By Bryan D. Springer, Brian M. Curtin
Comprised solely of scientific circumstances protecting complicated fundamental and revision overall knee arthroplasty, this concise, useful casebook will supply orthopedic surgeons with the simplest real-world suggestions to correctly deal with the extra advanced varieties of knee substitute they might come upon. each one bankruptcy is a case that opens with a distinct medical presentation, via an outline of the analysis, overview and administration suggestions used to regard it, in addition to the case end result and medical pearls and pitfalls. circumstances incorporated illustrate various administration techniques for basic knee arthroplasty, together with the varus and valgus knee, flexion contracture and extra-articular deformity, in addition to periprosthetic an infection and revision overall knee arthroplasty, together with poor extensor mechanism, periprosthetic femur fracture and ligamentous instability. Pragmatic and reader-friendly, Complex fundamental and Revision overall Knee Arthroplasty: A medical Casebook might be a great source for orthopedic surgeons faced with a not easy knee joint replacement.
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Comprised completely of medical instances protecting complicated fundamental and revision overall knee arthroplasty, this concise, useful casebook will offer orthopedic surgeons with the easiest real-world recommendations to correctly deal with the extra advanced kinds of knee substitute they might come across. each one bankruptcy is a case that opens with a special medical presentation, via an outline of the analysis, evaluate and administration thoughts used to regard it, in addition to the case final result and medical pearls and pitfalls.
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Extra info for Complex Primary and Revision Total Knee Arthroplasty: A Clinical Casebook
Chapter 4 Complex Primary Total Knee Arthroplasty: Management of Previous Hardware (Posttraumatic OA) Juan C. Suarez and Raúl G. 1 Case Presentation A 50-year-old male presented with a several year history of progressive left knee pain. Past history is significant for a closed tibia fracture in 2010 from a motor vehicle accident requiring open reduction and internal fixation. He denied any perioperative complications such as prolonged wound drainage or antibiotic treatment. Physical examination revealed a midline scar over the knee extending into the proximal tibia with a passively correctable varus knee deformity.
6a). A 9 mm equivalent spacer block (minimal composite implant/ polyethylene thickness) was inserted which revealed tight medial space (Fig. 6b), and relative lateral laxity that would accommodate a 13 mm equivalent polyethylene (Fig. 6c). The remainder of the femoral cuts were performed, with the external rotation of the femoral component being set in 3. Complex Primary Total Knee Arthroplasty… 35 Fig. 7. Posterior joint space after femoral cutting block removed. (a) The flexion space is assessed with the posterior femur elevated.
As Brooks et al. found, a long cemented tibial stem has been shown to carry 23–38 % of the axial load and thus reduce the stresses about the periarticular bone or augments . Similarly, extra-articular nonunions and malunion corrections can also be bypassed with stemmed components (see Fig. 4). In unique cases, standard revision implants may not provide appropriate reconstruction. Distal femoral replacement often offers the best alternative for severe distal 4. Complex Primary Total Knee Arthroplasty… 49 Fig.
Complex Primary and Revision Total Knee Arthroplasty: A Clinical Casebook by Bryan D. Springer, Brian M. Curtin