Surgical Techniques in Total Knee Arthroplasty

Preoperative Planning.- Indications and Patient Selection.- Preoperative Radiographic Assessment.- Cost Considerations: An Historical Perspective.- Clinical Evaluation.- Knee Scores in Total Knee Arthroplasty.- Outcomes Data Collection.- Prosthetic Design.- PCL-Sparing Total Knee Arthroplasty.- Posterior Cruciate-Sacrificing Total Knee Arthroplasty.- The Insall-Burstein® Posterior Stabilized Condylar Knee Prosthesis.- Constrained Prostheses.- Meniscal-Bearing Total Knee Arthroplasty.- Meniscal-Bearing Knee—Principles, Technique, and Preliminary Results.- Constrained Total Knee Designs for Revision Arthroplasty.- Unicondylar Replacement.- Surgical Approaches.- Medial Parapatellar Arthrotomy.- Subvastus Approach.- Midvastus Approach.- The Trivector-Retaining Arthrotomy.- The Lateral Approach.- Quadriceps Snip.- V-Y Quadricepsplasty.- Tibial Tubercle Osteotomy.- Principles of Primary Total Knee Arthroplasty.- The Basic Principles.- Draping Technique for Total Knee Arthroplasty.- Instrumentation.- Total Knee Arthroplasty.- Correction of Deformity.- Medial Release for Fixed-Varus Deformity.- Lateral Release for Fixed-Valgus Deformity.- Medial and Lateral Ligament Advancement.- Flexion Contracture in Total Knee Arthroplasty.- Correction of Combined Deformity.- Component Position.- The Epicondylar Axis for Femoral Component Rotation.- Tibial Shaft Axis for Femoral Component Rotation.- Alternatives for Rotational Alignment of the Femoral Component.- Tibial Component Position.- Fixation.- Cement in Primary Total Knee Arthroplasty.- Cementless Total Knee Arthroplasty.- Hybrid Total Knee Arthroplasty.- Hydroxyapatite.- Bone Defects.- Autogenous Bone Grafting for Tibial Deficiency.- Bone Grafting in Primary Femoral Deficiency.- Patellar Preparation.- Onset Patella.- Inlay Technique.- Rotating Patella.- Extensor Mechanism Alignment.- The Intraoperative Assessment of Patellar Tracking.- Benefits and Pitfalls of Lateral Patella Release.- Proximal Patellar Realignment for RecurrentPatellar Instability.- Distal Realignment for Recurrent Patellar Instability.- Evaluation of the Painful Total Knee Arthroplasty.- Clinical Evaluation.- Imaging of the Painful TKR.- Arthroscopic Management of Problematic Total Knee Arthroplasty.- Revision Arthroplasty.- Component Removal.- Three-Step Technique for Revision Total Knee Arthroplasty.- Management of Bone Loss in Revision Arthroplasty.- General Concepts.- Classification of Bone Defects.- Bone Defects.- Bone Defects.- Bone Defects.- Fixation Techniques in Revision Knee Arthroplasty.- Cemented Revision Knee Arthroplasty.- Cementless Fixation.- Press-Fit Stem Fixation.- Infection.- Single-Stage Revision of Infected Total Knee Replacement.- Two-Stage Reimplantation.- Evolution and Design Rationale of the PROSTALAC Knee System in the Management of the Infected Total Knee Prosthesis.- Alternative Procedures for the Management of an Infected Total Knee.- Extensor Mechanism Dysfunction.- Patellar Fracture.- Acute and Chronic Rupture of the Quadriceps Tendon Treated with Direct Repair.- Reconstruction of the Extensor Mechanism with an Allograft Following Total Knee Arthroplasty.- Management of Patella Tendon Disruptions in Total Knee Arthroplasty.- Revision of Loose Patellar Components.- Revision of Metal-Backed Patellar Components.- Patellar Dislocation.- Management of Periprosthetic Fractures.- Femoral Periprosthetic Fractures: Nonoperative Treatment.- Femoral Periprosthetic Fractures: Rush Rods.- Femoral Periprosthetic Fractures: Retrograde Intramedullary Nail.- Femoral Periprosthetic Fractures: Blade Plates Fixation.- Revision of Periprosthetic Femur Fractures.- Classification of Periprosthetic Tibial Fractures.- Tibial Periprosthetic Fractures: Nonoperative Treatment.- Tibial Periprosthetic Fractures: Open Reduction Internal Fixation.- Revision Arthroplasty for Tibial Periprosthetic Fractures.- Special Situations.- Total Knee Arthroplasty Following High Tibial Osteotomy.- Total Knee Arthroplasty after Supracondylar Femoral Osteotomy.- Total Knee Replacement after Maquet Osteotomy.- Total Knee Arthroplasty after Patellectomy.- Total Knee Arthroplasty for Patients with Prior Knee Arthrodesis.- The Effect of Extra-Articular Deformity on the Tibial Component.- Total Knee Replacement with Associated Extra-Articular Angular Deformity of the Femur.- The Effect of Extra-Articular Deformity on the Femoral Component.- Total Knee Replacement with Associated Extra-Articular Angular Deformity of the Tibia.- Postoperative Management.- Rehabilitation.- Postoperative Pain Management.- The Stiff Knee.- Deep Vein Thrombosis (DVT) and Total Knee Arthroplasty.