This multi-contributed, comprehensive book covers revision surgery for total hip and knee arthroplasty. The focus of Revision Total Hip and Knee Arthroplasty will be on the techniques of revision surgery. Separated into a hip section and a knee section, each will include evaluation of the failed replacement, revision surgery, surgical technique, revision for specific diagnosis, complications, and postoperative management.
This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.
Comprised exclusively of clinical cases covering complex primary and revision total knee arthroplasty, this concise, practical casebook will provide orthopedic surgeons with the best real-world strategies to properly manage the more complicated forms of knee replacement they may encounter. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls and pitfalls. Cases included illustrate different management strategies for primary knee arthroplasty, including the varus and valgus knee, flexion contracture and extra-articular deformity, as well as periprosthetic infection and revision total knee arthroplasty, including deficient extensor mechanism, periprosthetic femur fracture and ligamentous instability. Pragmatic and reader-friendly, Complex Primary and Revision Total Knee Arthroplasty: A Clinical Casebook will be an excellent resource for orthopedic surgeons confronted with a challenging knee joint replacement.
This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery
Techniques in Revision Hip and Knee Arthroplasty is the one authoritative volume that gives you an efficient, problem-based approach to revision arthroplasty of both the hip and knee. Dr. Giles Scuderi and other leading experts from North America and Western Europe present their favored surgical procedures and post-surgical management strategies in this straightforward, heavily illustrated, video-intensive reference. It's your one-stop, go-to guide for successful revision surgery for a myriad of complications, such as implant loosening, polyethylene wear, osteolysis, or infection of the hip and knee. - Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. - Get expert guidance on implant choice, management of complications (including infection and wound healing), and failure of mechanisms, as well as step-by-step surgical techniques. - Quickly find the exact information you need with a straightforward "just what you need to know" approach, including surgical tips and pearls. - Stay up to date with new insights regarding anatomic landmarks, recommended reconstruction options in revision surgery, including management of bone defects and instability. - Access an abundance of surgical videos at Expert Consult.
This book is a practically applicable guide to the use of revision total knee arthroplasty. Demand for primary total knee arthroplasty (TKA) continues to rise, with some estimates predicting this to be as high as 400% than it currently is, and this will inevitably lead to increased demand for revision surgery. Furthermore, this is a sub-specialist area of arthroplasty that is complex and challenging with high failure rates, meaning that there is a real need to improve the outcomes of these procedures. Within this book, the chapters focus on a particular subject area focusing on how to successfully perform a procedure in a step-by-step manner in a variety of scenarios from condylar revisions to salvage cases. Topics covered include how to use surgical techniques in instances of periprosthetic distal femur fractures and manage infections where bone loss has been significant. Long-term outcome data is also presented to enable the reader to develop a deep understanding of where a particular strategy might be most effective. Revision Total Knee Arthroplasty: A Practical Guide concisely details how to use the techniques covered in all aspects of revision knee surgery, making it an indispensable resource for all those involved in the care of these patients or who use these techniques in their day-to-day clinical practice.
This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care.
James V. Bono, MD, and Richard D. Scott, MD, two leading authorities in the field, edited this invaluable how-to book on corrective surgery for failed total knee arthroplasty. The text has an in-depth, comprehensive approach geared for orthopedic surgeons, sports medicine specialists, and residents. All fundamental aspects of revision total knee arthroplasty and its complications are covered. More than 350 illustrations–60 in full color–complement well-written explanations of general principles, surgical procedures, and special considerations. Top experts in orthopedics offer clinical pearls on topics such as diagnosis and evaluation, pre-op planning and component selection, surgical approach, revision technique, post-op complications, and salvage. Radiologists also detail the use of imaging for evaluation. Economics and reimbursement are addressed as well. Readers will find that this thorough and accurate book is an unprecedented guide that unravels the complexity of revision total knee arthroplasty.
Section 1: Science of Arthroplasty 1. How to Establish a Successful Arthroplasty Practice 2. Critical Surgical Anatomy for Safe Total Knee Arthroplasty 3. Surgical Anatomy for Total Hip Arthroplasty 4. Kinematics of Knee Arthroplasty 5. Biomechanics of the Hip Joint 6. Modern Cement Technology in Arthroplasty 7. Bearing Surfaces for Total Hip Arthroplasty: Material and Design 8. Mechanical Failure of Hard-on-Hard Bearings in Arthroplasty and Preventive Measures 9. Alternative Bearings in Total Hip Arthroplasty 10. Essential Knowledge about Polyethylene 11. The Science of Ligament Balancing 12. Scientific Basis for Unicompartmental Knee Replacement: Technical Implications 13. Thromboprophylaxis in Total Joint Arthroplasty 14. Patellofemoral Kinematics in Total Knee Arthroplasty Design 15. Understanding Mid-Flexion Instability in Total Knee Arthroplasty Section 2: Primary Knee Arthroplasty 16. Surgical Approaches to the Knee 17. Concepts Underlining Balancing in Total Knee Arthroplasty 18. Components Rotational Alignment in Total Knee Arthroplasty 19. Posterior Cruciate Ligament in Total Knee Arthroplasty: Balancing the Controversy 20. Algorithm for Dealing with Varus Deformity 21. Algorithm for Dealing with Fixed Flexion Deformity 22. Classification and Treatment Algorithm of a Valgus Knee 23. Total Knee Replacement in Valgus Knees: An Algorithmic Approach 24. Dealing with Severe Valgus Knee 25. Total Knee Arthroplasty after High Tibial Osteotomy 26. Total Knee Replacement in Complex Multiplanar and Segmental Knee Deformities 27. Rotating Mobile-bearing Total Knee Arthroplasty 28. High-flexion TKA: View through the Mist 29. Navigation in Total Knee Replacement 30. Extensor Mechanism Deficiency in Total Knee Arthroplasty 31. Patellofemoral Arthroplasty 32. Noncemented Primary Total Knee Arthroplasty 33. Current Role of Patient-specific Instrumentation in Total Knee Arthroplasty 34. UKA: The Mobile-bearing Option 35. Fixed-bearing Unicondylar Knee Arthroplasty 36. Minimal Invasive Unicondylar Knee Arthroplasty 37. Multicompartment UKR and ACL Reconstruction Section 3: Revision Total Knee Arthroplasty 38. Surgical Approaches for Revision Total Knee Arthroplasty 39. Evaluation of Painful Total Knee Arthroplasty 40. Management of Major Bone Defects in Revision TKR: Unility of Cones and Sleeves 41. Dealing with Bone Loss in Total Knee Arthroplasty 42. Knee Balancing in Revision Total Knee Arthroplasty 43. Rationale for Stem Extension Selection in Revision TKA 44. Management of the Disrupted Quadriceps Mechanism in Revision Total Knee Arthroplasty Section 4: Primary Total Hip Arthroplasty 45. Surgical Approaches for the Hip Replacement 46. Modern Cementing Techniques 47. Restoration of Center of Rotation and Balance of THR 48. Altered Hip Center in Total Hip Arthroplasty 49. Cemented Total Hip Arthroplasty 50. Cementless Stem: The Scientific Basis of Choice 51. Tapered Cementless Stem in THR 52. S-ROM in Primary and Revision THA: Technical Details and Surgical Tips 53. Cups and Diametric Considerations in Primary Total Hip Arthroplasty 54. Total Hip Arthroplasty for Developmental Dysplasia of the Hip 55. Total Hip Arthroplasty in High Grade Developmental Dysplasia of Hip 56. Role of Dual Mobility Cup in Total Hip Arthroplasty 57. Surgical Management of Hip Dislocations following Total Hip Arthroplasty 58. Minimally Invasive Surgery: Posterior Approach Variant 59. Bipolar Hip Arthroplasty 60. Total Hip Arthroplasty in Acetabular Fractures Section 5: Revision Total Hip Arthroplasty 61. Principles of Revision Total Hip Arthroplasty 62. Pathomecha
Part of the popular Tips and Tricks series, Illustrated Tips and Tricks in Hip and Knee Reconstruction provides succinct and practical advice acquired from years of professional practice in hip and knee surgery. Led by Drs. Daniel Berry and Marc Pagnano of the Mayo Clinic, this visually stunning reference focuses exclusively on detailed descriptions of technical tips and tricks for all aspects of hip and knee reconstruction. This unique approach is highly useful to orthopaedic surgery fellows and residents – anyone who would benefit from exposure to the wisdom that experienced attending surgeons pass on to those who are training in this complex field.
