Insall and Scott Surgery of the Knee-6판 2Vols

Now offered in 2 full volumes - both in print and online - Insall & Scott Surgery of the Knee by Dr. W. Norman Scott
remains the definitive choice for guidance on the most effective approaches for the diagnosis and management of the
entire scope of knee disorders. This edition reflects a complete content overhaul, with more than 50 new chapters and
over 400 contributors from around the world. The video program includes 70 new video clips, while new and expanded
material covers a range of hot topics, including same-day surgery and hospital management of knee arthroplasty patients
and anesthesia specific for knee surgery.

New to this Edition
뷙xtensive visual elements and video program include nearly 70 new videos -- over 230 in total - as well as a Glossary
of Implants featuring 160 demonstrative pictures.


뷤ver 50 new chapters and brand-new sections on Same Day Surgery and Hospital Management of Knee Arthroplasty Patients;
Quality and Payment Paradigms for TKA; Anesthesia Specific for Knee Surgery; and Preoperative Assessment, Perioperative
Management, and Postoperative Pain Control.



뷒n expanded Adult Reconstruction Section informs readers about Enhanced Primary Revision and the treatment of Peri-
prosthetic fractures in TKA.



뷞ncludes enhanced worldwide approaches for all aspects of disorders of the knee from nearly 400 contributors worldwide.



뷓oasts updated pediatric knee considerations and updated tumor surgery principles for the treatment of tumors about
the knee.



뷙xpert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the
text, figures, images, videos (including video updates), glossary, and references from the book on a variety of devices.


Author Information
By W. Norman Scott, MD, Clinical Professor of Orthopaedic Surgery, Albert Einstein College of Medicine, Bronx, NY;
Director, Insall Scott Kelly Institute for Orthopaedics and Sports Medicine, New York, NY

Table of Contents
Section I: Basic Science
1 Anatomy

2 Anatomic Aberrations

3 Clinical Examination of the Knee

4 Gene Therapy in the Treatment of Knee Disorders


Section II: Imaging of the Knee

5 Imaging Anatomy and Techniques

6 Fractures

7 Knee Menisci

8 Cruciate Ligaments

9 Cartilage and Synovium

10 Lateral Supporting Structures: Posterolateral Corner Structures and Iliotibial Band

11 Medial Supporting Structures: MCL and Posteromedial Corner

12 Extensor Mechanism

13 Knee Arthroplasty

14 Tumors

15 Ultrasound-guided Procedures


Section III: Biomechanics

16 Three-Dimensional Morphology of the Knee

17 Fluoroscopic Analysis of Total Knee Replacement

18 In Vivo Kinematics of the Patellofemoral Joint

19 Forward Solution Modeling: An In Vivo Theoretical Simulator of the Knee

20 Contact Mechanics of the Human Knee

21 In Vivo Mechanics, Vibration and Sound of the Knee Joint

22 Does Strain in the Patella Change After TKA? A Finite Element Investigation of Natural and Implanted Patellae

23 Simulation Testing of Knee Implants

24 Knee Wear

25 The Asian Knee

26 Mobile Fluoroscopy: Determination of Natural, Unrestricted Knee Motion


Section IV: Sports Medicine: Articular Cartilage and Meniscus

27 Articular Cartilage: Biology, Biomechanics, and Healing Response

28 Articular Cartilage Injury and Adult OCD: Treatment Options and Decision Making

29 International Experience with Autologous Chondrocyte Implantation With Periosteum (Autologous Chondrocyte
Implantation), Including Scaffold Guided Techniques and Tissue Engineered Matrix Support

30 Osteochondral Autograft Plug Transfer

31 Osteochondral Allograft Transplantation

32 Articular Cartilage Repair with Bioscaffolds

33 Failed Cartilage Repair

34 Treatment of Juvenile Osteochondritis Dissecans of the Knee

35 Secondary, Spontaneous, and Postarthroscopy Osteonecrosis of the Knee: Diagnosis and Management

36 Healing of Knee Ligaments and Menisci

37 Arthroscopic Meniscal ReSection

38 Arthroscopy-Assisted Inside-Out and Outside-In Meniscus Repair

39 All Inside Arthroscopy Meniscal Repair

40 Meniscal Allograft Transplantation

41 Synthetic Meniscal Substitutes and Collagen Meniscal Implantation


Section V: Sports Medicine: Ligament Injuries

42 Classification of Knee Ligament Injuries

43 Sports Knee Rating Systems and Related Statistics

44 Medial Ligamentous Injuries of the Knee: Acute and Chronic

45 Fibular Collateral Ligament and the Posterolateral Corner

46 Anterior Cruciate Ligament Injuries and Reconstruction: Indications, Principles, and Outcomes

47 Bone-Patellar Tendon-Bone Autograft Anterior Cruciate Ligament Reconstruction

48 Anterior Cruciate Ligament Reconstruction with Hamstring Tendons

49 Anterior Cruciate Ligament Reconstruction with Central Quadriceps Free Tendon Graft

50 Allograft Anterior Cruciate Ligament Reconstruction 

51 Double-Bundle Anterior Cruciate Ligament Reconstruction

52 Anterior Cruciate Ligament Reconstruction via the Anteromedial Portal and Single-Tunnel, Double-Bundle Technique

53 Complications of Anterior Cruciate Ligament Reconstruction

54 Revision Anterior Cruciate Ligament Reconstruction

55 Revision Anterior Cruciate Ligament Surgery: One-Stage versus Two-Stage Technique

56 Osteotomy and the Cruciate-Deficient Knee

57 Rehabilitation of the Surgically Reconstructed and Nonsurgically Treated Anterior Cruciate

58 Knee Bracing for Athletic Injuries

59 Decision Making and Surgical Treatment of Posterior Cruciate Ligament Ruptures

60 Posterior Cruciate Ligament Reconstruction: Posterior Inlay Technique

61 Posterior Cruciate Ligament Reconstruction: Transtibial Double Bundle Technique

62 Posterior Cruciate Ligament Reconstruction: Remnant-Preserving Technique Through the Posteromedial Portal

63 The Dislocated Knee

64 Dislocation of the Proximal Tibiofibular Joint


Section VI: Sports Medicine: Patellar and Extensor Mechanism Disorders

65 Disorders of the Patellofemoral Joint

66 Distal Realignment of the Patellofemoral Joint: Indications, Effects, Results, and Recommendations

67 Surgery of the Patellofemoral Joint: Proximal Realignment

68 Repair and Reconstruction of the Medial Patellofemoral Ligament for Treatment of Lateral Patellar Dislocations:
Surgical Techniques and Clinical Results

69 Sulcus-Deepening Trochleoplasty

70 Quadriceps and Patellar Tendon Disruption


Section VII: Knee Arthritis

71 Gout and Other Crystalline Arthropathies

72 Knee Osteoarthritis

73 Overview of Psoriatic Arthritis

74 Systemic Allergic Dermatitis in Total Knee Arthroplasty

75 Rheumatoid Arthritis of the Knee: Current Medical Management

76 Hemophilia and Pigmented Villonodular Synovitis

76B HIV Infection and Its Relationship to Knee Disorders


Section VIII: Anesthesia for Knee Surgery

Part I. Preoperative Evaluation

77 Basics

78 Patient with Stents

79 Diabetes Mellitus and HbA1C (Ng)

80 Rheumatoid Arthritis

81 Bilateral Knee Arthroplasty

Part II. Perioperative Management of Inpatient Procedures

82 Monitoring

83 Spinal or General Anesthesia?

84 Revision Surgery

85 Pneumatic Tourniquet

86 Bone Cement Implantation Syndrome

87 Tranexamic Acid

88 Blood Loss and Fluid Management

89 Postoperative Medical Complications

90 Specific Considerations for Fractures and Dislocations

Part III. Preoperative Analgesia: Peripheral Nerve Blocks

91 Femoral

92 Adductor Canal

93 Fascia Iliaca

94 Psoas Compartment

95 Sciatic

96 Obturator Nerve Block

97 Continuous Blocks

98 Local Anesthetic Infiltration

99 Epidural Analgesia

100 Neuraxial Opioids

101 Systemic Opioids; PONV Prophylaxis

102 Multimodal Pharmacological Analgesia

103 Persistent Pain

Part IV. Ambulatory Procedures

104 Knee Arthroscopy

105 Ligament Reconstruction

Part V. Thromboprophylaxis

106 Thromboprophylaxis and Neuraxial Anesthesia


Section IX: Plastic Surgery

107 Soft Tissue Healing

108 The Problem Wound: Coverage Options


Section X: Fractures About the Knee

109 Distal Femur Fractures

110 Tibial Plateau Fractures

111 Fractures of the Patella

112 Treatment of Periprosthetic Fractures Around a Total Knee Arthroplasty


Section XI: Pediatric Knee

113 Normal Knee Embryology and Development

114 Congenital Deformities of the Knee

115 Meniscal Disorders

116 Osteochondritis Dissecans

117 Reconstructing the Anterior Cruciate Ligament in Pediatric Patients

118 Tibial Spine Fractures

119 Physeal Fractures about the Knee

120 Patellar Instability


Section XII: Joint Replacement and Its Alternatives

121 Nonoperative Treatment of Knee Arthritis

122 Osteotomy about the Knee: American Perspective

123 Osteotomy for the Arthritic Knee: A European Perspective

124 Scoring Systems and Their Validation for the Arthritic Knee

125 Historic Development, Classification, and Characteristics of Knee Prostheses

126 Unicompartmental, Bicompartmental, or Tricompartmental Arthritis of the Knee: Algorithm for Surgical Management

127 Patellofemoral Arthroplasty

128 Unicompartmental Knee Arthroplasty: A European Perspective

129 Unicompartmental Replacement with ACL Reconstruction

130 Medial UKA Fixed

131 Medial UKA Mobile Bearing

132 Bicompartmental Knee Arthroplasty

133 Bicondylar Unicompartmental Replacement

134 Bicruciate TKA

135 Bicruciate TKA

136 European Analysis and Results of Partial Knee Replacement

137 Posterior Cruciate Ligament Retention in Total Knee Arthroplasty

138 Preserving the PCL

139 Custom Made Knee Replacements

140 Posterior Cruciate Sacrificing Total Knee Arthroplasty

141 Posterior Cruciate Ligament-Substituting Total Knee Arthroplasty

142 Posterior Cruciate Ligament Substituting Total Knee Arthroplasty: Considerations in the Middle East

143 Mobile-Bearing Total Knee Arthroplasty

144 Cemented Total Knee Arthroplasty: The Gold Standard

145 Cementless Total Knee Arthroplasty

146 Patellar Resurfacing in Total Knee Arthroplasty

147 Patella Resurfacing - Never

148 Patella Resurfacing - Always

149 Alignment in TKA

150 Surgical Approaches in Total Knee Arthroplasty: Standard and MIS Techniques

151 Surgical Techniques and Instrumentation in Total Knee Arthroplasty

152 Gap Balancing Techniques

153 Measured ReSection Technique

154 Is the Understanding of Gap Balancing and Measured ReSection Techniques Necessary to Understand Imaging Surgical
Techniques for Knee Arthroplasty

155 Mid Flexion Instability

156 Correction of Deformities with Total Knee Arthroplasty: A European Approach:

157 Correction of Deformities with Total Knee Arthroplasty: An Asian Approach

158 Pressure Sensors and Soft Tissue Balancing

159 Clinical Effectiveness of Custom Made Guides

160 Computer Navigation in Primary Total Knee Arthroplasty

161 Kinematic Alignment in Total Knee Arthroplasty

162 Computer-Assisted Navigation: Minimally Invasive Surgery for Total Knee Replacement

163 Robotics in TKA: Development, Outcomes and Current Techniques:

164 Robotic UKA

165 Management of Extra-articular Deformity in Total Knee Arthroplasty with Navigation

166 Computer Assisted TKA for Extra Medullary Deformity

167 The Impact of the Cavus Foot and Ankle on the Painful Knee

168 The Impact of the Pesplanovalgus Foot and Ankle on the Painful Knee

169 The Impact of Foot and Ankle Deformity on a Total Knee Replacement


Section XII: Revision and Complex Knee Arthroplasty

170 Complications of Total Knee Arthroplasty

171 Extensile Surgical Exposures for Revision Total Knee Replacement

172 Revision of Aseptic Failed Total Knee Arthroplasty

173 The Infected Total Kne Replacement

174 Instability in Total Knee Arthroplasty

175 Management of Bone Defects in Revision Total Knee Arthroplasty: Augments, Structual and Impaction Graft, and Cones

176 Patellar Revision

177 Patellar Fractures in Total Knee Arthroplasty

178 Extensor Mechanism Disruption After TKR


Section XIII: Total Knee Arthroplasty Perioperative Management Issues

179 Obesity: Risks of Intervention, Benefits of Optimization

180 Catastrophizers: A Subgroup with Risk for Suboptimal Results After TKA

181 Optimization of Coronary Artery Disease, Diabetes Mellitus and Stroke

182 Infection Prevention Measures

183 Pre-Rehabilitation and Fall Risk Prevention, Orthopedic and Neuromuscular Comorbities and Their Effect on TKA
Outcome

184 Intra and Periarticular Injections

185 Techniques and Eligibility for Same day/ Next day Discharge of TKA

186 Pain Management after TKA Patients Leave the Hospital


Section XIV: Hospital Management of TKA Patients

187 CPM: Pros and Cons

188 Cold Therapy

189 Immediate Motion vs. Splinting after TKA Operation

190 Internet Based vs. In Person Physical Therapy After TKA

191 Etiology and Risk Factors for VTED after TKA

192 ACCP, SCIP, and AAOS Guidelines for Thromboembolism Prophylaxis after Total Knee Arthroplasty.

193 ASA and Sequential Pneumatic Compression Devices, Strengths and Limitations

194 VTED Stratification of Risk, Who Needs Aggressive Anticoagulation

195 Bleeding and Infection Risk with Aggressive Anticoagulation: How to Minimize Suboptimal Outcomes


Section XV Economics, Quality and Payment Paradigms for Total Knee Arthroplasty

196 Historical Perspective: Declining, Reimbursement, Rising Costs

197 New Payment Paradigms

198 Physician, Hospital Partnerships

199 Value Based Purchasing

200 Quality Measures Effecting Payment after TKA


Section XVI Tumors About the Knee

201 Evaluation of the Patient with a Bone Lesion about the Knee

202 Surgical Treatment of Benign Bone Lesions

203 Surgical Management of Malignant Bone Tumors around the Knee

204 Allograft Prosthetic Composite Reconstruction of the Knee

205 Megaprostheses for Reconstruction Following Tumor ReSection about the Knee

206 Metastatic Disease about the Knee: Evaluation and Surgical Treatment

207 Soft Tissue Tumors of the Knee

208 Common Pitfalls in Tumors about the Knee: How to Recognize and Avoid