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A Practical Operative Guide for Total Knee and Hip Replacement
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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.
Opis
- Rok wydania
- 2010
- Numer wydania
- 1
- Oprawa
- twarda
- Liczba stron
- 232
- Wymiary (mm)
- 221 x 279
- Waga (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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