty
Why Consider a Mobile-Bearing Alternative?
References
Chapter 3 Primary Total Knee Arthroplasty Surgical Technique
Positioning of the Patient
Sterile Preparation of the Leg
The Incision
Medial Parapatellar Arthrotomy
Completing the Exposure
Preparation of the Femur
Placement of the Anteroposterior Cutting Jig
Preparation of the Patella
Preparation of the Tibia
Assessment of Patellar Tracking
Final Preparation Prior to Cementing of Components
Cementing Components
Draining and Closing the Wound
Perioperative Management
References
Chapter 4 Total Knee Arthroplasty in Severe Varus Deformity
Medial Release in Extension
Distal Femoral Resection
Femoral Component Rotation
Residual Lateral Laxity
Internal Tibial Torsion
Summary
References
Chapter 5 Total Knee Arthroplasty in Severe Valgus Deformity
Lateral Femoral Condyle Hypoplasia
Balancing the Extension Gap by a Lateral Release
Inverted Cruciform Release for Severe Valgus
Lateral Collateral Ligament, Popliteal, and Biceps Tendon Release
Summary
References
Chapter 6 Patellofemoral Complications Associated with Total Knee Arthroplasty
Residual Valgus Limb Alignment
Excessive Valgus Placement of the Femoral Component
Patella Alta
Component Malrotation
Patellar Thickness
Asymmetric Patellar Preparation
Need for Lateral Release
Rule of No Thumb Test
Dynamic Patellar Instability
Patella Fracture
References
Chapter 7 Stiffness Before and After Total Knee Arthroplasty
Exposing the Stiff Knee
Exposing the Knee Ankylosed in Extension
Exposing the Knee Ankylosed in Flexion
Heterotopic Bone Formation
Overzealous Physical Therapy
Manipulation of the Knee
Summary
References
Chapter 8 Flexion Contracture Associated with Total Knee Arthroplasty
Treatment Options
Other Important Considerations
Summary
References
Chapter 9 Total Knee Arthroplasty After Osteotomy
Operative Exposure
Patella Baja
Retained Hardware
Up-Sloped Joint Line
Nonunion
Malunion
Consequences of Overcorrection of a Varus Tibial Osteotomy
Offset Tibial Shafts
Unicompartmental Replacement after Failed Tibial Osteotomy
Summary
References
Chapter 10 Total Knee Arthroplasty in Rheumatoid Arthritis
Ipsilateral Hip Involvement
Anticoagulation Needs
Flexion Contracture
Rheumatoid Cysts
Patellar Resurfacing
Synovectomy and Recurrent Active Rheumatoid Synovitis
Risk for Infection
Need for Adequate Knee Flexion
Osteopenia
Anesthetic Considerations
Posterior Cruciate Ligament Preservation Versus Substitution
Summary
References
Chapter 11 Bone Stock Deficiency in Total Knee Arthroplasty
Femoral Deficiency
Tibial Deficiency
Bulk Allograft
Trabecular Metal Cones and Metaphyseal Sleeves
Summary
References
Chapter 12 Bilateral Simultaneous Total Knee Arthroplasty
The Decision
Anesthetic Considerations
Anticoagulation
Weight-Bearing Status
Surgical Technique
Length of the Incisions
Preemptive Advice to Patients
Patient Satisfaction
Bilateral Revisions
Bilateral Primary and Revision Surgery
Summary
Reference
Chapter 13 Sepsis and Total Knee Arthroplasty
Perioperative Prophylactic Measures
Preoperative Germicidal Skin Scrub
Surgical Preparation and Draping
Laminar Air Flow Versus Ultraviolet Lights
Intravenous Antibiotics
Proper Skin Incision
Wound Care
Skin Necrosis
Postoperative Prophylactic Measures
Classification of Infections
Treatment Options
Summary
Reference
Chapter 14 Staying Out and Getting Out of Trouble During Total Knee Arthroplasty
Choosing the Correct Incision
Dealing with Skin Necrosis
A Draining Wound
Dealing with Excessive Suction Drainage
Treating a Large Hematoma
Treating Patellar Tendon Avulsion
Avoiding Medial Collateral Ligament Injury
Addressing Medial Collateral Ligament Injury
Avoiding and Resolving Popliteus Tendon Impingement
Choosing between Femoral Sizes
Summary
References
Chapter 15 Repeat Operation After Total Knee Arthroplasty
Femoral Component Loosening
Tibial Component Loosening
Patellar Complications
Polyethylene Wear
Prosthetic Infection
Traumatic and Atraumatic Late Laxity
Miscellaneous Causes for Re-Operation
Summary
References
Chapter 16 Unicompartmental Knee Arthroplasty
Classic Selection Criteria
Minimally Invasive Unicompartmental Knee Arthroplasty
Metallic Unicompartmental Hemiarthroplasty
Summary
References
Chapter 17 Unicompartmental Knee Arthroplasty Technique
Basic Principles
Preoperative Planning
Operative Exposure
Preparation of the Tibia
Distal Femoral Resection
Sizing of the Femur
Rotational Alignment of the Femoral Component
Mediolateral Positioning of the Femoral Component
Final Preparation of the Femur
Final Preparation of the Tibial Component
Technical Nuances in Lateral Compartment Arthroplasty
Cementing Components
Closure
References
Chapter 18 Frequently Asked Questions Concerning Total Knee Arthroplasty
Categories of Questions
The Answers
Reference
Index
Copyright

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Total Knee Arthroplasty ISBN: 978-0-323-28663-3
Copyright 2015, 2006 by Saunders, an imprint of Elsevier Inc.
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This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices
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Library of Congress Cataloging-in-Publication Data
Scott, Richard D. (Richard David), 1943- author.
Total knee arthroplasty / Richard D. Scott. - Second edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-28663-3 (hardcover : alk. paper)
I. Title.
[DNLM: 1. Arthroplasty, Replacement, Knee-adverse effects. 2. Arthroplasty, Replacement, Knee-methods. 3. Postoperative Complications-prevention & control. WE 870]
RD561
617.5 820592-dc23
2014022014
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