Surgical Techniques In Total Knee Arthroplasty And Alternative Procedures

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.

here, two well-known knee experts have assembled a group of leaders in the field to present a book encompassing the best techniques for total knee arthroplasty. Concise chapters cover indications, contraindications, complications, results, instrumentation, infection, preop planning, prosthetic choice, revision arthroplasty, and more -- with the emphasis on the best techniques and surgical "pearls". Supported by line drawings, intraoperative photographs and radiographs, this definitive volume will serve as the complete and quick reference on total knee arthroplasty.

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.

Knee replacement can be regarded as the inevitable sequel to hip replacements, the child so to speak, of a brilliant father. As with other children, there were growing pains and a somewhat troubled adolescence, but the mature adult can now stand, proud and unashamed, alongside its distinguished forebear. Total replacement of the knee is now a highly successful operation which has enriched the lives of countless sufferers. Clearly the time is ripe for a definitive work on the subject. Richard Laskin, whose abiding interest and profound knowledge of knee replace ment are well known, has gathered together a team of notable experts who, between them, cover every aspect of the subject. The first section of this book deals with the history of knee replacement, its indications, alternative procedures, biomechanics and materials. Then follows a most important section by Laskin himself, on the surgical technique, the details of which, as he points out in his preface, are more important than differences between the various prostheses. The third section considers the results of several different prostheses and discusses some problem areas. This is a book which surgeons in the field of knee replacement have been waiting for; those with experience will find it of absorbing interest and those who have more recently embarked on the subject will find it an invaluable guide in their quest for perfection. Dr Laskin is to be congratulated on his choice of collaborators and for producing such a masterly compilation.

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

"Take away my knee pain and give me better motion". This is what the arthritic patient expects from a Total Knee Arthroplasty (TKA). By virtue of standardization of the TKA procedure, surgeons can nowadays solve the pain issue for the majority of the patients. Restoration of function is a goal of a different order and forms the scope of this book. The editors confronted today's leading knee surgeons with the limitations of current surgical techniques and technology. They challenged them to define new thresholds of functional capacity after Total Knee Arthroplasty. "A Guide to Get Better Performance in TKA" describes the cutting edge in surgical techniques, prosthetic design and achievement of excellent function for these patients.

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.

In 1990, Dr. Kenneth Krackow wrote The Technique of Total Knee Arthroplasty to teach the basics of TKA for end-stage arthritis—everything from nonsurgical to surgical intervention and postoperative rehabilitation. Now completely revised for a new generation of surgeons, the 2nd Edition of this classic text continues its original goal of helping advanced practitioners acquire more knowledge and skill in primary and revision total knee arthroplasty. This fully updated volume, revised by Dr. Krackow and his former fellows Drs. William M. Mihalko and Michael A. Mont, keeps you current with major changes and advances in field, including patient optimization, outpatient procedures, robotics and new technology, difficult decisions during surgery, and more. Offers comprehensive and expert coverage of both inpatient and outpatient primary TKA, now fully revised with new chapters on Patient Considerations, Modifications, Optimizing the Important Comorbidities, TKA Balancing, and more. Addresses key issues of patient optimization such as obesity, diabetes, heart disease, rheumatoid arthritis, and peripheral vascular disease. Provides evidence for TKA outcomes and complications: “What do I tell my patient? Focuses on the latest and best techniques and surgical approaches, including computer and robotic assisted surgery, uncemented TKA, assessing and planning for the difficult TKA, outpatient TKA considerations, and preventing readmissions post-surgery. Discusses how to handle all deformity aspects of the lower extremity, bone defects, and ligamentous insufficiency during surgery. Includes numerous illustrations, line art, radiographs, and clinical photos for optimal visualization of each procedure.