This book offers a comprehensive guide to total knee arthroplasty (TKA) that will assist in achieving excellent outcomes based on a sound understanding and technique. After an introductory section on the native knee that covers the anatomy, physiology, biomechanics, and patterns of disease, all aspects of primary knee arthroplasty are discussed in detail. Individual chapters are devoted to topics such as acute pain management, the role of technological aids, prosthetic kinematics, alignment targets, unicompartmental arthroplasty, patellar resurfacing, outcome measures, and cost-effectiveness. An extensive section explains the causes and management of potential complications, including aseptic failure, infections, and periprosthetic fracture. The surgical techniques appropriate for revision knee arthroplasty are described separately, and guidelines on how to deal with bone loss, instability, and extensor mechanism failure are provided. The authors are all respected experts from the United Kingdom, United States, Australia and Europe.
Table of Contents
The Native Knee: Anatomy, Physiology and Biomechanics.- The Arthritic Knee: Aetiology and Patterns of Disease.- Inflammatory Arthropathy of the Knee.- Primary Knee Arthroplasty: Medicolegal Considerations – The Consent Process.- Patient Preparation for Total Knee Arthroplasty: Reducing Blood Loss, Thromboprophylaxis and Reducing Infection Risk.- Acute Pain Management in Total Knee Arthroplasty.- Outcome Measures in Total Knee Arthroplasty.- Longevity – Characteristics of a Well Functioning, Long Lasting Total Knee Arthroplasty.- The Cost-effectiveness of Knee Arthroplasty.- Surgical Technique of Total Knee Replacement – Basic Concepts Including Surgical Approaches, Minimally Invasive Surgery, and Simultaneous Bilateral.- Technological Aids in Total Knee Arthroplasty (TKA) – Navigation, Patient-Specific Instrumentation (PSI), and Robotics.- Prosthetic Kinematics: Cruciate Retaining vs Posterior Stabilised vs Medial Pivot.- Alignment Targets in Total Knee Arthroplasty.- Primary Knee Arthroplasty: The Patella – Resurfacing Options.- Unicompartmental Knee Arthroplasty.- Aseptic Failure in Total Knee Arthroplasty.- The Diagnosis of Prosthetic Joint Infection.- Total knee arthroplasty Associated Infections - Treatment Strategies.- Periprosthetic Knee Fracture.- Aetiology of Patient Dissatisfaction with Total Knee Arthroplasty.- Principles of Revision Total Knee Replacement: Incisions, Approaches, Implant Removal and Debridement.- Bone Loss in Revision Total Knee Arthroplasty.- Revision Knee Arthroplasty: Surgical Technique - Dealing with Instability.- Revision Knee Arthroplasty: Surgical Technique - Dealing with Extensor Mechanism Failure.