Table of Contents
Contents Chapter 1—Introduction
1 •
History and clinical examination
1•
Investigations
2•
Physiotherapy, education and training
3•
Consent for surgery
3•
Patient and relative¡¯s signature for risk/benefit ratio
4•
Preoperative planning for TKR
4•
Arrangement of neurovascular structures around the knee
6•
Blood supply to the knee
6•
Preparation of the patient for surgery and arranging blood
7Chapter 2—Total Knee Replacement (Cruciate-Substituting Fixed Bearing TKR)
8•
Tourniquet application
8•
Positioning
8•
Scrubbing
8•
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 closure
28•
Postoperative advice
28•
Follow-up schedule
34•
Assessment during follow-up
34Chapter 3—Difficult Situations and Important Points
36•
Total knee replacement (TKR) in difficult situations
36•
Post HTO TKR
45•
Important points
49•
Take care of (precautions to prevent peroperative complications)
52•
Avoid silly mistake
53•
Contraindications of TKR
53•
Idealindicated patients for successful TKR
53•
Complications
53•
Implants and cement required for primary TKR
54•
Summary of TKR (steps in sequence)
55•
Instruments required for TKR
56Chapter 4—Rotating Platform High Flexed TKR (RPF)
59•
Fixed bearing versus mobile bearing TKR (RPF)
59•
Instruments required for RPF TKR
63Chapter 5—Management of Complications after TKR
64•
Periprosthetic fracture
64•
Infection
66•
Knee arthrodesis with LRS in cases of infected TKR
71•
Aseptic loosening
75•
Revision TKR
76•
Implants required for revision TKR
86•
Instruments required for revision TKR
87Chapter 6—OT Setup for Joint Replacement Surgery
89•
Introduction
89•
Vertical laminar flow ventilation
90•
Prevention of infection
91Chapter 7—Total Hip Replacement
92•
Preoperative planning
92•
Positioning — Lateral position
101•
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 Pinnacle
133•
Implants for metal on metal or ceramic on ceramic, Pinnacle cup and head
134•
Different measurements of femoral stem
134•
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 instruments
147•
Proxima implants
147Chapter 8—Patient¡¯s Guide to Arthritis and Joint Replacement
148Chapter 9—High Tibial Osteotomy by Hemicallotasis Using a Dynamic Axial Fixator
151Bibliography
171Index
175
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 book's usefulness.