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Deformity correction in total knee arthroplasty

https://libcat.nshealth.ca/en/permalink/provcat34019
Arun B. Mullaji, Gautam M. Shetty. --New York: Springer , c2014.
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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 s…
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Author
Mullaji, Arun B.
Other Authors
Shetty, Gautam M.
Responsibility
Arun B. Mullaji, Gautam M. Shetty
Place of Publication
New York
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xvi, 168 pages)
ISBN
9781493905669 (electronic bk.)
9781493905652
Subjects (MeSH)
Arthroplasty, Replacement, Knee - methods
Joint Deformities, Acquired - surgery
Knee - abnormalities
Subjects (LCSH)
Total knee replacement
Knee - Abnormalities
Knee - Surgery
Surgical Orthopedics
Rehabilitation
Abstract
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.
Contents
Part I. Preoperative Planning and Basic Technique of Total Knee Arthroplasty -- Preoperative Planning -- Basic Technique of Total Knee Arthroplasty -- Part II. Coronal Plane Deformities -- Varus Deformity -- Valgus Deformity -- Part III. Sagittal Plane Deformities -- Flexion Deformity -- Hyperextension Deformity -- Part IV. Complex Deformities -- Rotational Deformity -- Extra-Articular Deformity -- The Stiff Knee -- The Unstable Knee -- Osteotomies in Total Knee Arthroplasty -- Postoperative Pain Management and Rehabilitation.
Format
e-Book
Location
Online
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Soft Tissue Balancing in Total Knee Arthroplasty

https://libcat.nshealth.ca/en/permalink/provcat41905
Shuichi Matsuda, S├ębastien Lustig, Willem van der Merwe, editors. --Berlin, Heidelberg: Springer , 2017.
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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 striki…
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Other Authors
Matsuda, Shuichi
Lustig, S├ębastien
van der Merwe, Willem
Responsibility
Shuichi Matsuda, Sébastien Lustig, Willem van der Merwe, editors
Place of Publication
Berlin, Heidelberg
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (xi, 274 pages) : 121 illus., 89 illus. in color
ISBN
9783662540824
9783662540817 (print ed.)
Subjects (MeSH)
Arthroplasty, Replacement, Knee
Elastic Tissue - surgery
Femur - surgery
Joint Deformities, Acquired - surgery
Knee Prosthesis
Ligaments, articular - surgery
Abstract
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.
Contents
Part I: Native knee: Anatomy and biomechanics -- Soft tissue balance in native knee -- Knee kinematics in native knee. Part II: Operative procedure 1 - primary TKA: Primary principals in soft tissue balancing -- CR: Measured resection technique -- PS: Gap technique -- BCR: How to achieve near normal kinematics. Part III: Operative procedure 2 - primary TKA: Varus knee - severe cases included -- Valgus knee - severe cases included -- Complicated cases - recurvatum, severe contracture -- Increasing ROM. Part IV: Assessment in primay TKA: Intraoperative assessment - tensor -- Intraoperative assessment - navigation -- Intraoperative assessment - OrthoSenser. Part V: Clinical relevance: primary TKA: Postoperative changes in soft tissue balance -- Intraoperative soft tissue balance and postoperative knee kinematics -- Intraoperative soft tissue balance and clinical results (ROM, function) -- Knee kinematics and patient satisfaction. Part VI: Patella: Avoiding patellar maltracking -- Management of patellar baja and alta. Part VII: Trouble shooting: Intraoperative MCL injury -- Patellar tendon rupture.
Format
e-Book
Location
Online
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