Total Knee Replacement: Trends - ECAB

Total Knee Replacement: Trends - ECAB

Author: Marya

Publisher: Elsevier Health Sciences

Published: 2009-07-15

Total Pages: 149

ISBN-13: 8131232360

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Total knee replacement has been gaining acceptability in patients with severe arthritis not benefiting from medical treatment. In terms of postoperative results, the factors like postoperative pain and range of movement have been stressed upon. The outcomes of mobile bearings and high-flex knees have been reviewed. An increasing trend of total knee replacement in younger patients is itself an indication of the success of this procedure. Bone conserving options and patellofemoral replacement are being considered as potential advancements in the field of knee surgery. Moreover, newer techniques like computer- assisted knee arthroplasty and minimally invasive knee replacement have gained significant attention in making the procedures more precise and less traumatic.


White Paper on Joint Replacement

White Paper on Joint Replacement

Author: Hans-Holger Bleß

Publisher: Springer

Published: 2017-11-03

Total Pages: 144

ISBN-13: 3662559188

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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.


Revision Total Knee Arthroplasty

Revision Total Knee Arthroplasty

Author: James V. Bono

Publisher: Springer Science & Business Media

Published: 2005-03-17

Total Pages: 326

ISBN-13: 9780387223520

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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.


Total Knee Arthroplasty

Total Knee Arthroplasty

Author: James Alan Rand

Publisher: Lippincott Williams & Wilkins

Published: 1993

Total Pages: 488

ISBN-13:

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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.


Surgical Techniques in Total Knee Arthroplasty and Alternative Procedures

Surgical Techniques in Total Knee Arthroplasty and Alternative Procedures

Author: Saverio Affatato

Publisher: Elsevier

Published: 2014-12-09

Total Pages: 299

ISBN-13: 178242038X

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Total knee arthroplasty (TKA) is commonly considered to be a reliable procedure, with high implant survival rates at 10 to 15 years of follow-up. The goal of total knee replacement surgery is to relieve pain and obtain better knee function. This is achieved by ensuring correct patient selection, pre-operative deformity, implant design and accurate surgical techniques. This book covers a range of techniques for the realisation of functional joint motion and stability. The first part of the book will describe fundamentals in total knee arthroplasty and alternative procedures. The second half will look at surgical techniques and considerations whilst the final chapters will address future trends and challenges in the field of knee surgery. This book will be an essential reference for academics, orthopaedic surgeons, and those training in medicine, physiatry and rheumatology.


Personalized Hip and Knee Joint Replacement

Personalized Hip and Knee Joint Replacement

Author: Charles Rivière

Publisher: Springer Nature

Published: 2020-06-30

Total Pages: 346

ISBN-13: 3030242439

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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


Evidence-Based Orthopedics

Evidence-Based Orthopedics

Author: Mohit Bhandari

Publisher: John Wiley & Sons

Published: 2021-07-13

Total Pages: 1184

ISBN-13: 111941394X

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Evidence-Based Orthopedics is an up-to-date review of the best evidence for the diagnosis, management, and treatment of orthopedic conditions. Covering orthopedic surgery as well as pre- and post-operative complications, this comprehensive guide provides recommendations for implementing evidence-based practice in the clinical setting. Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. The text now places greater emphasis on GRADE—a transparent framework for developing and presenting summaries of evidence—to allow readers to easily evaluate the quality of evidence and the strength of recommendations. The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. Incorporating a vast amount of new evidence, Evidence-Based Orthopedics: Features thoroughly revised and updated content, including a new chapter on pediatric orthopedics and new X-ray images Provides the evidence base for orthopedic surgery as well as pediatric orthopedics and orthopedic conditions requiring medical treatment Covers the different methods for most orthopedic surgical procedures, such as hip replacements, arthroscopy, and knee replacements Helps surgeons and orthopedic specialists achieve a uniform optimum standard through a condition-based approach Aligns with internationally accepted guidelines and best health economic principles Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students.


The Unhappy Total Knee Replacement

The Unhappy Total Knee Replacement

Author: Michael T. Hirschmann

Publisher: Springer

Published: 2015-09-15

Total Pages: 800

ISBN-13: 3319080997

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This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.


Joint Arthroplasty

Joint Arthroplasty

Author: Shinichi Imura

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 428

ISBN-13: 4431685294

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The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .


Pre-operative and Post-operative Weight Trends of Total Joint Arthroplasty Patients and Outcomes Associated with Weight Change

Pre-operative and Post-operative Weight Trends of Total Joint Arthroplasty Patients and Outcomes Associated with Weight Change

Author: Maria Carolina Secorun Inacio

Publisher:

Published: 2013

Total Pages: 103

ISBN-13: 9781303559020

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Little is known about pre- and post-operative weight changes in patients undergoing total joint arthroplasty (TJA). While intra-operative body mass index (BMI) is associated with higher risk of surgical site infections (SSI) and readmission rates post-TJA no studies evaluate the impact of non-surgical pre-operative weight loss and post-operative weight maintenance on risk of these outcomes. This study describes weight changes of patients undergoing TJA, evaluates characteristics associated with weight patterns one year pre- and post-TJA. Additionally, it evaluates whether pre-operative weight loss (5% change) and maintenance post-operatively is associated with SSI and readmission risk post-surgery. A cohort of primary TJAs (total hip arthroplasty (THA) and total knee arthroplasty (TKA)) performed between 01/01/2008 and 12/31/2010 was identified using a Total Joint Replacement Registry (TJRR). Using electronic medical records weight from one year pre- through one year post-TJA patients were categorized into: gainers (increased weight by 5%), losers (decreased by 5%), remained the same (changed of 5%). Patients were characterized by gender, age, race, health status, and co-morbidities. Endpoints, SSI (deep and superficial) and 90 day readmissions, were ascertained prospectively by the TJRR. In 30632 TJAs (10572 THAs and 20060 TKAs) most remained the same weight during the year prior (71.5% THAs and 75.7% TKAs) and year after (64.0% THAs and 68.5% TKAs) the procedure. Women, younger patients, Blacks, and those with certain co-morbidities were more susceptible to weight change pre- and post-TJA. Among obese (BMI̲30kg/m2) patients (4066 THAs and 10718 TKAs), few (18.0% THAs and 12.4% TKAs) lost weight prior to TJA or became (6% THA, 3% TKAs) non-obese (BMI