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Contributors
Foreword
Preface
Introduction - Knee Arthroplasty: Then, Now, and Tomorrow 1
1 The Effect of Health Care Reform on Total Joint Surgery 3
2 The Role of the Posterior Cruciate Ligament in Total Knee Design 9
3 The Role of the Posterior Cruciate Ligament in Design: Clinical Aspects 19
4 Gait Analysis and Total Knee Replacement 29
5 Posterior Cruciate Ligament: Retaining Designs and Results 37
6 Performance of Posterior Cruciate Ligament: Substituting Total Knee Arthroplasty 41
7 Low-Contact-Stress, Meniscal Bearing Knee Replacement: Design Concepts, Failure Mechanisms, and Long-Term Survivorship 47
8 Meniscal Knee Arthroplasty: Is There a Case for Its Use or Is It Simply an Alternative "Optimization of the Compromise"? 65
9 The Unicompartmental Knee Prosthesis and the Rotatory Gonarthrosis Kinematic 69
10 The Constrained Condylar Knee Prosthesis: An Alternative for the Valgus Knee in the Elderly 85
11 Cemented Total Knee Replacement 91
12 Application of Hydroxyapatite in Total Knee Arthroplasty 99
13 Malalignment and Malrotation in Total Knee Arthroplasty 115
14 Polyethylene Failure 123
15 Osteolysis Following Total Knee Arthroplasty 131
16 The Use of an Inset Patellar Implant in Total Knee Arthroplasty 147
17 Patellar Component in Total Knee Arthroplasty: Technical Considerations 153
18 Rush Rod Fixation of Supracondylar Fractures Above Total Knee Replacements 159
19 Tibial Fractures Below Total Knee Arthroplasty 163
20 Instrumentation in Revision Total Knee Arthroplasty 169
21 Ligament Balancing in Revision Total Knee Arthroplasty 179
22 Ligament Balancing in the Valgus Knee 183
23 Dealing with Flexion Contractures in Total Knee Arthroplasty: Bone Resection Versus Soft Tissue Releases 191
24 Autografting in Total Knee Replacement 203
25 Structural Allografting in Revision Total Knee Arthroplasty 209
26 Use of Distal Femoral Allografts in Revision Total Knee Arthroplasty 217
27 Imaging of Total Knee Replacements 227
28 Computerized Tomography in Total Knee Arthroplasty 235
29 Radionuclide Imaging 249
30 The Outcome Movement: What Is the Background? What Is the Role of the Orthopaedic Professional? 259
31 The Cost Effectiveness of Total Knee Arthroplasty 269
Subject Index 277