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With rapid advancement in technology and materials in total knee arthroplasty (TKA), long-term survival and function of the total knee is now more and more dependent on restoring accurate limb alignment, precise component position and optimum soft-tissue balance. Proper technique is key to ensuring this and is all the more crucial and challenging to achieve in arthritic knees with severe and complex deformities. Correction of such knee deformities forms an important part of TKA for orthopedic surgeons working in both emerging and developed nations. Deformity Correction in Total Knee Arthroplasty fills the void that exists in treating severe and complex knee deformities and the use of computer-navigation in TKA. It covers the principles of deformity correction and soft-tissue balancing in primary TKA in an illustrative, step-wise and algorithmic fashion. Starting with the initial key step of preoperative planning, this book goes on to specifically describe how to deal with different types of deformities encountered in patients who undergo TKA - varus, valgus, flexion, hypertension, rotational and extra-articular deformities - as well as the stiff knee, the unstable knee, osteotomies in primary TKA and postoperative pain management and rehabilitation. This focused how-to manual includes plentiful images and clear, concise text from authors who have performed thousands of TKAs, making it a must-have reference for any surgeon unfamiliar or frequently confronted with this type of procedure.
here, two well-known knee experts have assembled a group of leaders in the field to present a book encompassing the best techniques for total knee arthroplasty. Concise chapters cover indications, contraindications, complications, results, instrumentation, infection, preop planning, prosthetic choice, revision arthroplasty, and more -- with the emphasis on the best techniques and surgical "pearls". Supported by line drawings, intraoperative photographs and radiographs, this definitive volume will serve as the complete and quick reference on total knee arthroplasty.
Written in an accessible and instructive format, this richly illustrated text covers the analysis, planning, and treatment of lower limb deformities, with a view to teaching deformity correction. A foundation of understanding normal alignment is presented, using new nomenclature that is easy to remember and can even be derived without memorization. The work offers detailed information on deformities and malalignment, radiographic assessment, mechanical and anatomic axis planning, osteotomies, and hardware considerations. The part dealing with planning is further facilitated via an exercise workbook and an animated CD-ROM which is available separately. The methods taught are simple and intuitive.
Offering state-of-the-art guidance on challenging issues in total knee replacement and reconstruction, this resource includes a DVD with procedural videos and access to additional materials online.
With 400 detailed images to assist learning, this book provides trainee orthopaedic surgeons and
Campbell's Operative Orthopaedics, by Drs. S. Terry Canale and James H. Beaty, continues to define your specialty, guiding you through when and how to perform every state-of-the-art procedure that's worth using. With hundreds of new procedures, over 7,000 new illustrations, a vastly expanded video collection, and new evidence-based criteria throughout, it takes excellence to a new level...because that is what your practice is all about. Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located. Achieve optimal outcomes with step-by-step guidance on today's full range of procedures from Campbellā€™s Operative Orthopaedics - the most trusted and widely used resource in orthopedic surgery - authored by Drs. S. Terry Canale, James H. Beaty, and 42 other authorities from the world-renowned Campbell Clinic. Access the complete contents online with regular updates, view all the videos, and download all the illustrations at www.expertconsult.com. See how to proceed better than ever before with 45 surgical videos demonstrating hip revision, patellar tendon allograft preparation, open reduction internal fixation clavicle fracture, total shoulder arthroplasty, total elbow arthroplasty, and more - plus over 7,000 completely new step-by-step illustrations and photos commissioned especially for this edition. Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout. Utilize the very latest approaches in hip surgery including hip resurfacing, hip preservation surgery, and treatment of hip pain in the young adult; and get the latest information on metal-on-metal hips so you can better manage patients with these devices. Improve your total joint arthroplasty outcomes by reviewing the long-term data for each procedure; and consider the pros and cons of new developments in joint implant technology, including "customized" implants and their effect on patient outcomes. Implement new practices for efficient patient management so you can accommodate the increasing need for high-quality orthopaedic care in our aging population.
By analyzing a case of total knee arthroplasty (TKA) in a knee with complex deformity and secondary osteoarthritis, we demonstrated the rationale of preoperative planning and the detail of intraoperative execution. The lady had right TKA with combined medial closing wedge femoral osteotomy, neutral wedge valgus derotational tibial osteotomy, fibular osteotomy, and quadriceplasty. Four months later, she had left TKA. Osteotomies healed well and she was pain-free at 18 months after right TKA. Combination of intra-articular and extra-articular correction of deformity was the key to achieve a well-aligned TKA with good soft tissue balancing in both coronal and sagittal planes. The choice of osteotomy fixation method should follow the principles of bone healing. Fibular osteotomy should have been made at the level of tibial osteotomy with caution. Use of appropriate TKA prosthesis could have enhanced the osteotomy fixation while decreasing the complication.

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