By Paul A. Lotke, Jess H. Lonner, Paul A. Lotke MD, Jess H. Lonner MD
This quantity of the acclaimed Master thoughts in Orthopaedic Surgery sequence is now in its thoroughly revised and up to date 3rd variation. The world's ultimate specialists in knee arthroplasty describe their most well liked suggestions in step by step aspect, clarify the indicators and contraindications, determine pitfalls and strength issues, and supply pearls and counsel for bettering effects. The publication is carefully illustrated with full-color, sequential, surgeon's-eye view intraoperative photos, in addition to drawings that exhibit underlying anatomy.
This version has numerous new members drawn from emerging stars in orthopaedics. Highlights contain a brand new bankruptcy on minimally invasive systems, in addition to new strategies with smaller incisions, much less invasive arthrotomies, and use of navigation for greater precision. The revision surgical procedure part has been restructured for simpler access.
A spouse web site bargains the totally searchable textual content and a picture bank.
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Extra info for Master Techniques in Orthopaedic Surgery: Knee Arthroplasty
Sample text
Keblish PA. Valgus deformity in TKR: the lateral retinacular approach. Orthop Tra7181985;9:28. 4. Lootvoet L. Blouard E, Himmer 0, Ghosez JP. Complere knee prosthesis in severe genu valgum. Retrospective review of 90 knees surgically treated through the anterio-exremal approach. Acta Orthopaedica Belgica 1997;63:278--286. 5. Fiddian NJ, Blakeway C, Kumar A. Replacement arthroplasty of the valgus knee. A modified lateral capsular approach with repositioning of VaBtus lateralis. J Bone Joint Surg [Br]1998;80:859--861.
2-6). The deep synovial layer is incised from the patellar rim, performing the so-called coronal plane Z-plasty. This allows a larerallaya of synovial tissue that may be reattached to the medial portion of the lateral retinaculum, thus lengthening the lateral closure (Fig. 2-7). scalligament,. retaining about 50% of the fat pad with the patella tendon and 50% with the lateral sleeve, whk:h includes the lateral meniscus rim for increased soft tissue stability (Figs. 2-8 and 2-9). Distal Tubercle Elevation or Osteotomy The distal exteosion of the retinacular incision ends at Gerdy's tubercle and continues distally into the anterioc compartment fascia.
10 PART I Surgical Approaches advantage of miDimally invasive cutting blocks available to minimize the length of initial skin incisions and extent of our soft tissue exposure. A lateral retractor is placed along the lateral tibial plateau peripheral to the lateral meniscus at the junction between its anterior and middle thirds. If the lateral meDiscus has not been dissected off to this level, a 1- to 2-cm slit needs to be made with electrocmtery or a scalpeL This retractor is used through the entire operation for lateral exposure when the knee is flexed.