The Ten Commandments Of Calipered Kinematically Aligned Total Knee Arthroplasty

The modern field of total knee arthroplasty began over 50 years ago in the 1970s when the FDA approved cement for implant fixation, and durable plastic that replaced the meniscus became available. Simultaneously, alignment evolved into two opposing and contentious philosophies, the anatomic approach (forefather of kinematic alignment, ) and the 'cookie-cutter' or mechanical alignment. In 2006, the concept of personalized surgery initiated a paradigm shift away from the philosophy of mechanical alignment to calipered kinematic alignment total knee replacement. Dr. Howell, a professor of biomedical engineering and a sports medicine surgeon, developed the kinematic alignment technique. To perform the surgery, he created the first commercially made patient-specific guides designed to assist the surgeon in setting the components coincident to the patient's pre-arthritic joint lines, which is the kinematic alignment target.In 2007, early adopters' clinical experience, particularly Dr. Meade, persuaded over 300 surgeons to perform more than 20,000 kinematically aligned total knee replacements by 2011. Between 2011 and 2020, many worldwide studies reported that kinematic alignment improves patient satisfaction, function, ease of recovery, soft tissue balance, flexion, and joint-line and limb alignment compared with mechanical alignment. It is a winning approach.This primer uses the familiar concept of the Ten Commandments and selects ten topics for the surgeon to follow. The success of kinematic alignment requires caliper measurements of bone resections and intraoperative recording of verification steps. These recommendations reduce the risk of complications, a topic of great interest to the patient! Patients that research options in total knee replacement surgery will come across the kinematic and mechanical alignment philosophies. The mechanical alignment technique is a 'cookie-cutter' approach that places the components the same way in everybody regardless of their legs' shape. Because the method changes the patient's joint lines, the healthy ligaments are released, making the replaced knee feel unnatural. Kinematic alignment restores the patient's knee alignment before arthritis developed and preserves healthy ligaments, promoting patient satisfaction and high function.We hope this primer is useful for those investigating knee replacement surgery. Those who chose kinematic alignment, ask your surgeon whether they use the caliper and intraoperative verifications to position your new knee optimally!

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.

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 places 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. An enhanced eBook version included with purchase?with access to the text, figures, videos, and references from the book on any desktop or mobile device.

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This book is written for those of us who love Georgia Bulldogs Football and who cannot wait until our next win. There is no need to be impatient because as of 2022, Georgia is now at the top of the pack and the Bulldogs win big games all the time. Ask the others! In 2022, of course we all know, Georgia became the College Football Champions. The founding of the University was in 1785 and before Georgia eventually played its first football game, the first book was read at UGA right after Abraham Baldwin of the University of Georgia drafted legislation that became the charter of the university. Georgia student life moved quickly as the first student organization was founded as the Demosthenian Literary Society was founded. The first commencement was held with Josiah Miggs, President presiding in 1804. For its first 50 years the school was known as Franklin College. Soon after being established, Charles Herty got football going on campus in the fall of 1886 and UGA played its first intercollegiate football game. It took a while but in 1929, the school built its first stadium Sanford Stadium. The rest of the college football is not necessarily thrilled that Georgia became so good, so fast, and now they are recognized as the best team in the nation. Georgia won its first National Championship in 1942. In 1980, Georgia repeated its national championship with freshman Herschel Walker leading the way. The Bulldogs remained a national powerhouse with a lot of close calls to greatness until 2022 when it again won another National Championship with a coach who was a great Georgia graduate. Go Bulldogs! This book captures the whole great story of Georgia football. It takes the reader through stories about Georgia’s great immortal coaches and great players over the years. You will not be able to put this book down.

Modern pundits give Donald Trump little credit for anything even though he is clearly The Greatest Man in Our Time. I would say it is because the bulk of the news media simply do not like him as he does not want to have anything to do with a Marxist agenda. Before Trump set the world on fire from 2017 to 2020, the five highest rated presidents, according to a C-SPAN survey, for example were Abraham Lincoln, George Washington, Franklin D. Roosevelt, Theodore Roosevelt and Dwight D. Eisenhower. I do not contest the fact that they showed greatness in office but when you look at all of Trump’s accomplishments and the complexity of our times, the 45th president deserves much more consideration. That’s why I wrote this book. You may never choose to invite Donald John Trump over the house for breakfast or even a holiday gathering, but looking back at his four years in office, whether you like him or not, most Americans admit those were some of the most prosperous and warless years we have had in our lifetimes. We have the chance again to have the Greatest Man in Our Time as President in a few more years. Let’s do our best to assure it. . After you read this book, I hope you feel as comfortable as I do to place Donald J. Trump on the top of this venerable stack of great presidents. With all of the flack Trump received as president, there are clearly a number of Americans who would not cast their vote for Best President his way under any circumstance. But there are a lot who would. I am glad you are reading this book as it will help you know what a great man and a great president we can have again as our leader.

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This is the story of a young boy with a 26" bike, who had a burning desire to have a train set to go around the family Christmas tree each year. This story is true. It takes the reader on a journey using a 26" 1950's style homemade bicycle starting from when the boy was five years old and it ends when he is nine. Either a miracle happens or the Christmas Spirit or Santa or all three bring forth one of the happiest and most amazing moments that any child can experience in a lifetime. Not all stories, even Christmas end well. This incredible story will not disappoint any reader once you mount the 26" bike right next to the young boy as he goes through the preparations and the work efforts and adventures within this story. The ending is outstanding. If it were not true, it would still make a great Christmas Story. Since it is true, it makes it even more special, especially for me. I am the boy in the story. Thank you for reading it. It melts my heart whenever I think about it.