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Controversies in Total Knee Replacement

Author: Richard S. Laskin
Published: January 2001
Publisher: Oxford University Press
ISBN: 0192630725
Hardcover Book
Number of Pages: 420
 
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Controversies in Total Knee Replacement


In the 35 years since the first knee replacement surgery was attempted, there have been numerous changes in teh way the prostheses are designed and the manner in which they are implanted. We are now in the fortunate position of being able to report that 95% of patients undergoing knee replacement report extraordinary relief of pain and the ability to return to an active and productive life. However, the field is not static and there remains areas of controversy. This book examines many of the controversial aspects of total knee replacement surgery. Each controversial issur is addressed in the format of a debate, with authors from either side of the controversy pitting one covering the values of knee replacement to society and tthe patient, and the other on the precise methodology of collecting and expressing outcome data. All of the contributors are international experts in their fields and jave lectured and written extensively. This book will help ensure that the knowledge of today can help to further improve the surgical results of tomorrow.


Table of Contents:


List of abbreviations
List of contributors
1 Total Knee Replacement is one of the most beneficial procedures both for patients and for society 1
2 The tibial component should routinely be modular and metal-backed rather than all polyethylene
3 The use of prosthetic augments is the optimal way to correct for bone defects during total knee replacement
4 The posterior cruciate ligament should routinely be salvaged during total knee replacement
5 Femoral rollback is obtainable and beneficial in the total knee patient
6 Two-stage exchange is the optimal treatment for an infected knee replacement
7 Acrylic cement is the method of total knee implants
8 The patella need not be resurfaced during total knee replacement
9 The optimal way to balance the flexion space is to externally rotate the femoral component
10 Aspirin is sufficient prophylaxis for deep venous thrombosis for most total knee patients
11 Unicompartmental osteoarthritis of the knee is best treated by an osteotomy rather than unicompartmental arthroplasty
12 Range of motion after total knee replacement can best be obtained using a CPM machine
13 Proximal release procedures are the optimal way of increasing exposure during total knee replacement
14 A fixed-bearing implant is optimal for most total knee replacements
15 Outcome measurement in total knee replacement
Index


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Controversies in Total Knee Replacement





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