Illustrated Tips and Tricks in Hip and Knee Reconstructive and Replacement 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.

• Presents practical knowledge and insight gleaned from years of surgical experience, with content oversight provided by Dr. Daniel Berry (hip) and Dr. Marc Pagnano (knee).
• Takes a unique issue/solution approach, offering up-to-date guidance that can be applied in contemporary surgical practice.
• Features concise, bulleted text and hundreds of high-quality illustrations.
• Covers total hip and knee arthroplasties, revision hip and knee arthroplasties, hip arthroscopy, hip resurfacing, osteotomies for the hip and knee, unicondylar knee replacement, and more.

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Table of Contents:

1.    Cover

2.    Title Page

3.    Copyright

4.    Dedication

5.    Foreword

6.    Acknowledgments

7.    Contributors

8.    Table of Contents

9.    Part I Primary Total Hip Arthroplasty

10.  Section A Preoperative Planning/Templating for Primary THA

11.  1 Preoperative Planning and Templating for Primary Total Hip Arthroplasty

12.  Introduction

13.  History

14.  Physical Examination

15.  Radiographs

16.  Templating

17.  Section B Surgical Exposures

18.  2 Posterior Approach

19.  Key Concepts

20.  Sterile Instruments and Implants

21.  Preoperative Planning

22.  Bone, Implant, and Soft Tissue Techniques

23.  Introduction

24.  Technique

25.  Postoperative care

26.  3 Anterolateral Approaches

27.  Key Concepts

28.  Sterile Instruments and Implants

29.  Instruments

30.  Implants

31.  Positioning

32.  Surgical Approach (for Lateral Decubitus Position; Modify as Needed for Supine Position)

33.  Postoperative Care

34.  4 Direct Anterior Approach

35.  Key Concepts

36.  Indications

37.  Technical Considerations

38.  Sterile Instruments and Implants

39.  Instruments

40.  Implants

41.  Positioning

42.  Surgical Approach

43.  5 Transtrochanteric Approaches

44.  Key Concepts

45.  Sterile Instruments and Implants

46.  Positioning

47.  Surgical Approaches

48.  Preoperative Planning

49.  Bone, Implant, and Soft Tissue Techniques

50.  Conventional Greater Trochanteric Osteotomy

51.  Greater Trochanteric Slide

52.  Extended Greater Trochanteric Osteotomy

53.  Postoperative Management

54.  Section C Primary THA Implants

55.  6 Uncemented Acetabular Components

56.  Key Concepts

57.  Sterile Instruments and Implants

58.  Positioning

59.  Surgical Approaches

60.  Preoperative Planning

61.  Bone, Implant, and Soft Tissue Techniques

62.  Postoperative Care

63.  7 Uncemented Tapered Stems

64.  Key Concepts

65.  Sterile Instruments and Implants

66.  Surgical Approaches

67.  Preoperative Planning

68.  Bone, Implant, and Soft Tissue Techniques

69.  Ream and Broach

70.  Broach Only

71.  Postoperative Care

72.  8 Uncemented Cylindrical Stems

73.  Key Concepts

74.  Sterile Instruments and Implants

75.  Surgical Approaches

76.  Preoperative Planning

77.  Bone, Implant, and Soft Tissue Techniques

78.  Femoral Neck Osteotomy

79.  Exposure

80.  Starting Point

81.  Reaming

82.  Broaching

83.  Trialing and Radiographs

84.  Final Implantation

85.  Postoperative Care

86.  9 Uncemented Modular Stems

87.  Key Concepts

88.  Sterile Instruments and Implants

89.  Instruments

90.  Implants

91.  Positioning

92.  Surgical Approaches

93.  Preoperative Planning

94.  Bone, Implant, and Soft Tissue Techniques

95.  Postoperative Care

96.  10 Uncemented Tapered Fluted Stems

97.  Key Concepts

98.  Sterile Instruments and Implants

99.  Surgical Approaches

100.               Preoperative Planning

101.               Bone/Implant/Soft Tissue Techniques

102.               Postoperative Management

103.               11 Cemented Stems

104.               Key Concepts

105.               Sterile Instruments and Implants

106.               Positioning

107.               Surgical Approaches

108.               Preoperative Planning

109.               Bone, Implant, and Soft Tissue Techniques

110.               Postoperative Care

111.               Section D Primary THA in Specific Conditions

112.               12 Acute Hip Fracture

113.               Key Concepts

114.               Sterile Instruments and Implants

115.               Surgical Approaches

116.               Preoperative Planning

117.               Bone, Implant, and Soft Tissue Techniques

118.               Postoperative Care

119.               13 Failed Previous Hip Fracture

120.               Key Concepts

121.               Sterile Instruments/Implants

122.               Positioning

123.               Surgical Approaches

124.               Preoperative Planning

125.               Bone/Implant/Soft Tissue Techniques

126.               Failed Femoral Neck Fracture

127.               Failed Intertrochanteric Fracture

128.               Postoperative Care

129.               14 Previous Acetabular Fracture

130.               Key Concepts

131.               Sterile Instruments and Implants

132.               Surgical Approaches

133.               Preoperative Planning

134.               Bone, Implant, and Soft Tissue Techniques

135.               Postoperative Care

136.               15 Hip Dysplasia

137.               Key Concepts

138.               Sterile Instruments and Implants

139.               Surgical Approaches

140.               Preoperative Planning

141.               Bone, Implant, and Soft Tissue Techniques

142.               Postoperative Care

143.               16 High Hip Dysplasia

144.               Key Concepts

145.               Sterile Instruments and Implants

146.               Positioning

147.               Surgical Approaches

148.               Preoperative Planning

149.               Bone/Implant/Soft Tissue Techniques

150.               Postoperative Management

151.               17 Acetabular Protrusio

152.               Key Concepts

153.               Sterile Instruments and Implants

154.               Instruments

155.               Implants

156.               Positioning

157.               Surgical Approaches

158.               Preoperative Planning

159.               Bone/Implant/Soft Tissue Techniques

160.               Postoperative Care

161.               18 Proximal Femoral Deformity

162.               Key Concepts

163.               Sterile Instruments/Implants

164.               Positioning

165.               Surgical Approaches

166.               Preoperative Planning

167.               Bone, Implant, and Soft Tissue Techniques

168.               Proximal Level Deformities

169.               Distal Level Deformities

170.               Subtrochanteric Level Deformities

171.               If a Corrective Osteotomy Will be Utilized (Figure 18.9)

172.               Postoperative Management

173.               19 Previous Hip Fusion

174.               Key Concepts

175.               Sterile Instruments and Implants

176.               Instruments

177.               Implants

178.               Positioning

179.               Surgical Approaches

180.               Preoperative Planning

181.               Bone, Implant, and Soft Tissue Techniques

182.               Acetabular Preparation

183.               Femoral Preparation

184.               Trialing

185.               Wound Closure

186.               Postoperative Care

187.               20 Total Hip Arthroplasty for Oncologic Conditions

188.               Key Concepts

189.               Sterile Instruments and Implants

190.               Instruments

191.               Acetabular Implants

192.               Femoral Implants

193.               Positioning

194.               Surgical Approaches

195.               Preoperative Planning

196.               Bone/Implant/Soft Tissue Techniques

197.               Cup-Cage Construct

198.               Custom Components

199.               Femoral Reconstruction for Metastatic Lesions

200.               Femoral Reconstruction for Primary Lesions

201.               Postoperative Care

202.               Part II Revision Total Hip Arthroplasty

203.               Section A Preoperative Planning/Templating for Revision THA

204.               21 Preoperative Evaluation, Planning, and Templating for Revision Total Hip Arthroplasty

205.               Preoperative Evaluation

206.               History

207.               Physical Examination

208.               Radiographs

209.               Tests

210.               Preoperative Planning

211.               Bone Reconstruction

212.               Hip Stability

213.               Closure

214.               Templating

215.               Section B Exposures and Implant Removal in Revision THA

216.               22 Choosing the Exposure

217.               Key Concepts

218.               Sterile Instruments and Implants

219.               Instruments

220.               Implants

221.               Positioning

222.               Surgical Approach

223.               Preoperative Planning

224.               Record Review

225.               Laboratory Workup

226.               Imaging

227.               Indications

228.               Exposure Options: Approaches

229.               Direct Anterior Approach

230.               Anterolateral Approach

231.               Posterolateral Approach

232.               Conventional Trochanteric Osteotomy

233.               Trochanteric Slide Osteotomy

234.               Laterally Based Extended Trochanteric Osteotomy

235.               Wagner (Anterior-Based) Extended Trochanteric Osteotomy

236.               Transfemoral Approach

237.               Revision Scenarios

238.               Insert Exchange for Wear/Instability

239.               Straight Forward Acetabular Component Revision

240.               Complex Acetabular Revision

241.               Additional Comments

242.               Femoral Revision: Loose Stem/Mild Bone Loss

243.               Femoral Revision: Well-Fixed Cemented Stem

244.               Femoral Revision: Well-Fixed Uncemented Stem

245.               Femoral Revision: With Femoral Bone Deformity

246.               Bone, Implant, and Soft Tissue Techniques

247.               Postoperative Care

248.               23 Extended Greater Trochanteric Osteotomies

249.               Key Concepts

250.               Sterile Instruments and Implants

251.               Surgical Approaches

252.               Preoperative Planning

253.               Bone, Implant, and Soft Tissue Techniques

254.               Lateral Extended Trochanteric Osteotomy

255.               Removal of Stem

256.               Closure of an Extended Trochanteric Osteotomy

257.               Anterior Extended Osteotomy

258.               Postoperative Care

259.               24 Implant Removal

260.               Key Concepts

261.               Sterile Instruments and Implants

262.               Preoperative Planning

263.               Bone, Implant, and Soft Tissue Techniques

264.               Acetabulum

265.               Cemented Polyethylene Cup

266.               Monoblock Cementless Cup

267.               Modular Cementless Cup, Polyethylene Liner

268.               Modular Cementless Cup, Metal Liner (Dual Mobility or Metal-on-Metal Articulation)

269.               Femur

270.               Cemented Femoral Stem

271.               Proximal Porous Coated Cementless Stem

272.               Extensively Porous Coated Stem

273.               Monoblock Fluted Stem

274.               Modular, Fluted, Tapered Stem

275.               Conclusion

276.               Section C Revision THA Implants

277.               25 Uncemented Hemispherical Cups

278.               Key Concepts

279.               Sterile Instruments and Implants

280.               Implants

281.               Positioning

282.               Surgical Approaches

283.               Preoperative Planning

284.               Bone, Implant, and Soft Tissue Techniques

285.               Postoperative Care

286.               26 Uncemented Cup With Metal Augments or Structural Graft

287.               Key Concepts

288.               Sterile Instruments and Implants

289.               Surgical Approaches

290.               Preoperative Planning

291.               Bone, Implant, and Soft Tissue Techniques

292.               Postoperative Care

293.               27 Cup-Cage Constructs

294.               Key Concepts

295.               Sterile Instruments and Implants

296.               Surgical Approaches

297.               Preoperative Planning

298.               Bone, Implant, and Soft Tissue Techniques

299.               For the Full Cup-Cage Technique

300.               For the Half Cup-Cage Technique

301.               Postoperative Care

302.               28 Custom Triflange Implants

303.               Key Concepts

304.               Sterile Instruments and Implants

305.               Instruments

306.               Implants

307.               Positioning

308.               Surgical Approach

309.               Preoperative Planning

310.               Record Review

311.               Laboratory Workup

312.               Imaging

313.               Indications

314.               Component Design

315.               Bone, Implant, and Soft Tissue Techniques

316.               Postoperative Care

317.               29 Fully Porous Coated Stems

318.               Key Concepts

319.               Sterile Instruments and Implants

320.               Surgical Approaches

321.               Preoperative Planning

322.               Bone, Implant, and Soft Tissue Techniques

323.               Exposure and Implant Extraction

324.               Prophylactic Cerclage

325.               Reaming (Straight Stems)

326.               Reaming (Curved Stems)

327.               Trialing and Radiographs

328.               Final Implantation

329.               Osteotomy Fixation

330.               Postoperative Care

331.               30 Fluted Tapered Modular Stems

332.               Key Concepts

333.               Sterile Instruments and Implants

334.               Instruments

335.               Implants

336.               Positioning

337.               Surgical Approaches

338.               Preoperative Planning

339.               Bone/Implant/Soft Tissue Techniques

340.               Postoperative Care

341.               31 Cemented Stems

342.               Key Concepts

343.               Indications

344.               Contraindications

345.               Sterile Instruments and Implants

346.               Surgical Approaches

347.               Radiographic Evaluation—Evaluate Serial Radiographs of the Arthroplasty if Possible

348.               Review prior operative reports

349.               Surgical Procedure

350.               Special Cases

351.               Results

352.               Postoperative Management

353.               32 Impaction Bone Grafting With Cemented Stems

354.               Key Concepts

355.               Sterile Instruments and Implants

356.               Surgical Approaches

357.               Preoperative Planning

358.               Bone, Implant, and Soft Tissue Techniques

359.               Postoperative Care

360.               33 Allograft Prosthetic Composite

361.               Key Concepts

362.               Sterile Instruments and Implants

363.               Surgical Approaches

364.               Preoperative Planning

365.               Bone, Implant, and Soft Tissue Techniques

366.               For Standard APC Reconstructions

367.               For Intussusception APC Reconstructions

368.               Postoperative Care

369.               34 Proximal Femoral Replacement With Tumor Prosthesis; Total Femur Replacement

370.               Key Concepts

371.               Sterile Instruments and Implants

372.               Instruments

373.               Implants

374.               Positioning

375.               Surgical Approaches

376.               Preoperative Planning

377.               Bone, Implant, and Soft-Tissue Techniques

378.               Proximal Femoral Replacement

379.               Total Femoral Replacement

380.               Postoperative Care

381.               35 Cortical Strut Bone Grafts

382.               Key Concepts

383.               Sterile Instruments and Implants

384.               Surgical Approaches

385.               Preoperative Planning

386.               Bone, Implant, and Soft Tissue Techniques

387.               Postoperative Care

388.               Section D Revision THA Implants

389.               36 Periprosthetic Osteolysis

390.               Key Concepts

391.               Basic Science of Osteolysis

392.               Sterile Instruments and Implants

393.               Instruments

394.               Implants

395.               Positioning

396.               Surgical Approaches

397.               Preoperative Planning

398.               Record Review

399.               Laboratory Workup

400.               Evaluation and Treatment of Acetabular Osteolysis

401.               Paprosky Classification for Acetabular Bone Loss

402.               Radiographic Signs of Fixed Acetabular Component (Figure 36.1A-C)

403.               Radiographic Signs of Loose Acetabular Component (Figure 36.4A and B)

404.               Surgical Treatment

405.               Retaining the Acetabular Component

406.               Bone, Implant, and Soft Tissue Techniques Acetabulum

407.               Evaluation and Treatment of Femoral Osteolysis

408.               Paprosky Classification for Femoral Bone Loss

409.               Diagnostic Evaluation of Femoral Osteolysis

410.               Treatment of a Well-Fixed Stem in the Setting of Osteolysis

411.               Treatment of a Loose Femoral Component in the Setting of Osteolysis

412.               Bone, Implant, and Soft Tissue Techniques Femur

413.               Surgical Technique for Femoral Revision

414.               General Revision Bone, Implant, and Soft Tissue Techniques

415.               Postoperative Care

416.               37 Metal Wear or Corrosion

417.               Key Concepts

418.               Sterile Instruments and Implants

419.               Surgical Approaches

420.               Preoperative Planning

421.               Bone, Implant, and Soft Tissue Techniques

422.               Postoperative Care

423.               38 Periprosthetic Femur Fracture

424.               Key Concepts

425.               Sterile Instruments and Implants

426.               Instruments

427.               Implants

428.               Positioning

429.               Surgical Approaches

430.               Preoperative Planning

431.               Careful Clinical History

432.               Radiographic Evaluation

433.               Fracture Classification

434.               Operative Planning and Templating

435.               Bone, Implant, and Soft Tissue Techniques

436.               Open Reduction and Internal Fixation (Vancouver B1 and C Fractures)

437.               Revision Total Hip Arthroplasty (Vancouver B2/B3)

438.               39 Hip Instability

439.               Key Concepts

440.               Sterile Instruments and Implants

441.               Surgical Approaches

442.               Preoperative Planning

443.               Analysis of Patient Clinical Risk Factors

444.               Analysis of Physical Examination Risk Factors

445.               Radiographic Evaluation—Compare Preoperative and Current Radiographs

446.               Prior Operative Reports

447.               Prior Surgical Approach

448.               Type of Articulation

449.               Implant Records

450.               Surgical Preparation

451.               Be Prepared With Surgical Multiple Options

452.               Bone, Implant, and Soft Tissue Techniques

453.               Dual Mobility Constructs

454.               Constrained Liners

455.               Postoperative Care

456.               40 Infection: Two-Stage Techniques

457.               Key Concepts

458.               Sterile Instruments and Implants

459.               Resection and Spacer Insertion

460.               Implants

461.               Reimplantation

462.               Positioning

463.               Surgical Approaches

464.               Preoperative Planning

465.               Bone, Implant, and Soft Tissue Techniques

466.               Postoperative Care

467.               Management of the Patient During the Resection Interval

468.               Reimplantation

469.               41 Pelvic Discontinuity

470.               Key Concepts

471.               Sterile Instruments and Implants

472.               Instruments

473.               Implants

474.               Positioning

475.               Surgical Approaches

476.               Preoperative Planning

477.               Bone/Implant/Soft Tissue Techniques

478.               Cup-Cage Construct

479.               Distraction Method

480.               Custom Triflange

481.               Hemispherical Acetabular Component With ORIF With Compression Plating

482.               Postoperative Care

483.               42 Heterotopic Bone

484.               Key Concepts

485.               Sterile Instruments and Implants

486.               Positioning

487.               Surgical Approaches

488.               Preoperative Planning

489.               Bone, Implant, and Soft Tissue Techniques

490.               Postoperative Care

491.               External Beam Irradiation

492.               Nonsteroidal Anti-inflammatory Medications

493.               43 Abductor Muscle Repair/Reconstruction

494.               Key Concepts

495.               Sterile Instruments and Implants

496.               Surgical Approaches

497.               Preoperative Planning

498.               Bone, Implant, and Soft Tissue Techniques

499.               Postoperative Care

500.               Part III Primary Knee

501.               Section A Preoperative Planning/Templating for Primary THA

502.               44 Preoperative Planning/Templating/Limb Alignment for Primary Total Knee Arthroplasty

503.               Introduction

504.               History

505.               Physical Examination

506.               Radiographs

507.               Templating

508.               Goals

509.               Steps

510.               Summary

511.               Section B Surgical Exposures

512.               45 Median Parapatellar Approach

513.               Key Concepts

514.               Sterile Instruments and Implants

515.               Preoperative Planning

516.               Bone, Implant, and Soft Tissue Techniques

517.               Introduction

518.               Technique

519.               Postoperative Care

520.               46 Mid Vastus; Mini Mid Vastus Approaches

521.               Key Concepts

522.               Sterile Instruments and Implants

523.               Preoperative Planning

524.               Bone, Implant, and Soft Tissue Techniques

525.               Introduction

526.               Technique

527.               Postoperative Care

528.               47 Exposure of the Problem Knee: Stiffness, Previous Incisions

529.               Key Concepts

530.               Sterile Instruments and Implants

531.               Instruments

532.               Implants

533.               Position

534.               Surgical Approaches

535.               Preoperative Planning

536.               Bone, Implant, and Soft Tissue Techniques

537.               Postoperative Care

538.               Section C Primary TKA Implants

539.               48 Unicompartmental Knee Arthroplasty

540.               Key Concepts

541.               Indications

542.               Sterile Instruments and Implants

543.               Positioning

544.               Surgical Approaches

545.               Preoperative Planning

546.               Bone Implant and Soft Tissue Techniques

547.               Mobile Bearing Unicompartmental Arthroplasty

548.               Fixed Bearing Unicompartmental Arthroplasty Technique

549.               Final Thoughts for Fixed Bearing UKA

550.               49 Patellofemoral Arthroplasty

551.               Key Concepts

552.               Surgical Indications

553.               Contraindications

554.               Imaging

555.               Surgical Technique

556.               Preoperative Planning

557.               Positioning

558.               Surgical Approach

559.               Preparation of the Femur

560.               Patellar Preparation

561.               Alternative Techniques

562.               Postoperative Care

563.               Results

564.               Complications

565.               Patella Fracture

566.               50 Total Knee Arthroplasty: Posterior Cruciate Retaining and Substituting Implants

567.               Key Concepts

568.               Sterile Instruments and Implants

569.               Surgical Approaches

570.               Preoperative Planning

571.               Bone, Implant, and Soft Tissue Techniques

572.               The Distal Femoral Cut Sets the Joint Line in Extension

573.               Femoral Anterior, Posterior, Chamfer Cuts

574.               Rotation/AP Sizing

575.               Making the Cuts

576.               Box Cut (Posterior Stabilized Only) (Figure 50.10)

577.               Clearing the Joint

578.               Balancing

579.               Performing Releases

580.               Patella

581.               Implantation

582.               Postoperative Care

583.               51 Flexion Gap Balancing Techniques in Primary Total Knee Arthroplasty

584.               Key Concepts

585.               Sterile Instruments and Implants

586.               Preoperative Planning

587.               Bone, Implant, and Soft Tissue Techniques

588.               Introduction

589.               Gap Balancing Technique

590.               Postoperative Care

591.               52 Kinematic or Anatomic Alignment Techniques in Primary Total Knee Arthroplasty

592.               Key Concepts

593.               Sterile Instruments and Implants

594.               Surgical Approaches

595.               Preoperative Planning

596.               Simple, Pragmatic Planning

597.               More Complex, Mechanistic Planning Process

598.               Bone, Implant, and Soft Tissue Techniques

599.               Distal Femoral Resection

600.               AP Sizing/Femoral Finishing

601.               Tibial Preparation

602.               Trialing/Balancing

603.               Postoperative Care

604.               Section D Primary TKA in Specific Conditions

605.               53 Varus Knee Deformity

606.               Key Concepts

607.               Sterile Instruments and Implants

608.               Sterile Instruments

609.               Implants

610.               Position

611.               Surgical Approaches

612.               Preoperative Planning

613.               Bone, Implant, and Soft Tissue Techniques

614.               Bone Preparation

615.               Postoperative Care

616.               54 Valgus Knee Deformity

617.               Key Concepts

618.               Sterile Instruments and Implants

619.               Instruments

620.               Implants

621.               Position

622.               Surgical Approaches

623.               Preoperative Planning

624.               Physical Examination

625.               Radiographs

626.               Bone, Implant, and Soft Tissue Techniques

627.               Exposure

628.               Bone Cuts

629.               Soft Tissue Balancing

630.               Implant Selection

631.               Postoperative Care

632.               55 Flexion Contracture

633.               Key Concepts

634.               Sterile Instruments and Implants

635.               Instruments

636.               Implants

637.               Positioning

638.               Surgical Approaches

639.               Preoperative Planning

640.               Bone/Implant/Soft Tissue Techniques

641.               Postoperative Care

642.               56 Previous High Tibial Osteotomy

643.               Key Concepts

644.               Sterile Instruments and Implants

645.               Basic Knee Instruments

646.               Surgical Approaches

647.               Preoperative Planning

648.               Bone, Implant, and Soft Tissue Techniques

649.               Postoperative Care

650.               57 Extra-articular Deformity

651.               Key Concepts

652.               Sterile Instruments and Implants

653.               Instruments

654.               Implants

655.               Surgical Approaches

656.               Preoperative Planning

657.               Bone, Implant, and Soft Tissue Techniques

658.               Extramedullary Alignment

659.               Handheld Navigation

660.               Computer-Assisted/Robotically Assisted Surgery

661.               Postoperative Care

662.               Part IV Revision Total Knee Arthroplasty

663.               Section A Preoperative Evaluation, Planning, and Templating for Revision TKA

664.               58 Preoperative Evaluation, Planning, and Templating for Revision Total Knee Arthroplasty

665.               Preoperative Evaluation

666.               History

667.               Physical Examination

668.               Radiographs

669.               Tests

670.               Preoperative Planning

671.               Bone Reconstruction

672.               Knee Stability

673.               Extensor Mechanism

674.               Closure

675.               Templating

676.               Section B Revision TKA Implants

677.               59 Revision Total Knee Arthroplasty: Order of Attack

678.               Key Concepts

679.               Sterile Instruments and Implants

680.               Preoperative Planning

681.               Physical Examination

682.               Bone, Implant, and Soft Tissue Techniques

683.               Exposure

684.               Femoral Component Removal

685.               Tibial Component Removal

686.               Patellar Component Assessment

687.               Reconstructive Step 1: Reestablish the Tibial Platform

688.               Reconstructive Step 2: Reestablish Balance in Flexion

689.               Reconstructive Step 3: Ensure Balance in Extension

690.               Intraoperative Radiographs

691.               Cementing Components

692.               Closure

693.               Postoperative Management

694.               Summary

695.               60 Extensile Exposures

696.               Key Concepts

697.               Sterile Instruments and Implants

698.               Surgical Approaches

699.               Preoperative Planning

700.               Bone, Implant, and Soft Tissue Techniques

701.               Postoperative Care

702.               61 Implant Removal

703.               Key Concepts

704.               Sterile Instruments and Implants

705.               Surgical Approaches

706.               Preoperative Planning

707.               Bone, Implant, and Soft Tissue Techniques

708.               Polyethylene

709.               Femoral Component

710.               Tibial Component

711.               Patella Component

712.               Stemmed Components

713.               Cement Columns

714.               Ingrown Metaphyseal Cones and Sleeves

715.               Postoperative Care

716.               Section C Exposures and Implant Removal

717.               62 Use of Stems: Cemented and Uncemented

718.               Key Concepts

719.               Sterile Instruments and Implants

720.               Instruments

721.               Implants

722.               Positioning

723.               Surgical Approaches

724.               Preoperative Planning

725.               Bone, Implant, and Soft Tissue Techniques

726.               Bone Preparation

727.               Component Implantation

728.               Postoperative Care

729.               63 Metaphyseal Fixation: Sleeves and Cones

730.               Key Concepts

731.               Sterile Instruments and Implants

732.               Surgical Approaches

733.               Preoperative Planning

734.               Bone, Implant, and Soft Tissue Techniques

735.               Postoperative Management

736.               64 Distal Femoral Replacement

737.               Key Concepts

738.               Sterile Instruments and Implants

739.               Positioning

740.               Surgical Approaches

741.               Preoperative Planning

742.               Bone, Implant, and Soft Tissue Techniques

743.               Femoral Resection

744.               Tibial Preparation

745.               Femoral Preparation

746.               Patellar Preparation

747.               Trial Reduction

748.               Final Implantation

749.               Postoperative Care

750.               65 Bone Grafting Methods and Allograft Prosthetic Replacement

751.               Key Concepts

752.               Sterile Instruments and Implants

753.               Surgical Approaches

754.               Preoperative Planning

755.               Bone/Implant/Soft Tissue Techniques

756.               For Intussusception Allografts

757.               Postoperative Management

758.               66 Constrained Implants

759.               Key Concepts

760.               Sterile Instruments and Implants

761.               Instruments

762.               Implants

763.               Positioning

764.               Surgical Approaches

765.               Preoperative Planning

766.               Bone, Implant, and Soft Tissue Techniques

767.               Postoperative Care

768.               Section D Revision TKA for Specific Conditions

769.               67 Tibiofemoral Instability

770.               Key Concepts

771.               Sterile Instruments and Implants

772.               Instruments

773.               Implants

774.               Surgical Approaches

775.               Preoperative Planning

776.               Bone, Implant, and Soft Tissue Techniques

777.               Sagittal (Anteroposterior) Instability

778.               Coronal (Varus-Valgus) Instability

779.               Global Instability

780.               Hyperextension (Recurvatum) Instability

781.               Postoperative Care

782.               68 Knee Stiffness

783.               Key Concepts

784.               Sterile Instruments and Implants

785.               Instruments

786.               Implants

787.               Positioning

788.               Surgical Approaches

789.               Preoperative Planning

790.               Bone/Implant/Soft Tissue Techniques

791.               Postoperative Care

792.               69 Infection: Two-Stage Methods

793.               Key Concepts

794.               Sterile Instruments and Implants

795.               Preoperative Planning

796.               Bone, Implant, and Soft Tissue Techniques

797.               Static Spacer

798.               Dynamic Spacer

799.               Treatment With Spacer in Place

800.               Reimplantation

801.               Conclusion

802.               70 Periprosthetic Fracture

803.               Key Concepts

804.               Sterile Instruments and Implants

805.               Instruments

806.               Implants

807.               Positioning

808.               Surgical Approaches

809.               ORIF of the Femur

810.               Retrograde IMN of the Femur

811.               ORIF of the Tibia

812.               Revision TKA

813.               Preoperative Planning

814.               Clinical History

815.               Physical Examination

816.               Radiographic Review

817.               Fracture Classification and Treatment Options

818.               Operative Planning and Templating

819.               Bone, Implant, and Soft Tissue Techniques

820.               ORIF of the Femur With Periarticular Locking Plate (Lewis and Rorabeck Types I and II Fractures)

821.               Retrograde Femoral IMN (Lewis and Rorabeck Types I and II Fractures)

822.               Revision TKA With Stemmed Components

823.               71 Patellar Instability

824.               Key Concepts

825.               Sterile Instruments and Implants

826.               Preoperative Planning

827.               Diagnosis

828.               Tests

829.               Nonoperative Treatment

830.               Conservative

831.               Bone, Implant, and Soft Tissue Techniques

832.               Surgical Management

833.               Postoperative Care

834.               72 Patellar Bone Loss

835.               Key Concepts

836.               Sterile Instruments and Implants

837.               Surgical Approaches

838.               Preoperative Planning

839.               Bone, Implant, and Soft Tissue Techniques

840.               Postoperative Care

841.               73 Extensor Mechanism Deficiency

842.               Key Concepts

843.               Sterile Instruments and Implants

844.               Surgical Approaches

845.               Preoperative Planning

846.               Bone, Implant, and Soft Tissue Techniques

847.               Postoperative Care

848.               Index

 

An aparitie	25 Oct. 2019
Autor	Daniel J. Berry , Mark W. Pagnano
Dimensiuni	15.3 x 2.5 x 22.9 cm
Editura	LWW
Format	Hardcover
ISBN	9781496392060
Limba	Engleza
Nr pag	600