Surgical Techniques in Total Knee Arthroplasty and Alternative Procedures 1st edition by Saverio Affatato ISBN 1782420309 9781782420309

Part One: Fundamentals in total knee arthroplasty and alternative procedures

1. The history of total knee arthroplasty (TKA)

Abstract

1.1 Knee anatomy

1.2 History of total knee arthroplasty (TKA)

1.3 Indications for a TKA

1.4 Biomaterials used in TKA

1.5 Operative procedure for TKA

1.6 Surgical techniques

1.7 Improvements and modern surgical TKA operations

1.8 Alternative techniques to TKA operations

Acknowledgement

2. Biomechanics of the knee

Abstract

2.1 Knee joint anatomy

2.2 Analysis of motion

2.3 Knee biomechanics

2.4 Knee kinematics

2.5 Knee statics

2.6 Knee dynamics

2.7 Biomechanical model of the knee

2.8 Kinematics models

2.9 Static or nearly static models

2.10 Dynamic models

2.11 Knee pathologies

2.12 Knee prosthesis

2.13 Knee biomechanics after knee replacement

Acknowledgements

3. High tibial osteotomy (HTO) surgery

Abstract

3.1 Introduction

3.2 Biomechanical principles

3.3 Patient selection and preoperative evaluation process

3.4 Selection process criteria

3.5 Surgical technique

3.6 Postoperative complications

3.7 Revision surgery for late failure of HTO

Acknowledgement

4. Arthroscopic débridement in total knee arthroplasty (TKA)

Abstract

4.1 Introduction

4.2 Intra-articular lesions in knee osteoarthritis

4.3 Preoperative considerations

4.4 Imaging

4.5 Knee osteoarthritis: definition

4.6 Historical evolution of arthroscopic débridement

4.7 Indications and contraindications of arthroscopic débridement

4.8 Operative techniques

4.9 Role of arthroscopy as an adjunct to open surgery

4.10 Results

4.11 Future perspectives

4.12 Conclusions

Part Two: Surgical techniques and considerations for total knee arthroplasty (TKA)

5. Challenges in total knee arthroplasty (TKA)

Abstract

5.1 TKA in sequelae of poliomyelitis

5.2 TKA after high tibial osteotomy

5.3 TKA after varus distal femoral osteotomy

5.4 Primary TKA in stiff and ankylosed knees

5.5 Primary TKA in knees with bone loss

6. Preoperative planning in total knee arthroplasty (TKA)

Abstract

6.1 Introduction

6.2 Preoperative evaluation of the patient

6.3 Indications and contraindications of TKA

6.4 Preoperative radiographic analysis

6.5 Planning femoral and tibial cuts

6.6 Templating

6.7 Preoperative planning based on exam findings

6.8 Conclusion

7. The first surgical approach for total knee arthroplasty (TKA)

Abstract

7.1 Introduction

7.2 Historical notes and medical use

7.3 Indications for total knee arthroplasty (TKA)

7.4 Standard approaches for primary total knee arthroplasty (TKA)

7.5 Pre-operative preparation

7.6 The traditional anterior surgical approach

7.7 Partial knee replacement

7.8 Minimal invasive surgery (MIS)

7.9 Computer assisted surgery and custom made knee replacement

7.10 Rehabilitation

Acknowledgement

8. Surgical exposure in total knee arthroplasty (TKA)

Abstract

8.1 Surgical exposure in total knee replacement (TKR)

8.2 Medial parapatellar approach

8.3 Subvastus approach

8.4 Midvastus technique

8.5 Lateral parapatellar approach

9. Ligament balancing techniques in total knee arthroplasty (TKA)

Abstract

9.1 Objectives and implications of ligament balancing

9.2 General prosthetic considerations about ligament balancing: wear, loosening and proprioception

9.3 Surgical techniques

9.4 Management of instability or deformity

9.5 Surgical tools for ligament balance assessment

Acknowledgement

10. Correcting varus and valgus knee in total knee arthroplasty (TKA)

Abstract

10.1 Correcting varus knee in TKA

10.2 Correcting valgus knee in TKA

10.3 Conclusion

11. Mini-invasive approach in total knee arthroplasty (TKA)

Abstract

11.1 Introduction

11.2 General observations

11.3 Limited medial parapatellar arthrotomy (LMPA)

11.4 Limited subvastus (LS) approach

11.5 Limited midvastus approach

11.6 Quadriceps-sparing (QS) approach

11.7 Is MIS really MIS?

11.8 Conclusion

Part Three: Future trends and challenges in total knee arthroplasty (TKA)

12. Applications of computer-assisted surgery (CAS) in total knee arthroplasty (TKA)

Abstract

12.1 Introduction

12.2 Total knee arthroplasty

12.3 Unicompartmental knee arthroplasty

12.4 Revision total knee arthroplasty

12.5 Knee ligament reconstruction

12.6 Osteochondral lesion

12.7 High tibial osteotomy

13. Patient-specific instrumentation (PSI) in total knee arthroplasty (TKA)

Abstract

13.1 Introduction

13.2 Patient-specific instrumentation – the impetus for its development

13.3 Using patient-specific instrumentation: from the office to the operating room

13.4 Patient-specific instrumentation – a review of the current literature

13.5 Future directions

14. Revision total knee arthroplasty (TKA)

Abstract

14.1 Introduction

14.2 Indications for revision

14.3 Preoperative assessment

14.4 Approach and skin incision

14.5 Removal of the components

14.6 Three step technique

14.7 Postoperative rehabilitation

14.8 Conclusion

15. Diagnosis and management of infection in total knee arthroplasty (TKA)

Abstract

15.1 Introduction and pathogenesis

15.2 Risk factors and clinical evaluation

15.3 Diagnosis

15.4 Treatment options

15.5 Conclusions

Index