Personalized Hip And 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

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

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.

Calipered kinematic alignment was proposed by Dr. Stephen M. Howell to enable the accurate and individualized placement of total knee components coincident within ± 0.5 mm of the patient’s pre-arthritic alignment. The aim was to restore the patient's native joint kinematics and thereby address the well documented 20% dissatisfaction when total knee replacement is performed using traditional, or mechanical alignment techniques. With Dr. Stefano A. Bini and Dr. G. Daxton Steele as co-editors, Dr. Howell has curated an international team of expert surgeons and engineers to discuss various aspects of the calipered knee alignment technique in short, concise, and well-illustrated chapters. Each author provides clear, practical guidance for adopting and implementing calipered kinematic alignment covering manual, patient-specific, navigated, and robotic techniques. Chapters on component design tailored explicitly for kinematic alignment and showing the close relationship between knee biomechanics and the kinematically aligned TKA help the surgeon manage complex challenges associated with deformity and post-operative complications. Following the introduction of the calipered kinematic alignment technique for total knee arthroplasty, many international studies have shown consistently better patient satisfaction than the traditional mechanical alignment technique. Better function and high long-term implant survival have catalyzed a paradigm shift in total knee replacement philosophy that is being embraced by orthopedic surgeons and innovative implant companies around the world with excellent results. Calipered Kinematically Aligned Knee Arthroplasty is the definitive textbook on the subject and features: Thorough explanations of how the calipered kinematic alignment technique for total knee arthroplasty accurately sets total knee components coincident with the patient’s pre-arthritic alignment and coaligned with the three rotational axes of the native knee. A personalized approach to total knee surgery designed to reconstitute the patient’s native biomechanics in contrast with mechanical alignment that place all patients in the same standard alignment regardless of their constitutional anatomy. Detailed and well-illustrated descriptions of manual, navigated, robotic and patient-specific guide techniques that confirm kinematic alignment with a caliper. Clinical photos, radiographs, and line art throughout the book as well as helpful online technique videos. Key focus topics such as managing complex deformities, the expected post-operative recovery, and future trends in kinematic alignment. The shared experience and knowledge of international pioneers in the field. An emphasis on a personalized surgical philosophy which enables same-day discharge, reduces pain and opioid use, and promotes quicker recovery, better function, and a more natural feeling knee.

This volume is the arranged monograph based on the Hip Biomechanics Symposium held on November 1992 in Fukui, Japan. It consists of six major sections: loading, gait analysis, total hip arthroplasty, osteotomies, motion analysis, and stem designs for stability. The most important aim of the volume is to overview the current research outcomes in the biomechanical approaches to adult hip diseases. Each of these sections brings together many of the leading researchers in this field. The information found here will be of benefit to orthopedic surgeons and researchers in the related areas.

Advances in Small Animal Total Joint Replacement provides an up-to-date, comprehensive examination of joint replacement in veterinary surgery. Part of the Advances in Veterinary Surgery series copublished with the ACVS Foundation, the book presents an evidence-based, multi-system examination of the current state of hip, knee, and elbow replacement in dogs and cats, including information on biomechanics and biomaterials not found in other sources. Written by an international group of experts, the book offers guidance on the history, indications, contraindications, clinical procedures, and a review of the current literature for these surgical techniques. Focusing on replacement of the hip, knee, and elbow, the book also covers disc, shoulder, carpus, and tarsus replacement, as well as information on the development of custom prostheses. Each section incorporates information on potential complications and outcomes assessment. Advances in Small Animal Total Joint Replacement is an unparalleled repository of information for veterinary surgeons, residents, and practitioners with an interest in these procedures.

Primary knee arthroplasty (PKA) has a long history and modern mobile bearing knee implants are successfully implanted worldwide since 1977. Primary Knee Arthroplasty focuses on basic science, personal surgical experiences, clinical, functional and radiographic outcomes of PKA, with special focus on challenging knees such as severe varus and valgus deformities with associated bone defects, fixed flexion deformities, soft tissue contractures, and arthrodesed knees. Patella treatment with or without resurfacing is addressed in great detail. Early criterion-based rehabilitation and the patient’s return to participating in sports are discussed as is the management of prosthetic or surgery related complications. Lavishly illustrated to complement the text, Primary Knee Arthroplasty is a ‘must-have’ for all practicing knee replacement surgeons, orthopedic surgeons in training, orthopedic nurses, and physiotherapists with a special interest in knee arthroplasty. Tips and tricks provided by experienced knee surgeons are indispensable for daily 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.