Soft Tissue Balancing In Total Knee Arthroplasty

Author : Shuichi Matsuda,Sébastien Lustig,Willem van der Merwe
Publisher : Springer
Page : 274 pages
File Size : 46,7 Mb
Release : 2017-05-02
Category : Medical
ISBN : 9783662540824

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Soft Tissue Balancing in Total Knee Arthroplasty by Shuichi Matsuda,Sébastien Lustig,Willem van der Merwe Pdf

In this booklet, experts from across the world, including members of the ISAKOS Knee Arthroplasty Committee, offer clear, up-to-date guidance on all aspects of soft tissue or ligament balancing in primary total knee arthroplasty with the aim of enabling the reader to achieve optimal patient outcomes. After an introduction explaining the normal soft tissue condition in the native knee, surgical procedures are described, including techniques for the management of severe deformity. The most striking feature of the booklet, however, is the many pages devoted to the accurate evaluation and clinical relevance of ligament balancing. Different techniques and devices for intraoperative soft tissue assessment are discussed, highlighting, for example, the use of gap-measuring devices or trial liners with load-bearing sensors to achieve more objective evaluation. Above all, special attention is devoted to the crucial issue of the impact of intraoperative soft tissue balance on postoperative results. In the closing chapter, very experienced surgeons introduce intraoperative troubleshooting in order to assist successful completion of arthroplasty.

Author : Roberto Rossi,Matteo Bruzzone
Publisher : Unknown
Page : 96 pages
File Size : 44,9 Mb
Release : 2012
Category : Medical
ISBN : 8877117311

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Soft Tissue Balancing in Primary Total Knee Arthroplasty by Roberto Rossi,Matteo Bruzzone Pdf

Author : Leo A. Whiteside
Publisher : Springer Science & Business Media
Page : 116 pages
File Size : 55,8 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9783642592959

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Ligament Balancing in Total Knee Arthroplasty by Leo A. Whiteside Pdf

The varus knee has a group of bone and ligament abnormalities that must be addressed to correct the deformity. The mechanical axis of the femur is tilted medially relative to the long axis of the tibia. The distal femoral surface usually remains in valgus alignment to the long axis of the femur. Most of the varus deformity is caused by deficiency in the medial tibial plateau. The deep and superficial medial collateral ligaments are contracted and deformed by osteophytes.

Author : James Alan Rand
Publisher : Lippincott Williams & Wilkins
Page : 488 pages
File Size : 46,9 Mb
Release : 1993
Category : Artificial knee
ISBN : UOM:39015028434291

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Total Knee Arthroplasty by James Alan Rand Pdf

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.

Author : Arlen D. Hanssen,W. Norman Scott
Publisher : Elsevier Health Sciences
Page : 518 pages
File Size : 51,5 Mb
Release : 2009-01-01
Category : Medical
ISBN : 9781416049845

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Total Knee Replacement by Arlen D. Hanssen,W. Norman Scott Pdf

This multimedia resource offers you all the how-to guidance you need to perform all of the latest and best techniques in total knee replacement. The complete, lavishly illustrated volume is made even better with a state-of-the-art companion web site! With chapters on such hot topics as cementless fixation, quadriceps sparing MIS TKR, unicompartmental TKR, soft tissue balancing, and extensor mechanism allografting, you, as well as the members of your cross-disciplinary team, will appreciate the clear and concise, but detailed and visual approach of this atlas and video collection. The result is a detailed, easy-to-use reference that no orthopaedic surgeon should be without. Stay on top of your field with detailed discussions of the hottest topics, including cementless fixation, quadriceps sparing MIS TKR, unicompartmental TKR, soft tissue balancing, extensor mechanism allografting, and much more! Search the book online with full-text web access and links to PubMed. Watch experts perform key techniques via video clips online and on the included DVD. See exactly what to do using step-by-step intraoperative photos demonstrating each technique and radiographs showing presenting problems and post-surgical outcomes. See cases as they present in real life using full-color photographs and interpretive diagrams that highlight key anatomical structures. Improve the quality of your technique and optimize outcomes with pearls and pitfalls from the authors. Be more thoroughly prepared with important details on positioning, exposures, instrumentation, and implants. Get just the information and guidance you need with the book's hands-on, clinical emphasis. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.

Author : Theofilos Karachalios
Publisher : Springer
Page : 275 pages
File Size : 46,6 Mb
Release : 2015-06-06
Category : Medical
ISBN : 9781447166603

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Total Knee Arthroplasty by Theofilos Karachalios Pdf

This book focuses on the current clinical practice, outcome and the future development of Total Knee Arthroplasty (TKA) in surgical settings. A major objective of this work is to address “What is the optimal design and fixation of the implants we use for knee arthroplasty reconstruction? What are the gold standards? and, Can we do better?”. In an attempt to throw light on these questions, the authors evaluate data from clinical studies and assess various factors which may influence the long term outcome of TKA. Many variables such as age, severity, implant design and surgical techniques for appropriate component placement and soft tissue balancing are explored in great detail by expert surgeons in the field. Total Knee Arthroplasty: Long Term Outcomes will be a useful resource for recently qualified surgeons in search of an introduction to this topic and for more experienced surgeons seeking an in-depth critical review of current practices in TKA.

Author : Charles Rivière,Pascal-André Vendittoli
Publisher : Springer Nature
Page : 346 pages
File Size : 49,5 Mb
Release : 2020-06-30
Category : Medical
ISBN : 9783030242435

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Personalized Hip and Knee Joint Replacement by Charles Rivière,Pascal-André Vendittoli Pdf

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

Author : Arun B. Mullaji,Gautam M. Shetty
Publisher : Springer
Page : 168 pages
File Size : 50,9 Mb
Release : 2014-05-07
Category : Medical
ISBN : 9781493905669

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Deformity Correction in Total Knee Arthroplasty by Arun B. Mullaji,Gautam M. Shetty Pdf

With rapid advancement in technology and materials in total knee arthroplasty (TKA), long-term survival and function of the total knee is now more and more dependent on restoring accurate limb alignment, precise component position and optimum soft-tissue balance. Proper technique is key to ensuring this and is all the more crucial and challenging to achieve in arthritic knees with severe and complex deformities. Correction of such knee deformities forms an important part of TKA for orthopedic surgeons working in both emerging and developed nations. Deformity Correction in Total Knee Arthroplasty fills the void that exists in treating severe and complex knee deformities and the use of computer-navigation in TKA. It covers the principles of deformity correction and soft-tissue balancing in primary TKA in an illustrative, step-wise and algorithmic fashion. Starting with the initial key step of preoperative planning, this book goes on to specifically describe how to deal with different types of deformities encountered in patients who undergo TKA - varus, valgus, flexion, hypertension, rotational and extra-articular deformities - as well as the stiff knee, the unstable knee, osteotomies in primary TKA and postoperative pain management and rehabilitation. This focused how-to manual includes plentiful images and clear, concise text from authors who have performed thousands of TKAs, making it a must-have reference for any surgeon unfamiliar or frequently confronted with this type of procedure.

Author : William M. Mihalko,Michael A. Mont,Kenneth Krackow
Publisher : Elsevier Health Sciences
Page : 258 pages
File Size : 48,7 Mb
Release : 2022-05-03
Category : Medical
ISBN : 9780323713030

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The Technique of Total Knee Arthroplasty E-Book by William M. Mihalko,Michael A. Mont,Kenneth Krackow Pdf

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.

Author : Stephen M. Howell,Stefano A. Bini,G. Daxton Steele
Publisher : Elsevier Health Sciences
Page : 163 pages
File Size : 44,9 Mb
Release : 2021-06-29
Category : Medical
ISBN : 9780323756273

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Calipered Kinematically aligned Total Knee Arthroplasty by Stephen M. Howell,Stefano A. Bini,G. Daxton Steele Pdf

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.

Author : John N. Insall
Publisher : Unknown
Page : 128 pages
File Size : 53,6 Mb
Release : 1994-07-01
Category : Electronic
ISBN : 039751431X

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Total knee arthroplasty exposures and soft tissue balancing by John N. Insall Pdf

(Producer) This video presents the latest arthroscopic and joint replacement procedures performed by top orthopaedic surgeons. This six-volume set offers a compelling first hand view of advanced techniques. For each procedure, the surgeons review the rationale, indications and contraindications, surgical exposures and technique and point out how to avoid pitfalls and complications. Innovative technical tips are highlighed throughout. These volumes provide valuable advice and expert consultation as you prepare for your difficult cases.

Author : Johan Bellemans,Michael D. Ries,Jan M.K. Victor
Publisher : Springer Science & Business Media
Page : 414 pages
File Size : 40,7 Mb
Release : 2005-08-01
Category : Medical
ISBN : 9783540276586

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Total Knee Arthroplasty by Johan Bellemans,Michael D. Ries,Jan M.K. Victor Pdf

"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.

Author : Alessandro Rozim Zorzi,João Batista de Miranda
Publisher : BoD – Books on Demand
Page : 136 pages
File Size : 44,9 Mb
Release : 2018-05-23
Category : Medical
ISBN : 9781789231427

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Primary Total Knee Arthroplasty by Alessandro Rozim Zorzi,João Batista de Miranda Pdf

This book presents a compilation of topics related to primary total knee arthroplasty. The chapters cover, in a clear and didactic way, the current themes, written by experts from the area, from different parts of the world. Topics related to the three surgical phases (before surgery, during surgery, and after surgery) are discussed here. This is very important because the surgeon is not a "factory worker." First of all, it is a medicine doctor who has to feel and understand the particularities of each patient. Demographic studies show an aging population. Osteoarthritis and inflammatory diseases are becoming much more prevalent. In addition, a worldwide epidemic of trauma has led to the need for arthroplasties much more frequently. Therefore, total knee arthroplasty will be an increasingly important subject.

Author : Mohit Bhandari
Publisher : John Wiley & Sons
Page : 1184 pages
File Size : 45,9 Mb
Release : 2021-07-13
Category : Medical
ISBN : 9781119413943

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Evidence-Based Orthopedics by Mohit Bhandari Pdf

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.

Author : Chitranjan S. Ranawat
Publisher : Springer Science & Business Media
Page : 282 pages
File Size : 51,6 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9781461250500

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Total-Condylar Knee Arthroplasty by Chitranjan S. Ranawat Pdf

Chitranjan S. Ranawat This book describes the principles and tech This can be explained by the fact that knee niques of knee arthroplasty, with contri arthroplasty requires implantation of the butions by multiple authors. Most of the ex knee joint into the correct mechanical axis perience has been gained with the use of of the leg with soft tissue balance to provide total-condylar knee arthroplasty by the vari stability. The patellofemoral joint replace ous contributors. Other types of knee ment and its alignment in relation to the mechanical axis of the body are important implants discussed are unicondylar and pos for stability and fixation of the patella. In terior cruciate-preserving prostheses. For revision surgery, the Total-Condylar III the past 4 years the importance of thickness prosthesis is described. Controversial topics of high density polyethylene, bone prepara such as preservation of the posterior cruciate tion, and cement penetration into the can ligament, unicompartmental replacement cellous bone to achieve an optimal bone-ce arthroplasty, metal-backed component, po ment composite for a durable arthroplasty rous ingrowth, and patellofemoral joint re has been clarified. These modifications have placement are discussed at length. Compli improved the technique and quality of fixa cations of the operation are also included. tion of knee arthroplasty to such a level that The total-condylar knee, both because of it is safe to predict that knee arthroplasty design and surgical technique, has been the will be more durable than hip arthroplasty preferred implant for knee arthroplasty in as presently done [1].