Surgical Techniques in Total Knee Arthroplasty

Cover\r......Page 1
Foreword......Page 7
Preface......Page 8
Contents......Page 9
Contributors......Page 15
1 Indications and Patient Selection......Page 22
2 Preoperative Radiographic Assessment......Page 28
3 Cost Considerations - An Historical Perspective......Page 38
4 Knee Scores in Total Knee Arthroplasty......Page 47
5 Outcomes Data Collection......Page 55
6 PCL-Sparing Total Knee Arthroplasty......Page 62
7 Posterior Cruciate-Sacrificing Total Knee Arthroplasty......Page 74
8 The Insall-Burstein Posterior Stabilized Condylar Knee Prosthesis......Page 80
9 Constrained Prostheses......Page 88
10 Meniscal-Bearing Total Knee Arthroplasty......Page 94
11 Meniscal-Bearing Knee—Principles, Technique, and Preliminary Results......Page 103
12 Constrained Total Knee Designs for Revision Arthroplasty......Page 110
13 Unicondylar Replacement......Page 119
14 Medial Parapatellar Arthrotomy......Page 125
15 Subvastus Approach......Page 129
16 Midvastus Approach......Page 137
17 The Trivector-Retaining Arthrotomy......Page 141
18 The Lateral Approach......Page 147
19 Quadriceps Snip......Page 159
20 V-Y Quadricepsplasty......Page 165
21 Tibial Tubercle Osteotomy......Page 169
22 The Basic Principles......Page 173
23 Draping Technique for Total Knee Arthroplasty......Page 176
24 Total Knee Arthroplasty......Page 182
25 Medial Release for Fixed-Varus Deformity......Page 191
26 Lateral Release for Fixed-Valgus Deformity......Page 199
27 Medial and Lateral Ligament Advancement......Page 207
28 Flexion Contracture in Total Knee Arthroplasty......Page 212
29 Correction of Combined Deformity......Page 218
30 The Epicondylar Axis for Femoral Component Rotation......Page 226
31 Tibial Shaft Axis for Femoral Component Rotation......Page 235
32 Alternatives for Rotational Alignment of the Femoral Component......Page 239
33 Tibial Component Position......Page 242
34 Cement in Primary Total Knee Arthroplasty......Page 253
35 Cementless Total Knee Arthroplasty......Page 258
36 Hybrid Total Knee Arthroplasty......Page 269
37 Hydroxyapatite......Page 273
38 Autogenous Bone Grafting for Tibial Deficiency......Page 283
39 Bone Grafting in Primary Femoral Deficiency......Page 289
40 Onset Patella......Page 292
41 Inlay Technique......Page 295
42 Rotating Patella......Page 301
43 The Intraoperative Assessment of Patellar Tracking......Page 306
44 Benefits and Pitfalls of Lateral Patella Release......Page 315
45 Proximal Patellar Realignment for Recurrent Patellar Instability......Page 321
46 Distal Realignment for Recurrent Patellar Instability......Page 326
47 Clinical Evaluation......Page 332
48 Imaging of the Painful TKR......Page 338
49 Arthroscopic Management of Problematic Total Knee Arthroplasty......Page 355
50 Component Removal......Page 362
51 Three-Step Technique for Revision Total Knee Arthroplasty......Page 369
52 General Concepts......Page 375
53 Classification of Bone Defects - Femur and Tibia......Page 383
54 Bone Defects - Tibial Modularity......Page 391
55 Bone Defects - Tibial Allograft......Page 397
56 Bone Defects - Femoral Allograft......Page 406
57 Cemented Revision Knee Arthroplasty......Page 414
58 Cementless Fixation......Page 419
59 Press-Fit Stem Fixation......Page 430
60 Single-Stage Revision of Infected Total Knee Replacement......Page 441
61 Two-Stage Reimplantation......Page 447
62 Evolution and Design Rationale of the PROSTALAC Knee System in the Management of the Infected Total Knee Prosthesis......Page 449
63 Alternative Procedures for the Management of an Infected Total Knee......Page 467
64 Patellar Fracture......Page 478
65 Acute and Chronic Rupture of the Quadriceps Tendon Treated with Direct Repair......Page 487
66 Reconstruction of the Extensor Mechanism with an Allograft Following Total Knee Arthroplasty......Page 489
67 Management of Patella Tendon Disruptions in Total Knee Arthroplasty......Page 492
68 Revision of Loose Patellar Components......Page 497
69 Revision of Metal-Backed Patellar Components......Page 506
70 Patellar Dislocation......Page 512
71 Femoral Periprosthetic Fractures - Nonoperative Treatment......Page 516
72 Femoral Periprosthetic Fractures - Rush Rods......Page 524
73 Femoral Periprosthetic Fractures - Retrograde Intramedullary Nail......Page 529
74 Femoral Periprosthetic Fractures - Blade Plates Fixation......Page 534
75 Revision of Periprosthetic Femur Fractures......Page 544
76 Classification of Periprosthetic Tibial Fractures......Page 547
77 Tibial Periprosthetic Fractures - Nonoperative Treatment......Page 555
78 Tibial Periprosthetic Fractures - Open Reduction Internal Fixation......Page 558
79 Revision Arthroplasty for Tibial Periprosthetic Fractures......Page 563
80 Total Knee Arthroplasty Following High Tibial Osteotomy......Page 570
81 Total Knee Arthroplasty after Supracondylar Femoral Osteotomy......Page 579
82 Total Knee Replacement after Maquet Osteotomy......Page 582
83 Total Knee Arthroplasty after Patellectomy......Page 590
84 Total Knee Arthroplasty for Patients with Prior Knee Arthrodesis......Page 596
85 The Effect of Extra-Articular Deformity on the Tibial Component......Page 601
86 Total Knee Replacement with Associated Extra-Articular Angular Deformity of the Femur......Page 604
87 The Effect of Extra-Articular Deformity on the Femoral Component......Page 609
88 Total Knee Replacement with Associated Extra-Articular Angular Deformity of the Tibia......Page 614
89 Rehabilitation......Page 618
90 Postoperative Pain Management......Page 647
91 The Stiff Knee......Page 654
92 Deep Vein Thrombosis (DVT) and Total Knee Arthroplasty......Page 661
Glossary of Implants\r......Page 672
Index......Page 703