Rothman Institute Manual of Total Joint Arthroplasty


Book Description

This book is a complete guide to total joint arthroplasty for orthopaedic surgeons presented as a collection of key protocols for surgery. Divided into four sections, the text begins with preoperative considerations, covering patient evaluation, clinical examination, indications, and implant selection. The following section provides step by step guidance on the complete range of arthroplasty techniques and associated procedures. Section three covers postoperative management such as wound care, transfusions, physical therapy, medication, and much more. The final chapters in the book discuss the management of numerous potential complications. Edited by an internationally recognised team of experts, led by Javad Parvizi from the renowned Rothman Institute in Philadelphia, this comprehensive guide is enhanced by surgical images and diagrams to assist learning. Key points Comprehensive guide to total joint arthroplasty for orthopaedic surgeons Presented as collection of key protocols for surgical procedures Provides step by step guidance from preoperative considerations, to surgical techniques, postoperative management, and complications Edited by internationally recognised experts from the Rothman Institute




Volume 45, Issue 4, An Issue of Orthopedic Clinics


Book Description

Each issue of Orthopedic Clinics offers clinical review articles on the most cutting edge technologies, techniques, and more in the field. Major topic areas include: adult reconstruction, upper extremity, pediatrics, trauma, oncology, hand, foot and ankle.




Total Knee Arthroplasty


Book Description

This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care.




Robotics in Knee and Hip Arthroplasty


Book Description

This state-of-the-art book focuses specifically on the current and emerging uses of robotics for knee and hip arthroplasty, with an expanding market anticipated, particularly as costs drop, data emerges and surgical efficiencies improve. It is divided into four main sections. Part one covers the background and basic principles of robotics in orthopedic surgery, discussing its history and evolution, current concepts and available technologies, perioperative protocols for recovery and pain management, economic considerations, and risks and complications. The second and third parts focus on the techniques themselves for the knee and hip respectively, including unicompartmental and bicompartmental knee arthroplasty, patellofemoral arthroplasty, and total knee and hip arthroplasty utilizing Navio, Mako, iThink, Omni and ROSA Knee robots. The final section presents the emerging use of robotics in spine surgery as well as for hospital process improvement. Presenting the most current techniques, technology and evidence, Robotics in Knee and Hip Arthroplasty will be a valuable resource for orthopedic surgeons, residents and fellows looking to implement and utilize these developing management strategies in their clinical practice.




Periprosthetic Joint Infection: Practical Management Guide


Book Description

This book Periprosthetic Joint Infection is a portable guide to the practical management of surgical site infections following orthopedic procedures. It designed to help answer clinician's questions regarding the prevention and treatment of periprosthetic infections. It organized for rapid review, featuring evidence reviews, pitfalls, Rothman Institute Current Practices and Controversies. The guide is being included in the course materials for the 29th Annual Current Concepts in Joint Replacement® (CCJR) meeting thanks to a generous educational grant from 3M Health Care.




Surgical Techniques in Total Knee Arthroplasty


Book Description

here, two well-known knee experts have assembled a group of leaders in the field to present a book encompassing the best techniques for total knee arthroplasty. Concise chapters cover indications, contraindications, complications, results, instrumentation, infection, preop planning, prosthetic choice, revision arthroplasty, and more -- with the emphasis on the best techniques and surgical "pearls". Supported by line drawings, intraoperative photographs and radiographs, this definitive volume will serve as the complete and quick reference on total knee arthroplasty.




Rapid Recovery in Total Joint Arthroplasty


Book Description

The approach to total hip and total knee arthroplasty is changing around the world. There is now a strong emphasis on a more rapid recovery and on more outpatient surgery. Each step of the process is now being modified with more thorough pre-operative evaluations, streamlined surgical approaches, rapid mobilization and faster return to normal activities. These changes place new pressures on all of the health care providers in the system. This unique text - the first of its kind - is a practical guide for each member of the clinical team with updates by the leading authorities from around the country. Each chapter addresses a specific issue and will outline the important new items that need to be addressed, very similar to a handbook. Topics covered include the implementation of new payment models and outcome measurements, recommendations to streamline the pre-, peri- and post-operative protocols, the utility and application of outpatient joint replacement programs, multimodal pain management and post-acute rehabilitation strategies. There is no publication at present that addresses all of these items together in one convenient place. Rapid Recovery in Total Joint Arthroplasty is written and edited by experienced clinicians and surgeons, sharing their years of experience to create a practical, up-to-date text useful for everyday work.




Complex Cases in Total Knee Arthroplasty


Book Description

Covering both primary and revision total knee arthroplasty (TKA), each technique-oriented chapter in this book opens with a clinical case and an overview of the challenges and multiple options for management, and each section within the chapter will describe the physical exam, surgical approach, clinical outcome and recent supporting literature. Chapters will utilize bullet points for quick reference and plentiful intra-operative photos to illustrate the various techniques described. Part one covers primary TKA, with cases demonstrating management strategies for the varus and valgus knee, flexion contracture, patellofemoral arthritis, and extra-articular deformity, among others, while part two covers revision TKA, with cases demonstrating acute infection, flexion and global instability, severe tibial and femoral bone loss, and periprosthetic fracture, among others. Written and edited by experts in the field, Complex Cases In Total Knee Arthroplasty: A Collection of Current Techniques will be a useful reference for orthopedic surgeons, residents and fellows as well as sports medicine specialists and anyone involved in surgical care of the knee.




Registries for Evaluating Patient Outcomes


Book Description

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.




Comprehensive Guide in Knee & Hip Arthroplasty


Book Description

Section 1: Science of Arthroplasty 1. How to Establish a Successful Arthroplasty Practice 2. Critical Surgical Anatomy for Safe Total Knee Arthroplasty 3. Surgical Anatomy for Total Hip Arthroplasty 4. Kinematics of Knee Arthroplasty 5. Biomechanics of the Hip Joint 6. Modern Cement Technology in Arthroplasty 7. Bearing Surfaces for Total Hip Arthroplasty: Material and Design 8. Mechanical Failure of Hard-on-Hard Bearings in Arthroplasty and Preventive Measures 9. Alternative Bearings in Total Hip Arthroplasty 10. Essential Knowledge about Polyethylene 11. The Science of Ligament Balancing 12. Scientific Basis for Unicompartmental Knee Replacement: Technical Implications 13. Thromboprophylaxis in Total Joint Arthroplasty 14. Patellofemoral Kinematics in Total Knee Arthroplasty Design 15. Understanding Mid-Flexion Instability in Total Knee Arthroplasty Section 2: Primary Knee Arthroplasty 16. Surgical Approaches to the Knee 17. Concepts Underlining Balancing in Total Knee Arthroplasty 18. Components Rotational Alignment in Total Knee Arthroplasty 19. Posterior Cruciate Ligament in Total Knee Arthroplasty: Balancing the Controversy 20. Algorithm for Dealing with Varus Deformity 21. Algorithm for Dealing with Fixed Flexion Deformity 22. Classification and Treatment Algorithm of a Valgus Knee 23. Total Knee Replacement in Valgus Knees: An Algorithmic Approach 24. Dealing with Severe Valgus Knee 25. Total Knee Arthroplasty after High Tibial Osteotomy 26. Total Knee Replacement in Complex Multiplanar and Segmental Knee Deformities 27. Rotating Mobile-bearing Total Knee Arthroplasty 28. High-flexion TKA: View through the Mist 29. Navigation in Total Knee Replacement 30. Extensor Mechanism Deficiency in Total Knee Arthroplasty 31. Patellofemoral Arthroplasty 32. Noncemented Primary Total Knee Arthroplasty 33. Current Role of Patient-specific Instrumentation in Total Knee Arthroplasty 34. UKA: The Mobile-bearing Option 35. Fixed-bearing Unicondylar Knee Arthroplasty 36. Minimal Invasive Unicondylar Knee Arthroplasty 37. Multicompartment UKR and ACL Reconstruction Section 3: Revision Total Knee Arthroplasty 38. Surgical Approaches for Revision Total Knee Arthroplasty 39. Evaluation of Painful Total Knee Arthroplasty 40. Management of Major Bone Defects in Revision TKR: Unility of Cones and Sleeves 41. Dealing with Bone Loss in Total Knee Arthroplasty 42. Knee Balancing in Revision Total Knee Arthroplasty 43. Rationale for Stem Extension Selection in Revision TKA 44. Management of the Disrupted Quadriceps Mechanism in Revision Total Knee Arthroplasty Section 4: Primary Total Hip Arthroplasty 45. Surgical Approaches for the Hip Replacement 46. Modern Cementing Techniques 47. Restoration of Center of Rotation and Balance of THR 48. Altered Hip Center in Total Hip Arthroplasty 49. Cemented Total Hip Arthroplasty 50. Cementless Stem: The Scientific Basis of Choice 51. Tapered Cementless Stem in THR 52. S-ROM in Primary and Revision THA: Technical Details and Surgical Tips 53. Cups and Diametric Considerations in Primary Total Hip Arthroplasty 54. Total Hip Arthroplasty for Developmental Dysplasia of the Hip 55. Total Hip Arthroplasty in High Grade Developmental Dysplasia of Hip 56. Role of Dual Mobility Cup in Total Hip Arthroplasty 57. Surgical Management of Hip Dislocations following Total Hip Arthroplasty 58. Minimally Invasive Surgery: Posterior Approach Variant 59. Bipolar Hip Arthroplasty 60. Total Hip Arthroplasty in Acetabular Fractures Section 5: Revision Total Hip Arthroplasty 61. Principles of Revision Total Hip Arthroplasty 62. Pathomecha