Rothman Institute Manual of Total Joint Arthroplasty

Javad Parvizi MD FRCS Professor, Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA William J Hozack MD Resident, Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA Peter F Sharkey MD Professor, Department of Orthopaedics, Riddle Memorial Hospital, Media, Pennsylvania, USA Gregory K Deirmengian MD Associate Professor, Department of Orthopaedic Surgery, Sydney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA

Section 1: Preoperative





Indications and Contraindications for Total Joint Arthroplasty
Preoperative Radiographic Evaluation
Consent: When and Where?
Perioperative Patient Evaluation
Additional Testing and Preoperative Consultation
Management of Preoperative Medications
Prehabilitation for Total Knee Arthroplasty and Total Hip Arthroplasty
Clinical Examination of the Hip
Clinical Examination of the Knee
Preoperative Nutritional Optimization
Smoking Cessation
Perioperative Optimization of the Diabetic Patient
Optimization of the Patient with Cardiopathy
Optimization of the Renal Failure Patient
Optimization of Chronic Obstructive Pulmonary Disease
Optimization of Sleep Apnea
Optimization of Anemia
Preadmission Testing and Preoperative Consultation
Preoperative Templating
Implant Selection for Total Hip Arthroplasty
Implant Choices in Total Knee Arthroplasty


Section 2: Perioperative





Intraoperative Deep Vein Thrombosis Prophylaxis
Multimodal Pain Management in Total Knee Arthroplasty
Multimodal Pain Management in Total Hip Arthroplasty
Peripheral and Neuraxial Blocks for Analgesia After Total Joint Arthroplasty: Indications and Techniques
Preoperative Antibiotics
Tranexamic Acid
Intraoperative Steroid Administration
Anesthetic Techniques in Total Joint Arthroplasty: Neuraxial Anesthesia
Anesthetic Techniques in Total Joint Arthroplasty: General Anesthesia
Skin Preparation
Tourniquet Use in Total Knee Arthroplasty
Operating Room Universal Precautions
Surgical Hand Antisepsis Practices
Operating Room Traffic
Draping
Direct Anterior Approach to Total Hip Arthroplasty
Surgical Approaches to Hip: Direct Lateral
Surgical Approaches: Posterior Hip
Medial Parapatellar Approach for Total Knee Arthroplasty
Subvastus and Midvastus Approach to the Knee
Unicompartmental Knee Arthroplasty
Patellofemoral Arthroplasty
Total Hip Arthroplasty in Patients with Metabolic Bone Disease
Total Hip Arthroplasty in Protrusio Acetabuli
Total Hip Arthroplasty in Patients with Proximal Femoral Deformity
Total Knee Arthroplasty for Patients with Severe Deformity
Antibiotic Cement
Computer-Assisted Total Knee Arthroplasty
Patient-Specific Instrumentation
Management of Vascular Complications: Hip
Management of Vascular Complications in Total Knee Arthroplasty
Surgical Drains
Wound Closure
Urinary Catheter in Primary Total Joint Arthroplasty
Surgical Dressing in Total Joint Arthroplasty
Postoperative X-rays (Hips and Knees)
Heterotopic Ossification Prevention


Section 3: Postoperative Management





Operative Note Dictation in Total Joint Arthroplasty
Postoperative Fluid Management
Venous Thromboembolism Prophylaxis for Total Joint Arthroplasty
Risk Stratification for Venous Thromboembolism After Total Joint Arthroplasty
Sleeping Aids After Total Joint Arthroplasty
Postoperative Gastrointestinal Complications
Routine Postoperative Laboratory Investigations
Postoperative Antibiotic Prophylaxis
Wound Care and Dressings
Transfusions
Fever Management
Oxygen Desaturation Management
Altered Mental Status and Postoperative Neurologic Abnormalities
Weight-Bearing After Total Joint Arthroplasty
Management of Urinary Retention After Total Joint Arthroplasty
Management of Cardiac Arrhythmias
Management of Diagnosed Deep Vein Thrombosis
Management of Diagnosed Pulmonary Embolism
Physical and Occupational Therapy After Total Knee Arthroplasty
Physical and Occupational Therapy After Total Hip Arthroplasty
Discharge Destination: Rehabilitation vs Home
Home Physical Therapy After Total Joint Arthroplasty
Discharge Pain Medications
Activity Modification After Total Hip Arthroplasty
Continuous Passive Motion for Rehabilitation After Total Knee Arthroplasty
Follow-Up Times and Goals After Total Joint Arthroplasty
Antibiotic Prophylaxis for Minor Procedures After Total Joint Arthroplasty
Restarting Medications


Section 4 Complications





Management of Wound Drainage After Total Joint Arthroplasty
Postoperative Blister
Postoperative Infection Investigation
Management of Acute Periprosthetic Hip Infection
Management of Acute Infection: Knee
Management of Chronic Infection
Management of Dislocated Hip: Early vs Late
Management of Intraoperative Fractures During Total Hip Arthroplasty
Management of Intraoperative Fractures During Total Knee Arthroplasty
Management of Periprosthetic Hip Fractures
Management of Postoperative Periprosthetic Knee Fractures
Management of the Swollen Limb in the Early Postoperative Patient
Management of Residual Leg Length Discrepancy After Total Hip Arthroplasty
Management of Stiff Knee After Total Knee Arthroplasty
Management of Painful Total Knee Arthroplasty
Management of Neurologic Deficit: Hip
Management of Neurologic Deficit: Knee