Mastering Orthopedic Techniques Total Knee Arthroplasty 1st Edition by Rajesh Malhotra ISBN 8184488947 9788184488944

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ISBN 10: 8184488947 
ISBN 13: 9788184488944
Author: Rajesh Malhotra

The first chapter “Design Principles” is a topic that has always intrigued me since my days working on the Total Condylar Prosthesis. The next several chapters focus on the surgical treatment of basic arthritic deformities which is the bedrock of adult reconstruction of the knee.

Mastering Orthopedic Techniques Total Knee Arthroplasty 1st Table of contents:

Chapter 1: Introduction to Total Knee Arthroplasty (TKA)

• Overview of Knee Anatomy and Function
• Indications for Total Knee Arthroplasty
• History and Evolution of TKA
• Goals and Outcomes of Total Knee Replacement Surgery
• Surgical and Nonsurgical Approaches to Knee Pathology

Chapter 2: Preoperative Assessment and Preparation

• Patient Selection Criteria: Indications and Contraindications
• Preoperative Evaluation and Medical Optimization
• Imaging Techniques: X-ray, MRI, and CT Scans
• Preoperative Planning: Alignment, Sizing, and Component Selection
• Psychological Assessment and Patient Expectations
• Informed Consent and Risk Management
• Preparing the Operating Room and Team

Chapter 3: Anatomy and Biomechanics of the Knee Joint

• Key Structures: Bone, Ligaments, Tendons, and Muscles
• Kinematics and Biomechanics of the Knee
• The Role of the Menisci, Cruciate Ligaments, and Collateral Ligaments
• Joint Stability and Mobility in TKA
• Pathological Changes Leading to Knee Osteoarthritis

Chapter 4: Surgical Approaches in Total Knee Arthroplasty

• Midline vs. Parapatellar Approaches
• Subvastus and Minimally Invasive Techniques
• Advantages and Disadvantages of Different Surgical Approaches
• Soft Tissue Management: Preservation vs. Release
• Patellar Positioning and Patellofemoral Joint Considerations
• Managing Preoperative Deformities (Varus, Valgus, Flexion Contractures)

Chapter 5: Instrumentation and Implant Systems

• Overview of TKA Implant Components: Femoral, Tibial, and Patellar
• Fixed vs. Mobile Bearing Implants
• Primary vs. Revision Implants
• Cutting Guides, Jigs, and Navigation Systems
• Computer-Assisted Surgery (CAS) and Robotic-Assisted TKA
• Selecting the Right Implant: Material Considerations and Longevity
• Advances in Implant Design and Materials

Chapter 6: Step-by-Step Surgical Technique for TKA

• Anesthesia Considerations: General vs. Regional
• Surgical Steps: Exposure and Soft Tissue Handling
• Bone Preparation: Femur, Tibia, and Patella
• Alignment and Balancing the Knee: Mechanical vs. Kinematic Alignment
• Implant Placement: Cemented vs. Cementless Techniques
• Patellar Resurfacing: Indications and Technique
• Closure and Soft Tissue Repair

Chapter 7: Perioperative Management and Complications

• Perioperative Antibiotic Prophylaxis and Deep Vein Thrombosis (DVT) Prophylaxis
• Fluid Management and Blood Conservation Strategies
• Managing Postoperative Pain: Techniques and Pharmacological Options
• Early Postoperative Rehabilitation and Weight Bearing Protocols
• Common Early Complications: Infection, Hematoma, and Bleeding
• Managing Knee Stiffness and Joint Manipulation Post-TKA

Chapter 8: Postoperative Rehabilitation and Recovery

• Early Mobilization and Range of Motion Goals
• Physical Therapy Protocols: Strengthening, Gait Training, and Mobility
• Progression of Weight Bearing and Functional Recovery
• Addressing Postoperative Swelling and Pain Management
• Psychological Considerations During Recovery
• Return to Activity: Functional Outcomes and Patient Satisfaction

Chapter 9: Revision Total Knee Arthroplasty

• Indications for Revision Surgery: Infection, Loosening, and Malalignment
• Challenges in Revision TKA: Bone Loss, Instability, and Deformities
• Surgical Approaches and Techniques for Revision
• Implant Design and Instrumentation for Revision TKA
• Managing Complications in Revision Surgery: Infection, Fracture, and Stiffness
• Long-Term Outcomes and Prognosis for Revision TKA

Chapter 10: Managing TKA Complications

• Early Complications: Infection, Thrombosis, and Hematoma
• Mechanical Complications: Loosening, Malalignment, and Wear
• Soft Tissue Complications: Ligamentous Instability and Stiffness
• Periprosthetic Fractures: Causes, Prevention, and Treatment
• Pain Management: Chronic Pain after TKA
• Neurological Complications: Nerve Injuries and Sensory Changes

Chapter 11: Future Directions in Total Knee Arthroplasty

• Advances in Implant Technology and Materials
• Custom-Designed and Patient-Specific Implants
• The Role of Robotic-Assisted Surgery in TKA
• Minimally Invasive and Outpatient TKA Techniques
• Stem Cell Therapy and Biological Augmentation in Knee Replacement
• Long-Term Outcomes and Optimizing Prosthetic Longevity
• Emerging Research in Knee Biomechanics and Regenerative Medicine

Chapter 12: Case Studies and Clinical Scenarios

• Case Study 1: TKA in a Younger, Active Patient
• Case Study 2: TKA for Post-Traumatic Arthritis
• Case Study 3: Managing Severe Deformities in TKA
• Case Study 4: Revision TKA for Infection and Implant Failure
• Case Study 5: Outpatient and Minimally Invasive TKA
• Clinical Decision-Making and Problem-Solving in TKA

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