| Description |
1 online resource (xi, 274 pages) : illustrations (some color) |
| Contents |
Preface; Contents; Contributors; Part I: Native Knee; 1: Anatomy and Biomechanics of the Native Knee and Its Relevance for Total Knee Replacement; 1.1 Introduction; 1.2 Anterior Cruciate Ligament; 1.3 Posterior Cruciate Ligament; 1.4 Posterolateral Corner; 1.5 Medial/Posteromedial Structures; 1.6 Conclusions and Future Perspectives; References; 2: Soft Tissue Balance of the Native Knee Provides Guidance for Balancing a Total Knee Arthroplasty; 2.1 Definition of Soft Tissue Balance; 2.2 The Laxities of the Native Knee: A Measure of Soft Tissue Balance |
|
2.3 Using the Soft Tissue Balance of the Native Knee to Guide Balancing During TKA; 2.4 Potential Consequences of Not Restoring Native Soft Tissue Balance; 2.5 Summary; References; 3: Kinematics of the Normal Native Knee; 3.1 Introduction; 3.2 Why Should We, Orthopaedic Surgeons, Bother with Kinematics?; 3.3 Historic Insights in Tibiofemoral Kinematics; 3.4 Why Do Kinematic Descriptions of the Knee Vary So Much?; 3.5 The Influence of Load on Tibiofemoral Kinematics; References; Part II: Operative Procedure 1: Primary TKA; 4: Primary Principles in Soft Tissue Balancing; References |
|
5: Measured (Anatomical Reference) Resection Technique for Cruciate-ƯRetaining Total Knee Arthroplasty; 5.1 Introduction; 5.2 Exposure and Resection of Osteophytes; 5.3 Preparation of the Femur; 5.3.1 Determining the Rotational Alignment of the Femoral Component; 5.3.2 Sizing the Femoral Component by Anterior Reference; 5.4 Preparation of the Tibia; 5.4.1 Posterior Tibial Slope and PCL Preservation; 5.4.2 Adjusting the Flexion-Extension and Medial-Lateral Gaps; 5.4.3 V-Shaped Osteotomy with Cancellous Bone Graft (VOCG) for PCL Release; 5.5 Fixation of the Components |
|
5.6 Drain and Wound Closure; References; 6: PS: Gap Technique; 6.1 Operative Procedure: Flexion Gap First (Gap Technique); 6.2 Operative Procedure: Extension Gap First (Modified Gap Technique); References; 7: Bicruciate-Retaining TKA: How to Achieve Near-Normal Kinematics; 7.1 Theory of Joint Reconstruction; 7.2 History of Bicruciate-Retaining TKA; 7.3 Results; 7.4 Contemporary Bicruciate Retaining TKA; 7.5 How Would BCR TKA Be Used?; 7.6 Summary; References; 8: Five Quality Assurance Steps for Balancing a Kinematically Aligned Total Knee Arthroplasty; 8.1 Overview |
|
8.2 Goal One: Restore the Native Tibial-Femoral Articular Surfaces; 8.3 Goal Two: Restore the Native Knee and Limb Alignments; 8.4 Goal Three: Restore the Native Laxities of the Knee; 8.5 Technique for Kinematically Aligning the Femoral Component to the Native Articular Surface; 8.6 Technique for Kinematically Aligning the Tibial Component to the Native Articular Surface; 8.7 Balancing the Kinematically Aligned Total Knee Arthroplasty; 8.8 Examples of Severe Varus and Valgus Deformity Treated with Kinematically Aligned Total Knee Arthroplasty; 8.9 Summary; References |
| Summary |
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 |
| Notes |
Includes index |
|
Online resource; title from PDF title page (SpringerLink, viewed May 11, 2017) |
| Subject |
Total knee replacement.
|
|
Artificial knee.
|
|
Arthroplasty, Replacement, Knee
|
|
Elastic Tissue -- surgery
|
|
Femur -- surgery
|
|
Joint Deformities, Acquired -- surgery
|
|
Knee Prosthesis
|
|
Ligaments, Articular -- surgery
|
|
MEDICAL -- Surgery -- General.
|
|
Artificial knee
|
|
Total knee replacement
|
| Form |
Electronic book
|
| Author |
Matsuda, Shūichi, editor.
|
|
Lustig, Sébastien, editor.
|
|
Van der Merwe, Willem (Orthopedic surgeon), editor.
|
| ISBN |
9783662540824 |
|
3662540827 |
|
