Total Knee Arthroplasty

by Bellemans, Johan; Ries, Michael D.; Victor, Jan M. K.

• ISBN13: 9783540202424
• ISBN10: 3540202420
• Format: Hardcover
• Copyright: 2005-09-01
• Publisher: Springer Verlag

Summary

"Take away my knee pain and give me better motion". This is what the arthritic patient expects from a Total Knee Arthroplasty (TKA). By virtue of standardization of the TKA procedure, surgeons can nowadays solve the pain issue for the majority of the patients. Restoration of function is a goal of a different order and forms the scope of this book. The editors confronted today's leading knee surgeons with the limitations of current surgical techniques and technology. They challenged them to define new thresholds of functional capacity after Total Knee Arthroplasty. "A Guide to Get Better Performance in TKA" describes the cutting edge in surgical techniques, prosthetic design and achievement of excellent function for these patients.

Table of Contents

Preface	v
List of Contributors	xv
I Essentials
Arthritis of the Knee: Diagnosis and Management	3	(11)
F. P. Luyten
R. Westhovens
V. Taelman
Knee Arthroplasty to Maximize the Envelope of Function	14	(4)
S. F. Dye
Functional Anatomy of the Knee	18	(7)
D. G. Eckhoff
Alignment of the Human Knee; Relationship to Total Knee Replacement	25	(7)
D. S. Hungerford
M. W. Hungerford
Functional In Vivo Kinematic Analysis of the Normal Knee	32	(6)
A. Williams
C. Phillips
Gait Analysis and Total Knee Replacement	38	(7)
T. P. Andriacchi
C. O. Dyrby
II Past Failures
The Polyethylene History	45	(6)
A. Bellare
M. Spector
Failures with Bearings	51	(6)
K. J. Bozic
Failures in Patellar Replacement in Total Knee Arthroplasty	57	(8)
J. A. Rand
Experience with Patellar Resurfacing and Non-Resurfacing	65	(4)
H. U. Cameron
Failure in Constraint: ``Too Much''	69	(5)
N. Wulker
M. Ludemann
Failure in Constraint: ``Too Little''	74	(11)
F. Lampe
E. Hille
Surface Damage and Wear in Fixed, Modular Tibial Inserts: The Effects of Conformity and Constraint	85	(5)
J. D. Haman
M. A. Wimmer
J. O. Galante
Failure in Cam-Post in Total Knee Arthroplasty	90	(6)
R. B. Bourne
J. V. Bare
Flexion Instability	96	(5)
J. Bellemans
Lessons Learned from Cementless Fixation	101	(6)
G. L. Rasmussen
Lessons Learned from Mobile-Bearing Knees	107	(8)
J. V. Bare
R. B. Bourne
III Kinematics
Understanding and Interpreting In Vivo Kinematic Studies	115	(6)
S. A. Banks
The Importance of the ACL for the Function of the Knee: Relevance to Future Developments in Total Knee Arthroplasty	121	(5)
A. M. Chaudhari
C. O. Dyrby
T. P. Andriacchi
Kinematics of Mobile Bearing Total Knee Arthroplasty	126	(15)
D. A. Dennis
R. D. Komistek
Cruciate Deficiency in the Replaced Knee	141	(7)
J. Victor
Kinematic Characteristics of the Unicompartmental Knee	148	(4)
J. N. Argenson
R. D. Komistek
D. A. Dennis
In Vitro Kinematics of the Replaced Knee	152	(7)
S. Incavo
B. D. Beynnon
K. Coughlin
The Virtual Knee	159	(6)
B. W. McKinnon
J. K. Otto
S. McGuan
IV Surgical Technique
Optimizing Alignment	165	(5)
M. A. Rauh
W. M. Mihalko
K. A. Krackow
Assess and Release the Tight Ligament	170	(7)
L. A. Whiteside
The Technique of PCL Retention in Total Knee Arthroplasty	177	(5)
T. J. Williams
T. S. Thornhill
Posterior Cruciate Ligament Balancing in Total Knee Arthroplasty with a Dynamic PCL Spacer	182	(6)
A. B. Wymenga
B. Christen
U. Wehrli
Achieving Maximal Flexion	188	(6)
J. Bellemans
Assess and Achieve Maximal Extension	194	(4)
R. W. Laskin
B. Beksac
Understanding the Rheumatoid Knee	198	(7)
K. K. Anbari
J. P. Garino
Management of Extra-Articular Deformities in Total Knee Arthroplasty	205	(7)
K. G. Vince
V. Bozic
Use of a Tensiometer at Total Knee Arthroplasty	212	(5)
T. J. Wilton
Specific Issues in Surgical Techniques for Mobile-Bearing Designs	217	(6)
P. T. Myers
Optimizing Cementing Technique	223	(5)
G. R. Scuderi
H. Clarke
Assessment and Balancing of Patellar Tracking	228	(6)
J. H. Lonner
R.E. Booth, Jr.
Specific Issues in Surgical Techniques for Unicompartmental Knees	234	(7)
L. Pinczewski
D. Kader
C. Connolly
V Technology
Computer-Assisted Surgery: Principles	241	(6)
J. B. Stiehl
W. H. Konermann
R. G. Haaker
Computer-Assisted Surgery: Coronal and Sagittal Alignment	247	(7)
J. Victor
Computer-Assisted Surgery and Rotational Alignment of Total Knee Arthroplasty	254	(4)
G. M. Sikorski
Imageless Computer-Assisted Total Knee Arthroplasty	258	(6)
J.-Y. Jenny
Robotics	264	(6)
J. Bellemans
The Unicompartmental Knee: Minimally Invasive Approach	270	(6)
T. V. Swanson
Minimally Invasive: Total Knee Arthroplasty	276	(6)
S. B. Haas
A. P. Lehman
S. Cook
The Electronic Knee	282	(9)
C. W. Colwell, Jr.
D. D. D'Lima
VI Implant Design
Bicruciate-Retaining Total Knee Arthroplasty	291	(4)
D. Jacofsky
Bearing Surfaces for Motion Control in Total Knee Arthroplasty	295	(8)
P. S. Walker
The High-Performance Knee	303	(8)
M. D. Ries
J. Bellemans
J. Victor
Deep Knee Flexion in the Asian Population	311	(6)
M. Akagi
Fixed-Bearing Unicompartmental Knee Arthoplasty	317	(5)
P. Cartier
A. Khefacha
Mobile-Bearing Unicompartmental Knee Arthroplasty	322	(4)
D. G. Murray
Metallic Hemiarthroplasty of the Knee	326	(3)
R. D. Scott
R. D. Deshmukh
Patellofemoral Arthroplasty	329	(6)
M. M. Glasgow
S. T. Donell
Current Role of Hinged Implants	335	(8)
H. Reichel
VII Materials
Biology of Foreign Bodies: Tolerance, Osteolysis, and Allergy	343	(10)
S. Nasser
Conventional and Cross-Linked Polyethylene Properties	353	(8)
L. A. Pruitt
Wear in Conventional and Highly Cross-Linked Polyethylene	361	(4)
M. D. Ries
Modular UHMWPE Insert Design Characteristics	365	(5)
A. S. Greenwald
C. S. Heim
Oxidized Zirconium	370	(11)
G. Hunter
W. M. Jones
M. Spector
VIII The Wider Scope
Patient Selection and Counseling	381	(3)
C. Mahoney
K. L. Garvin
Pain Management	384	(4)
T. Deckmyn
Rehabilitation Following Total Knee Arthroplasty	388	(5)
P. Hernigou
A. Poignard
A. Nogier
Sports and Activity Levels after Total Knee Arthroplasty	393	(8)
P. Aglietti
P. Cuomo
A. Baldini
IX Future Perspectives
Conclusions	401	(4)
M. D. Ries
Subject Index	405