Knee Arthroplasty Handbook: Techniques in Total Knee and Revision Arthroplasty

219 Pages·2006·2.44 MB·English

Knee Arthroplasty
Handbook
Knee Arthroplasty
Handbook
Techniques in Total Knee
and Revision Arthroplasty
Editors
Giles R. Scuderi, M.D.
Insall Scott Kelly Institute New York, New York
Alfred J. Tria, Jr., M.D.
Orthopaedic Center of New Jersey Somerset, New Jersey
With 75 Figures
3
Giles R. Scuderi, M.D. Alfred J. Tria, Jr., M.D.
Insall Scott Kelly Institute Orthopaedic Center of New Jersey
178 East 85thStreet 1527 State Highway 27, Suite 1300
New York, NY 10028 Somerset, NJ 08873 USA
Cover illustration: See Figure 7.7.
Library of Congress Control Number: 2005938493
ISBN-10: 0-387-30730-3
ISBN-13: 978-0387-307305
Printed on acid-free paper.
© 2006 Springer Science+Business Media, Inc.
All rights reserved. This work may not be translated or copied in whole or in part
without the written permission of the publisher (Springer Science+Business Media,
Inc., 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in con-
nection with reviews or scholarly analysis. Use in connection with any form of infor-
mation storage and retrieval, electronic adaptation, computer software, or by similar
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The use in this publication of trade names, trademarks, service marks, and similar
terms, even if they are not identified as such, is not to be taken as an expression of
opinion as to whether or not they are subject to proprietary rights.
While the advice and information in this book are believed to be true and accurate at
the date of going to press, neither the authors nor the editors nor the publisher can
accept any legal responsibility for any errors or omissions that may be made. The pub-
lisher makes no warranty, express or implied, with respect to the material contained
herein.
Printed in the United States of America. (BS/MVY)
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This book is dedicated to
our mentor,
John N. Insall, M.D.
(cid:1)
Preface
Knee Arthroplasty Handbook: Techniques in Total Knee and Revision
Arthroplastyhas been developed as a quick reference book for sur-
geons performing total knee replacement. Following completion of
our previous book, Surgical Techniques in Total Knee Arthroplasty,
we looked back retrospectively and condensed the material. We
selected chapters that have a direct bearing on the surgical tech-
nique, such as instrumentation, correction of deformity, implant
selection, revision arthroplasty and management of complications.
We feel that these selected chapters, left in their original format,
are an excellent summary of the topics at hand. The techniques are
completely up to date and the manual approach should make it
easier to obtain specific information in a minimal amount of time.
This text should be a valuable assistance to medical students and
residents who are attempting to develop an early expertise in total
knee arthroplasty.
Giles R. Scuderi, MD
Alfred J. Tria, MD
November 2005
Contents
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
1 The Basic Principles . . . . . . . . . . . . . . . . . . . . . . . . . 1
GILESR. SCUDERI
2 Instrumentation in Total Knee Arthroplasty . . . . . . . . 7
ALFREDJ. TRIA, JR.
3 Medial Release for Fixed-Varus Deformity . . . . . . . . . 25
DAVID J. YASGUR, GILESR. SCUDERI, and
JOHN N. INSALL
4 Lateral Release for Fixed-Valgus Deformity . . . . . . . . 41
FRANKIEM. GRIFFIN, GILESR. SCUDERI, and
JOHN N. INSALL
5 Flexion Contracture in Total Knee Arthroplasty . . . . . 57
PAULA. LOTKEand R.G. SIMON
6 Cement in Primary Total Knee Arthroplasty . . . . . . . . 70
ALFREDJ. TRIA, JR.
7 Cementless Total Knee Arthroplasty . . . . . . . . . . . . . . 80
AARONA. HOFMANNand DAVID F. SCOTT
8 Three-Step Technique for Revision Total Knee
Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
KELLY G. VINCEand DANIELA. OAKES
9 Classification of Bone Defects: Femur and Tibia . . . . 116
GERARDA. ENGH
10 Constrained Total Knee Designs for Revision
Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
JAMESRANDand WILLIAMMARTIN
11 Two-Stage Reimplantation for Infection . . . . . . . . . . . 150
GILESR. SCUDERIand HENRYD. CLARKE
x CONTENTS
12 Acute and Chronic Rupture of the Quadriceps Tendon
Treated with Direct Repair . . . . . . . . . . . . . . . . . . . . . 154
ROBERTE. BOOTHand FRANKP. FEMINO
13 Management of the Patella Tendon Disruptions in
Total Knee Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . 158
GILESR. SCUDERIand BRIANC. DE MUTH
14 Revision of Periprosthetic Femur Fractures . . . . . . . . 169
ROBERTE. BOOTHand DAVID G. NAZARIAN
15 Revision Arthroplasty for Tibial Periprosthetic
Fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
WAYNE G. PAPROSKY, TODD D. SEKUNDIAK, and
JOHN KRONICK
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
Contributors
ROBERTE. BOOTH, JR., M.D.
Chief of Orthopaedics
Pennsylvania Hospital
Philadelphia, PA, USA
HENRYD. CLARKE, M.D.
Attending Orthopaedic Surgeon
The Mayo Clinic
Scottsdale, AZ, USA
BRIANC. DEMUTH, M.D.
The Insall Scott Kelly Institute
Beth Israel Medical Center
New York, NY, USA
GERARDA. ENGH, M.D.
Associate Clinical Professor
University of Maryland Medical School
Baltimore, MD, USA
President
Anderson Orthopedic Institute
Alexandria, VA, USA
FRANKP. FEMINO, M.D.
Department of Orthopaedics
Pennsylvania Hospital
Philadelphia, PA, USA
FRANKIEM. GRIFFIN, M.D.
The Insall Scott Kelly Institute
Orthopedic Surgeon
Van Buran, ARK, USA
AARONA. HOFMANN, M.D.
Professor, Department of Orthopaedics
University of Utah
Salt Lake City, UT, USA
xii CONTRIBUTORS
JOHN N. INSALL, M.D. (1930–2000)
Clinical Professor of Orthopaedic Surgery
Albert Einstein College of Medicine
Bronx, NY, USA
Director and Founder
The Insall Scott Kelly Institute
New York, NY, USA
JOHN KRONICK, M.D.
Central DuPage Hospital
Winfield, IL, USA
PAULA. LOTKE, M.D.
Professor, Department of Orthopaedics
University of Pennsylvania Hospital
Philadelphia, PA, USA
WILLIAMMARTIN, M.D.
Department of Orthopaedic Surgery
Mayo Clinic
Scottsdale, AZ, USA
DAVID G. NAZARIAN, M.D.
Department of Orthopaedic Surgery
Pennsylvania Hospital
Philadelphia, PA, USA
DANIELA. OAKES, M.D.
Department of Orthopaedics
University of Louisville
Louisville, KY, USA
WAYNE G. PAPROSKY, M.D.
Department of Adult Joint Reconstruction
Rusk-Presbyterian-St. Lukes Medical Center
Chicago, IL, USA
JAMESALANRAND, M.D.
Department of Orthopaedic Surgery
Mayo Clinic
Scottsdale, AZ, USA
DAVID F. SCOTT, M.D.
Department of Orthopaedics
University of Utah
Salt Lake City, UT, USA