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.
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Contents Chapter 1-Introduction1 *History and clinical examination 1 *Investigations 2 *Physiotherapy, education and training 3 *Consent for surgery3 *Patient and relative's 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-Patient's Guide to Arthritis and Joint Replacement148 Chapter 9-High Tibial Osteotomy by Hemicallotasis Using a Dynamic Axial Fixator151 Bibliography171 Index175
