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This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.
This volume in the Core Knowledge in Orthopaedics Series equips you with the key concepts and clinical skills needed to excel in the subspecialty of adult reconstruction and arthroplasty. Inside you'll find concise, clinically focused coverage of the surgical techniques you need to know to obtain optimal patient management outcomes, along with relevant anatomy, biomechanics, limb salvage techniques, imaging, arthroscopy, and more. It's a perfect resource for training...board certification or recertification review...or everyday clinical reference! Apply the guidance in a logical fashion with coverage that progresses from describing commonly seen clinical problems to reviewing less frequently encountered conditions. Follow the most appropriate surgical management approaches. Assimilate the information easily through bulleted text, crisp artwork, clinical charts, tables, algorithms, and annotated key references.
"Basics in Hip and Knee Arthroplasty" is a comprehensive compilation of basic steps to be regimented before, during and after primary hip and knee reconstruction in arthritic patients. Often this information is scattered and difficult to acquire even after exploring Internet and multiple references. It should benefit Fellows, beginners and once-in-a-while Arthroplasty Surgeons of hip and knee to plan surgery, select correct implant and execute the job to the level of perfection. - "The night before" book for the beginners, wherein review of literature and other theoretical jargon are avoided. - Practical surgery tips, explained through figures, are the forte of this book. - Contains specialty work from leading authorities in the field, like Thomas P. Sculco, Douglas A. Dennis and Javad Parvizi. - Uses "My trolley" concept, which pictorially explains usage of critical tools, to make art of Primary Hip & Knee Replacement an enjoyable experience. - Videos accessible through EEB Shelf App on Radiological Planning in THA | Tips and Pearls in THA | TKA in Stiff Knee | Osteophytectomy for Varus TKR | Varus TKR-SMCL – Needling Technique | Subperiosteal Release of SMCL | Cementing in TKA | Patellar Resurfacing in TKA | Unicompartmental Knee Arthroplasty | Rotating Platform TKA | Tibial Bumpectomy for Varus TKR | Autologous Bone Graft Technique. New to this Edition: Chapter on "Varus Knee Deformities", six more Videos and additional pages to accommodate the demand to increase size of some vital Figures, which can clarify better.
This multi-contributed, comprehensive book covers revision surgery for total hip and knee arthroplasty. The focus of Revision Total Hip and Knee Arthroplasty will be on the techniques of revision surgery. Separated into a hip section and a knee section, each will include evaluation of the failed replacement, revision surgery, surgical technique, revision for specific diagnosis, complications, and postoperative management.
This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care.
This state-of-the-art book focuses specifically on the current and emerging uses of robotics for knee and hip arthroplasty, with an expanding market anticipated, particularly as costs drop, data emerges and surgical efficiencies improve. It is divided into four main sections. Part one covers the background and basic principles of robotics in orthopedic surgery, discussing its history and evolution, current concepts and available technologies, perioperative protocols for recovery and pain management, economic considerations, and risks and complications. The second and third parts focus on the techniques themselves for the knee and hip respectively, including unicompartmental and bicompartmental knee arthroplasty, patellofemoral arthroplasty, and total knee and hip arthroplasty utilizing Navio, Mako, iThink, Omni and ROSA Knee robots. The final section presents the emerging use of robotics in spine surgery as well as for hospital process improvement. Presenting the most current techniques, technology and evidence, Robotics in Knee and Hip Arthroplasty will be a valuable resource for orthopedic surgeons, residents and fellows looking to implement and utilize these developing management strategies in their clinical practice.
An in-depth understanding of a comprehensive approach to the management of radius fractures and their complications. The authors -- world renowned experts in the field -- present practical, clinical information from their extensive experience in the treatment of these fractures. Topics include the authors' classification as well as decision- making and tactics in the conservative and operative management of all types of radius fractures. Topics covered include: bending fractures of the metaphysis, shearing and compression fractures of the joint surface, avulsion fractures, radio-carpal fracture and dislocation, combined fractures, high velocity injury and malunions. In addition, chapters deal with surgical techniques and approach as well as with complications. With over 500 illustrations, this is the definitive volume on these challenging fractures, their complete treatment, and the management of complications.
Section 1: Science of Arthroplasty 1. How to Establish a Successful Arthroplasty Practice 2. Critical Surgical Anatomy for Safe Total Knee Arthroplasty 3. Surgical Anatomy for Total Hip Arthroplasty 4. Kinematics of Knee Arthroplasty 5. Biomechanics of the Hip Joint 6. Modern Cement Technology in Arthroplasty 7. Bearing Surfaces for Total Hip Arthroplasty: Material and Design 8. Mechanical Failure of Hard-on-Hard Bearings in Arthroplasty and Preventive Measures 9. Alternative Bearings in Total Hip Arthroplasty 10. Essential Knowledge about Polyethylene 11. The Science of Ligament Balancing 12. Scientific Basis for Unicompartmental Knee Replacement: Technical Implications 13. Thromboprophylaxis in Total Joint Arthroplasty 14. Patellofemoral Kinematics in Total Knee Arthroplasty Design 15. Understanding Mid-Flexion Instability in Total Knee Arthroplasty Section 2: Primary Knee Arthroplasty 16. Surgical Approaches to the Knee 17. Concepts Underlining Balancing in Total Knee Arthroplasty 18. Components Rotational Alignment in Total Knee Arthroplasty 19. Posterior Cruciate Ligament in Total Knee Arthroplasty: Balancing the Controversy 20. Algorithm for Dealing with Varus Deformity 21. Algorithm for Dealing with Fixed Flexion Deformity 22. Classification and Treatment Algorithm of a Valgus Knee 23. Total Knee Replacement in Valgus Knees: An Algorithmic Approach 24. Dealing with Severe Valgus Knee 25. Total Knee Arthroplasty after High Tibial Osteotomy 26. Total Knee Replacement in Complex Multiplanar and Segmental Knee Deformities 27. Rotating Mobile-bearing Total Knee Arthroplasty 28. High-flexion TKA: View through the Mist 29. Navigation in Total Knee Replacement 30. Extensor Mechanism Deficiency in Total Knee Arthroplasty 31. Patellofemoral Arthroplasty 32. Noncemented Primary Total Knee Arthroplasty 33. Current Role of Patient-specific Instrumentation in Total Knee Arthroplasty 34. UKA: The Mobile-bearing Option 35. Fixed-bearing Unicondylar Knee Arthroplasty 36. Minimal Invasive Unicondylar Knee Arthroplasty 37. Multicompartment UKR and ACL Reconstruction Section 3: Revision Total Knee Arthroplasty 38. Surgical Approaches for Revision Total Knee Arthroplasty 39. Evaluation of Painful Total Knee Arthroplasty 40. Management of Major Bone Defects in Revision TKR: Unility of Cones and Sleeves 41. Dealing with Bone Loss in Total Knee Arthroplasty 42. Knee Balancing in Revision Total Knee Arthroplasty 43. Rationale for Stem Extension Selection in Revision TKA 44. Management of the Disrupted Quadriceps Mechanism in Revision Total Knee Arthroplasty Section 4: Primary Total Hip Arthroplasty 45. Surgical Approaches for the Hip Replacement 46. Modern Cementing Techniques 47. Restoration of Center of Rotation and Balance of THR 48. Altered Hip Center in Total Hip Arthroplasty 49. Cemented Total Hip Arthroplasty 50. Cementless Stem: The Scientific Basis of Choice 51. Tapered Cementless Stem in THR 52. S-ROM in Primary and Revision THA: Technical Details and Surgical Tips 53. Cups and Diametric Considerations in Primary Total Hip Arthroplasty 54. Total Hip Arthroplasty for Developmental Dysplasia of the Hip 55. Total Hip Arthroplasty in High Grade Developmental Dysplasia of Hip 56. Role of Dual Mobility Cup in Total Hip Arthroplasty 57. Surgical Management of Hip Dislocations following Total Hip Arthroplasty 58. Minimally Invasive Surgery: Posterior Approach Variant 59. Bipolar Hip Arthroplasty 60. Total Hip Arthroplasty in Acetabular Fractures Section 5: Revision Total Hip Arthroplasty 61. Principles of Revision Total Hip Arthroplasty 62. Pathomecha
This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery
Arthroplasty of the upper extremity is an established surgical intervention in the management of arthritis of the elbow, wrist and hand. The anatomy, kinematics and demands of the elbow, wrist, thumb CMC, and finger MCP and PIP joints pose unique surgical challenges. Implant design considerations are important in providing a joint that mimics the native joints and maximizes survivorship. However, outcomes are less predictable in these upper extremity joints when compared to the hips and knees. Each joint also carries its own set of potential complications and salvage options for revision and failed arthroplasty. This unique text helps the orthopedic and hand surgeon understand the surgical approaches, unique anatomic considerations, and both the historical and current designs related to each respective joint, enabling the surgeon to better appreciate the benefits and limitations of each arthroplasty. Presenting the current state of the art, the seven sections proceed anatomically from the elbow to the fingers, with each section comprised of three thematic chapters discussing implant design considerations, primary arthroscopy techniques and revision arthroscopy techniques, including non-surgical options for treating these often difficult problems. This consistent approach, accompanied by plentiful figures, radiographs and intraoperative photos, ensures that this will be a user-friendly resource for orthopedic and hand surgeons, residents and trainees.