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 best specialists in knee arthroplasty describe their most well liked suggestions in step by step aspect, clarify the indicators and contraindications, establish pitfalls and power problems, and provide pearls and information for making improvements to effects. The e-book is carefully illustrated with full-color, sequential, surgeon's-eye view intraoperative pictures, in addition to drawings that show underlying anatomy.
This version has a number of new individuals drawn from emerging stars in orthopaedics. Highlights contain a brand new bankruptcy on minimally invasive tactics, 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 less complicated access.
A significant other site bargains the absolutely searchable textual content and a picture bank.
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Extra info for Master Techniques in Orthopaedic Surgery: Knee Arthroplasty
Sample text
14. Kelly MJ, Rumi MN, Kothari M, et al. Comparison of the vastus-splitting and median parapatellar approaches for primary mtal knee arthroplasty: a prospective, randomized study. J Bone Joint Surg Am 2006; 88:715-720. 15. Bathis H, Perlick L, Blum C, et al. Midvastus approach in mtal knee arthroplasty: a randomized. doubleblinded study on early rehabilitation. Knee Surg Sports Traumatol Arthrosc 2005;13:545-550. 16. Cila E, Giizel V, Ozalay M, et al. Subvastus versus medial parapatellar approach in total knee arthroplasty.
It is important to avoid unnecessary undermining. In previously operated knees, the existing incision should be incorporated and extended proximally and distally. If multiple incisions are present, select the most direct or latest. FIGURE 2·3 Skin incision follows the Q-angle and is slightly lateral to the midline. ally by separating the inner fascial sleeve from the vastus lateralis muscle. The band is released from the posterior femur and "finger stripped" to the posterolateral comer. A varus stress at the knee joint will ''bowstring" the tight fascial bands, allowing for a multiple punctme ''pie-crusting" lengthening under visual and digital control.
This study concluded that the subvastus approach does not provide any advantages compared with the midvastus approach with respect to the quadriceps femoris muscle strength in the early postoperative period, and actually caused significantly more pain postoperatively. REFERENCES 1. Langenbeck B von. Uber die Schussverietzungen des Huftgelenks. Arch Klin Chir 1874;16:263. 2. Insall JN. A midline approach to the knee. J Bone Joint Surg 1971;53:1584. 3. Hofmann AA, Plaster RL, Murdock LE. Subvastus (Southern) approach for primary total knee arthroplasty.
