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Mastering Orthopedic Techniques Total Knee Arthroplasty Rajesh Malhotra

1:Design Principles
- Introduction
- Early Attempts
- Hinged Implants
- Newer Hinge Prosthesis
- Bicompartmental Prosthesis
- Tricompartmental Prosthesis
- Meniscal Bearing Prosthesis
- High Flexion TKR
- Cementless Fixation
- Patellofemoral Design
  - INSET PATELLA
  - ONLAY PATELLA
- Conclusion
2:Bone Cuts in Total Knee Arthroplasty
- Introduction
- Distal Femoral Bone Cut
- Proximal Tibial Bone Cut
- Femoral Anteroposterior Bone Cut
- Preparing for Trial Reduction
- Patella Bone Cut
- Conclusion
3:Total Knee Arthroplasty in Varus Deformity
- Introduction
- Indications and Contraindications
- Preoperative Planning
- Choice of Implant
- Surgery
  - Anesthesia and antibiotic prophylaxis
- Tips and Pearls
- Postoperative Management
- Complications
  - INSTABILITY
  - AVULSION OF PATELLAR TENDON
- Results
- Illustrative Case
4:The Valgus Knee
- Introduction
- Indications
- Preoperative Planning
- Implant Selection
- Surgical Technique
- Tibial Resection
- Femoral Resection
- Extension Gap Balancing
- The “Inside-out” Technique
- Flexion Gap Balancing
- Postoperative Management
- Results
- Complications
- Illustrative Case
5:Total Knee Arthroplasty in Flexion Deformity
- Introduction
- Pathophysiology
- Principles of Correction of Flexion Contracture
- Sequence for Correction of Fixed Flexion Deformity during TKA
- Summary of Surgical Protocol
- Complications
- Summary
- Results
- Illustrative Case
6:Total Knee Arthroplasty for the Stiff Knee
- Introduction
- Indications/Contraindications
- Preoperative Assessment and Planning
- Choice of Implant
- Surgical Technique
- Postoperative Management
- Complications
- Illustrative Cases (Figs 6.6 and 6.7)
- Conclusion
7:Management of Femoral Bone Defects in Knee Arthroplasty
- Introduction
- Indications/Contraindications
- Preoperative Planning
- Implant - Description and Features
- Surgery
- Tips and Pearls
- Postoperative Management
- Complications
- Illustrative Cases (Figs 7.21 to 7.23)
8:Management of Tibial Defects in Primary Total Knee Arthroplasty
- Classification
  - Anderson Orthopedic Research Institute Classification4
- Preoperative Planning
- Management of Tibial Bone Defects
  - Contained Defect
  - Uncontained Defect
- Summary
- Illustrative Case
9:Cementing Techniques
- Introduction
- Bone Preparation
- Antibiotic in Cement
- Cement in Revision TKA
- Illustrative Cases
  - PRIMARY TKA
  - 2 STAGE REVISION
10:Cementless Total Knee Arthroplasty
- Introduction
- Advantages
- Disadvantages
- Contraindications
- Past Failures
- Preoperative Planning
- Anesthesia
- Position
- Approach and Exposure
- Surgical Technique
- Closure
- Postoperative Period
- Postoperative Complication
- Results
- Illustrative Case (Figs 10.8A to E)
11:Cruciate Retaining Total Knee Replacement
- Introduction
- Anatomic Consideration
- Rationale for PCL Retention
- Stability
- Femoral Rollback
- Range of Motion
- Stresses at Bone Implant Interface and Wear
- Proprioception
- Gait Analysis
- Technique
- Summary
- Illustrative Case (Figs 11.10A to G)
12:Constrained Condylar Knee Arthroplasty
- Introduction
  - CONSTRAINT
  - BACKGROUND AND DESIGNS
- Hinged Knee Implants
- Varus-valgus Constrained Prostheses
- Constraint Sequels
- Indications
- Surgical Technique
- Summary
13:Patellofemoral Arthroplasty
- Introduction
- Indications/Contraindications
  - INDICATIONS
  - CONTRAINDICATIONS
- Preoperative Planning
- Implant - Description and Features
- Surgery
- Procedure
- Tips and Pearls/Cautions
- Postoperative Management
- Complications
  - EARLY
  - LATE
- Illustrative Case
14:Fixed Bearing Unicompartmental Knee Replacement
- Fixed - Bearing Unicompartmental Knee Arthroplasty
- Implants
- Indications and Contraindications
- Preoperative Evaluation
- Surgical Technique
- Postoperative Protocol
- Complications
- Illustrative Case (Figs 14.11 to 14.13)
15:Mobile Bearing Unicompartmental Knee Arthroplasty
- Indications and Contraindications
- Radiographic Investigations
- Principles of Technique
- Limb Alignment and Component Positioning
- Surgical Technique for Oxford Unicondylar Knee
- Tibial Cut
- Femoral Preparation
- Complications
- Tips, Pearls and Results of Mobile Bearing UKA
- Conclusion
- Illustrative Case
16:Noiles Rotating Hinge Knee Replacement
- History
- Indications
- Surgical Technique
- Postoperative Rehabilitation
- Complications
- Outcome
- Clinical Case
17:Computer-aided Total Knee Arthroplasty
- Introduction
- The Evolution of Computer-aided Surgery
- Surgical Technique
- Cases in Illustration
- Computer-aided Surgery
- Conclusion
18:Two Stage Revision for Infected Total Knee Arthroplasty
- Diagnosis
- Classification
- Two Staged Revision
- Results
- Illustrative Case
19:Extra-articular Deformity: Femur
- Introduction
- Preoperative Planning and Surgical Procedure
- Tips and Pearls
- Complications
- Illustrative Cases (Figs 19.1 to 19.4)
20:Extra-articular Deformity: Tibia
- Introduction
- Preoperative Planning and Surgical Procedure
- Tips and Pearls
- Complications
- Illustrative Cases
  - CASE 1 (Figs 20.3A and B)
  - CASE 2 (Figs 20.4A and B)
21:Total Knee Arthroplasty in Fracture
- Introduction
- Distal Femoral Fractures
- Distal Femoral Nonunion
  - TECHNIQUE
  - RESULTS
- Proximal Tibial Fractures
- Stress Fractures
  - TECHNIQUE
  - RESULTS
- Summary
22:Periprosthetic Fractures of the Tibia and Femur after Total Knee Arthroplasty
- Risk Factors
- Intraoperative Fractures
- Classification of Periprosthetic Fractures in General
- Treatment
- Problems with Fixation of Fractures Around Arthroplasties
  - Pitfall: Infection
- Femoral Periprosthetic Fractures
  - PREOPERATIVE PLANNING
  - IMPLANT CHOICES
- Tibial Periprosthetic Fractures

INDEX

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Chapter Notes