Surgical Techniques in Total Knee Arthroplasty

Table of Contents
Section 1: Preoperative Planning
--Physical Exam
--Radiograms
--Cost Considerations
Section 2: Clinical Evaluation
--Knee Scores
--Outcomes Data Collection
Section 3: Prosthetic Design
--PCL Sparing Total Knee Arthroplasty
--PCL Sacrificing Total Knee Arthroplasty
--PCL Substituting: The Insall-Burstein Posterior Stabalized
Condylar Knee Prothesis
--The Choice of Implants in Total Knee Arthroplasty: Constrained
Prosthesis
--Meniscal Bearing
--Mobile Bearing, Meniscal Bearing Knee: Principles, Technique
and Prelimenary Results
--Rotating Hinge: Constrained Total Knee Designs for Revision
--Prosthetic Choice: Unicondylar
Section 4: Surgical Approaches
--Medial Parapatellar
--Subvastus Surgical Approach
--Midvastus
--The Trivector Retaining Artrotomy
--Lateral Approach
--Quadricep Snip
--V-Y Quadricepsplasty in Total Knee Arthroplasty
--Tibial Tubercle Osteotomy
Section 5: Principles of Primary Total Knee Arthroplasty
--The Basic Principles
--Draping Technique
Section 6: Instrumentation
--Current Techniques
Section 7: Correction of Deformity
--Medial Release for Fixed Varus Deformity
--Valgus Deformity in TKA
--Management of Deformity: Medial and Lateral Ligament
Advancement
--Flexion Contracture
--Correction of Deformity: Combined Deformity
Section 8: Component Position
--The Epicondylar Axis for Femoral Component Rotation
--Tibial Shaft AxisAlignment for Femoral Component Rotation
--Rotational Alignment of the Femoral Component
--Tibial Component Position
Section 9: Fixation
--Cement in Primary total Knee Arthroplasty
--Cementless
--Pages
--Hybrid
--Hydroxyapatite
Section 10: Bone Defects
--Management of Bone Defects in Primary TKA
--Autogenous Bone Grafting for Tibial Deficiency
--Bone Grafting in Primary Femoral Deficiency
Section 11: Patellar Preparation
--Onlay
--Inlay Technique
--Rotating Patella
Section 12: Extensor Mechanism Alignment
--The Intraoperative Assessment of Patellar Tracking
--Benefits and Pitfalls of Lateral Patella Release
--Proximal Patellar Realignment and Recurrent Patellar
Instability
--Patellar Tracking: Distal Realignment
Section 13: Evaluation of the Painful TKR
--Clinical Evaluation
--Imaging of the Painful TKR
--Management of the Stiff TKA
--Arthroscopic Management of the Problematic Knee
Section 14: Management of Soft Tissues and Previous Incisions
--Sham Incision
--Soft Tissue Expanders
--Myocutaneous Flaps
Section 15: Revision Arthroplasty
--Three step Technique for Revision TKA
--Component Removal
Section 16: Management of Bone Loss in Revision Arthroplasty
--General Concepts
--Classification of Bone Defects: Tibia and Femur
--Bone Defect: Tibial Modularity
--Tibial Allograft
--Femoral Modularity
--Femoral Allograft
Section 17: Fixation Techniques
--Cemented Knee Revision Arthroplasty
--Cementless Fixation
--Press Fit Stems: (Periprosthetic Fractures: Tibia (Revision))
Section 18: Infection
--Single Stage Revision of Total Knee Replacement
--Two Stage
--The Prostalic Knee System: (Evolution and design Rationale of
the Prostalic Knee System in the
Management of the Infected Total Knee Prothesis)
--Alternatives
Section 19: Extensor Mechanism Dysfunction
--Patellar Fracture
--Acute and Chronic Ruptures of the Quadriceps Tendon Treated
with Direct Repair
--Reconstruction of Chronic Quadriceps Disruption with an
Allograft
--Management of Patella Tendon Disruptions in TKA
--Revision Loose Patellar Components
--Revision of Metal Backed Patellar Components
--Patellar Dislocation
Section 20: Periporsthetic Fractures
--Nonoperative Treatment of Femoral Fractures
--Rush Rod Fixation of Femoral Fractures
--Retrograde Nail for Femoral Fractures: (Fixation of
Supracondylar Femoral Fractures after TKA with a
Retrograde Intramedullary Nail)
--Blade Plate
--Revision Arthroplasty for Femoral Fracture
--Classification of Periprosthetic Tibia Fractures
--Nonoperative Trea