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A Practical Operative Guide for Total Knee and Hip Replacement

A Practical Operative Guide for Total Knee and Hip Replacement

9780071634373
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Description

Written by authors who have performed more than 800 total knee and hip replacement surgeries, this full-color book offers step-by-step guidance on this type of procedure

Hip and knee replacement surgery can improve the quality of life significantly in a wide variety of conditions and disorders, but total knee and hip replacement surgeries are special operations. The surgeons require the highest order of aseptic precaution, surgical skill, and a team of specialists in preoperative, perioperative, and postoperative techniques and protocols. This book fully explains step-by-step procedures and precautions to be observed in undertaking this kind of surgery. Full-color photographs and a DVD of surgical procedures enhance the books usefulness.

Product Details
Jaypee Brothers Medical Publishers Pte Ltd
45874
9780071634373
9780071634373

Data sheet

Publication date
2010
Issue number
1
Cover
hard cover
Pages count
232
Dimensions (mm)
221 x 279
Weight (g)
899

  • Contents

    Chapter 1—Introduction1

  • History and clinical examination 1

  • Investigations 2

  • Physiotherapy, education and training 3

  • Consent for surgery3

  • Patient and relatives signature for risk/benefit ratio4

  • Preoperative planning for TKR4

  • Arrangement of neurovascular structures around the knee6

  • Blood supply to the knee6

  • Preparation of the patient for surgery and arranging blood7

    Chapter 2—Total Knee Replacement (Cruciate-Substituting Fixed Bearing TKR)8

  • Tourniquet application8

  • Positioning8

  • Scrubbing8

  • Draping 9

  • Incision 10

  • Tibial cut 11

  • Femoral cuts 12

  • Resurfacing of patella 21

  • Tibial preparation 23

  • Cementing 24

  • Application of tibial insert 27

  • Wound closure28

  • Postoperative advice28

  • Follow-up schedule34

  • Assessment during follow-up34

    Chapter 3—Difficult Situations and Important Points36

  • Total knee replacement (TKR) in difficult situations36

  • Post HTO TKR45

  • Important points49

  • Take care of (precautions to prevent peroperative complications)52

  • Avoid silly mistake53

  • Contraindications of TKR53

  • Ideal indicated patients for successful TKR53

  • Complications53

  • Implants and cement required for primary TKR54

  • Summary of TKR (steps in sequence) 55

  • Instruments required for TKR 56

    Chapter 4—Rotating Platform High Flexed TKR (RPF)59

  • Fixed bearing versus mobile bearing TKR (RPF)59

  • Instruments required for RPF TKR63

    Chapter 5—Management of Complications after TKR64

  • Periprosthetic fracture64

  • Infection66

  • Knee arthrodesis with LRS in cases of infected TKR71

  • Aseptic loosening75

  • Revision TKR 76

  • Implants required for revision TKR86

  • Instruments required for revision TKR 87

    Chapter 6—OT Setup for Joint Replacement Surgery 89

  • Introduction89

  • Vertical laminar flow ventilation 90

  • Prevention of infection91

    Chapter 7—Total Hip Replacement92

  • Preoperative planning 92

  • Positioning — Lateral position101

  • Draping 102

  • Posterior approach 103

  • Cemented THR (C-stem) 104

  • Instruments required for cemented THR (C-stem) 110

  • Features of triple taper C-stem 111

  • Bone cements 112

  • Uncemented THR (Summit stem)115

  • Combinations in hip replacement 123

  • Assessment during follow-up 128

  • Instruments required for uncemented THR (Summit stem)130

  • Implants and cement required for cemented THR (C-stem) 131

  • Implants required for uncemented THR (Summit stem) 131

  • Implants required for metal on metal, Articulating surface replacement (ASR)132

  • Instruments required for metal on metal, ASR and Pinnacle133

  • Implants for metal on metal or ceramic on ceramic, Pinnacle cup and head134

  • Different measurements of femoral stem134

  • Features of summit tapered hip system 135

  • Important points 136

  • Summary of THR (Steps in sequence for cemented and uncemented)143

  • Proxima hip 144

  • Proxima instruments147

  • Proxima implants147

    Chapter 8—Patients Guide to Arthritis and Joint Replacement148

    Chapter 9—High Tibial Osteotomy by Hemicallotasis Using a Dynamic Axial Fixator151

    Bibliography171

    Index175

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