Master Techniques in Orthopaedic Surgery Knee Arthroplasty 4th Edition by Mark Pagnano, Arlen Hanssen, Bernard Morrey ISBN 9781496360656 1496360656

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ISBN 10: 1496360656
ISBN 13: 9781496360656
Author: Mark Pagnano, Arlen Hanssen, Bernard Morrey

Master Techniques in Orthopaedic Surgery Knee Arthroplasty 4th Edition Table of contents:

PART I Surgical Approaches

CHAPTER 1: Medial Parapatellar Approach to Knee

INTRODUCTION

INDICATIONS AND CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

PEARLS

Limited Exposures

Extensile Exposures

Quadriceps Snip

Tibial Tubercle Osteotomy

Medial Epicondylar Osteotomy

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CHAPTER 2: Midvastus Approach to the Knee

INTRODUCTION

MIDVASTUS APPROACH

The MMV Modification

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PREPARATION

SURGICAL TECHNIQUE

Patient Setup

Exposure

Femoral Preparation

Tibial Preparation

Final Preparation

Component Insertion

Closure

PEARLS AND PITFALLS

REHABILITATION

COMPLICATIONS

RESULTS

CONCLUSION

CHAPTER 3: Subvastus Approach for Total Knee Arthroplasty

INTRODUCTION

PATIENT SELECTION

PREOPERATIVE PLANNING

TECHNIQUE

TIPS AND PEARLS

POSTOPERATIVE CARE

CONCLUSION

CHAPTER 4: Exposing the Revision Total Knee Arthroplasty: Patellar Inversion Method

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

Previous Skin Incisions

Current Range of Motion

Previous Surgical Complications

Presence of Osteolysis

PATELLA INVERSION SURGICAL TECHNIQUE

POSTOPERATIVE MANAGEMENT

RESULTS

COMPLICATIONS

CONCLUSION

PART II Principles in Primary Total Knee Arthroplasty

CHAPTER 5: Tibial Tubercle Osteotomy for Complex Total Knee

INTRODUCTION

TIBIAL TUBERCLE OSTEOTOMY

CONTRAINDICATIONS

PREOPERATIVE PREPARATIONS

TECHNIQUE

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CHAPTER 6: Primary Total Knee Principles With Measured Resection Technique

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

Surgical Approach

Patellar Preparation

Distal Femoral Cut

Tibial Cut

Femoral Rotation, Sizing, and Final Preparation

Trialing

Cementation

Closure

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CHAPTER 7: Primary Total Knee Arthroplasty: Gap Balancing Technique

INTRODUCTION

PREOPERATIVE PREPARATION

Surgery

Surgical Exposure

Patellar Resection

Bone Cuts

Extension Gap

Flexion Gap

PITFALLS

CHAPTER 8: Primary Total Knee Principles With a Kinematic Alignment Technique

INTRODUCTION AND BACKGROUND

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

PEARLS AND PITFALLS WITH KINEMATIC ALIGNMENT

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CHAPTER 9: Primary Total Knee Principles With Custom Cutting Guide Technique

INTRODUCTION

PATIENT SELECTION

PREOPERATIVE PLANNING

TECHNIQUE

TIPS AND PEARLS

Postoperative Care

CONCLUSION

CHAPTER 10: Principles of Computer Navigation for Primary Total Knee Arthroplasty

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

PEARLS AND PITFALLS

COMPLICATIONS

RESULTS

CHAPTER 11: Cruciate-Retaining Total Knee Tips and Tricks

OVERVIEW OF POSTERIOR CRUCIATE-RETAINING TKA

INDICATIONS AND CONTRAINDICATIONS

PREOPERATIVE PREPARATION

SURGICAL TECHNIQUE

Balancing the PCL, Flexion Kinematic Assessment, and Balance

MODULARITY AND CR KNEE ARTHROPLASTY

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

SUMMARY

CHAPTER 12: Posterior Stabilized Total Knee Tips and Tricks

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Initial Operative Exposure

Bone Resections

REMAINING STEPS

COMPLICATIONS ASSOCIATED WITH POSTERIOR STABILIZED TOTAL KNEE ARTHROPLASTY

POSTERIOR STABILIZED TOTAL KNEE ARTHROPLASTY RESULTS

PEARLS AND PITFALLS

PART III Complex Issues in Primary Total Knee Arthroplasty

CHAPTER 13: Varus and Valgus Deformities

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

TECHNIQUE

Varus Deformity

Valgus Deformity

PEARLS AND PITFALLS

Varus

Valgus

POSTOPERATIVE MANAGEMENT

CLINICAL RESULTS

COMPLICATIONS

Instability

Patellar Instability

Avulsion of the Patellar Tendon

Peroneal Nerve Injury

Bleeding

CHAPTER 14: Genu Recurvatum in Total Knee Arthroplasty

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CHAPTER 15: Correction of Flexion Contractures in Total Knee Arthroplasty

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

Grade I Flexion Contracture

Grade II Flexion Contracture

Grade III Flexion Contracture

Operative Algorithm for Correction of Grade I, II, and III Flexion Contractures

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

Loss of Range of Motion

Flexion–Extension Imbalance

Peroneal Nerve Injury

RESULTS

CHAPTER 16: Total Knee Arthroplasty for the Ankylosed or Markedly Stiff Knee

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PLANNING

TECHNIQUE

Quadriceps Snip

TTO

V-Y Quadriceps Turndown

POSTOPERATIVE MANAGEMENT

PEARLS AND PITFALLS

COMPLICATIONS

Tibial Tubercle/Patellar Tendon Avulsion Problems

Wound Healing Problems

Loss of ROM

RESULTS

CHAPTER 17: Managing Patellar Problems in Primary and Revision Total Knee Arthroplasty

INTRODUCTION

PATELLAR PROBLEMS IN PRIMARY TOTAL KNEE ARTHROPLASTY

LATERALLY DISLOCATED PATELLA

Preoperative Preparation

TECHNIQUE INCLUDING PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

PATELLA BAJA

TECHNIQUE INCLUDING PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

Complications

Patellar Erosion

POSTPATELLECTOMY TOTAL KNEE REPLACEMENT

PREOPERATIVE PREPARATION

TECHNIQUE INCLUDING PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

PATELLAR PROBLEMS IN REVISION TOTAL KNEE ARTHROPLASTY

PATELLAR COMPONENT REVISION

Implant Removal

Patellar Implant Fixation

Severe Patellar Bone Loss

PATELLAR FRACTURE AFTER TOTAL KNEE ARTHROPLASTY

Indications

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

Open Reduction and Internal Fixation

Partial and/or Complete Patellectomy With Extensor Mechanism Repair

Complete Patellectomy and Extensor Mechanism Reconstruction

Patella Component Removal With Revision of Patellar Resurfacing

Patellar Component Removal With Patella Resection Arthroplasty

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CHAPTER 18: Varus-Valgus–Constrained Implants in Primary Total Knee Arthroplasty

INDICATIONS

CONTRAINDICATIONS

TECHNIQUE

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

Dislocation

Patella Problems

Aseptic Loosening

RESULTS

PART IV Revision Total Knee Arthroplasty

CHAPTER 19: Removal of a Well-Fixed Total Knee Arthroplasty

INDICATIONS AND CONTRAINDICATIONS

TOOLS AND PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Hand Instruments

Power Instruments

IMPLANT REMOVAL

Removal of the Polyethylene Insert

Removal of the Well-Fixed Femoral Component

Removal of the Well-Fixed Uncemented Femoral Component

Removal of the Cemented Tibial Component

Removal of the Well-Fixed Uncemented Tibial Component

Removal of Patellar Component

Removal of Well-Fixed Stems and Well-Fixed Intramedullary Cement

COMPLICATIONS

CHAPTER 20: Revision Total Knee Principles and Techniques

INTRODUCTION

PATIENT SELECTION

PREOPERATIVE PLANNING

History

Physical Examination

Laboratory Examination

Radiographic Examination

Examination Under Anesthesia Before Arthrotomy

SURGICAL TECHNIQUE

Arthrotomy and Exposure

Intraoperative Examination

Difficult Exposures

Examine the Fully Exposed Tibia

Extremely Difficult Exposures

Component Removal

Examine the Removed Implant

Final Assessment Before Reimplanting

Component Implantation

RATIONALE FOR THE THREE-STEP TIBIA-FIRST SEQUENCE

Step 1: Reestablish Tibial Platform

Step 2: The Flexion Gap

Step 3: Stabilize the Knee in Extension

Indications for Constraint

TIPS AND PEARLS

Tips for Cementing the Femur

Tips When Using Porous Augments

Tips for Patellar Osteotomy

PITFALLS

Tips to Avoid Internal Rotation of the Tibial Component

Tips to Eliminate Cleanup Cuts

POSTOPERATIVE MANAGEMENT

Conclusion

CHAPTER 21: Managing Bone Loss With Metaphyseal Cones

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

Evaluation of Bone Loss

Preparation for Tantalum Cones

Preparation for 3D Printed Titanium Cones

Restoration of Flexion and Extension Gaps

Prosthesis Selection

Insertion of the Femoral and Tibial Components

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CHAPTER 22: Managing Bone Loss With Allograft During Revision Total Knee Arthroplasty

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE FOR ALLOGRAFT-PROSTHESIS COMPOSITE

TECHNIQUE FOR STRUCTURAL FEMORAL HEAD ALLOGRAFTING

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CHAPTER 23: Revision Total Knee Arthroplasty for Stiffness

INTRODUCTION

ETIOLOGY

Patient Factors

Intraoperative Technical Errors

POSTOPERATIVE MANAGEMENT AND SURGICAL COMPLICATIONS

MANAGEMENT OF THE STIFF TKA

Evaluation of the Stiff TKA

Early Postoperative Diagnosis

Late Postoperative Diagnosis

COMPONENT REVISION

CONCLUSION

CHAPTER 24: Two-Stage Reimplantation for the Infected Total Knee Arthroplasty

INTRODUCTION

INDICATIONS AND CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSION

CHAPTER 25: Rotating Hinge Prostheses for Complex Primary and Revision Total Knee Arthroplasty

INDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

POSTOPERATIVE MANAGEMENT

RESULTS

SUMMARY

PART V Alternatives to Total Knee Arthroplasty

CHAPTER 26: Fixed-Bearing Medial Unicompartmental Knee Arthroplasty

INTRODUCTION

PATIENT SELECTION

PREOPERATIVE PLANNING

TECHNIQUE

TIPS AND PEARLS

POSTOPERATIVE CARE

CONCLUSION

CHAPTER 27: Mobile-Bearing Medial Unicompartmental Knee Arthroplasty

INDICATIONS/CONTRAINDICATIONS

Why Femur First?

PREOPERATIVE PLANNING

TECHNIQUE

Approach

Preparation of the Femur

Placing the Guide of the Posterior Femur

Milling of the Distal Femur

Preparation of the Tibia

Assessment of Flexion/Extension Gaps

Completing Femoral Preparation

Sizing the Tibial Component and Trial Insertion

Inserting the Femoral and Tibial Trials

Cementing Components

POSTOPERATIVE MANAGEMENT

PITFALLS TO FEMUR-FIRST TECHNIQUE

Inadequate Posterior Bone Removal

Overresection of Tibia

COMPLICATIONS

RESULTS

CHAPTER 28: Robotically Assisted Medial Unicompartmental Knee Arthroplasty

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

Positioning and Setup

Exposure

Array Preparation

Registration

Soft-Tissue Balancing

Bony Preparation

Trialing of Components

Implantation of Final Components

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CHAPTER 29: Lateral Unicompartmental Knee Arthroplasty

INDICATIONS/CONTRAINDICATIONS

Positioning

Exposure

Preparation of the Tibia

Preparation of the Femur

Balancing the Flexion and Extension Gaps

Final Preparation and Component Fixation

Closure

POSTOPERATIVE CARE

CHAPTER 30: Patellofemoral Arthroplasty

INDICATIONS

PREOPERATIVE PREPARATION

SURGICAL TECHNIQUE

Approach and Exposure

Trochlear Preparation

Patellar Preparation

Trial Testing, Cement Fixation, and Soft Tissue Balancing

POSTOPERATIVE MANAGEMENT

RESULTS

CHAPTER 31: Opening-Wedge Proximal Tibial Osteotomy

INTRODUCTION

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSIONS

CHAPTER 32: Distal Femoral Osteotomy

INTRODUCTION

INDICATIONS AND CONTRAINDICATIONS

PREOPERATIVE RADIOGRAPHIC TEMPLATING

PREOPERATIVE TEMPLATING

SURGICAL APPROACH

Distal Femoral Lateral Opening-Wedge Osteotomy

Distal Femoral Medial Closing-Wedge Osteotomy

Combined Procedures

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

CLINICAL RESULTS

CONCLUSION

PART VI Managing Complications After Total Knee Arthroplasty

CHAPTER 33: Periprosthetic Femur, Tibia, and Patella Fractures After Total Knee Arthroplasty

EPIDEMIOLOGY

PREOPERATIVE CLASSIFICATION AND PLANNING

SURGICAL TECHNIQUES FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A WELL-FIXED TOTAL KNEE ARTHROPLASTY

RETROGRADE INTRAMEDULLARY NAILS

PERIARTICULAR LOCKING PLATES

PEARLS AND PITFALLS

SURGICAL TECHNIQUES FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A LOOSE TOTAL KNEE ARTHROPLASTY

SURGICAL TECHNIQUES FOR PERIPROSTHETIC TIBIAL FRACTURES AROUND TOTAL KNEE ARTHROPLASTY

COMPLICATIONS

TIBIAL SHAFT FRACTURES DISTAL TO A TOTAL KNEE ARTHROPLASTY

SURGICAL TECHNIQUE FOR PERIPROSTHETIC PATELLAR FRACTURES AROUND TOTAL KNEE ARTHROPLASTY

RESULTS

ACKNOWLEDGMENT

CHAPTER 34: Extensor Mechanism Allograft

INTRODUCTION

INDICATIONS

CONTRAINDICATIONS

Initial Evaluation

SURGICAL TECHNIQUE

Exposure

Total Knee Arthroplasty Component Revision

Extensor Mechanism Allograft Preparation

Host Proximal Tibial Trough Preparation

Proximal Graft Fixation and Tensioning

Closure

PEARLS/PITFALLS

POSTOPERATIVE CARE AND REHABILITATION

COMPLICATIONS

RESULTS

CHAPTER 35: Extensor Mechanism Reconstruction With Synthetic Mesh

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

Preparation for Synthetic Mesh Reconstruction

Evaluation of Extensor Mechanism Disruption

Synthetic Mesh Reconstruction Without Revision of Existing TKA Components

Synthetic Mesh Reconstruction With Revision of Existing Total Knee Arthroplasty

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CHAPTER 36: Arthrodesis for the Failed Total Knee Arthroplasty

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

History

Physical Examination

Radiographs

Laboratory

SURGICAL TECHNIQUE

Guided Proximal Interlocking Screws

POSTOPERATIVE MANAGEMENT

PEARLS AND PITFALLS

Conversion of Knee Arthrodesis to Revision Knee Arthroplasty

CHAPTER 37: Skin and Wound Problems After Total Knee Arthroplasty

INTRODUCTION

POSTOPERATIVE WOUND DRAINAGE

IRRIGATION AND DEBRIDEMENT FOR PROLONGED DRAINAGE

Contraindications

Technique

Postoperative Management

RESULTS

SKIN NECROSIS

DEBRIDEMENT AND SOFT-TISSUE COVERAGE

PEARLS AND PITFALLS

Technique of Soft-Tissue Flap Coverage

POSTOPERATIVE MANAGEMENT

RESULTS

CHAPTER 38: Advanced Pain Management and Rehabilitation With Periarticular Injection

INTRODUCTION

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

TECHNIQUE

PEARLS AND PITFALLS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

Index

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