--- Overview ---

Written by authors who have performed more than 800 total knee and hip replacement surgeries, this full-color book offers step-by-step guidance on this type of procedure
Hip and knee replacement surgery can improve the quality of life significantly in a wide variety of conditions and disorders, but total knee and hip replacement surgeries are special operations. The surgeons require the highest order of aseptic precaution, surgical skill, and a team of specialists in preoperative, perioperative, and postoperative techniques and protocols. This book fully explains step-by-step procedures and precautions to be observed in undertaking this kind of surgery. Full-color photographs and a DVD of surgical procedures enhance the book's usefulness.

--- Biographical note ---

Ajit Kumar Mehta, MBBS, D Ortho, MS (Ortho), is Consultant Orthopedic Surgeon, Orthopedic and Joint Replacement Centre, Jagjivan Ram Hospital, Mumbai, India.

Contents
Chapter 1—Introduction 1
• History and clinical examination 1
• Investigations 2
• Physiotherapy, education and training 3
• Consent for surgery 3
• Patient andrelative’s signature for risk/benefit ratio 4
• Preoperative planning for TKR 4
• Arrangement of neurovascular structures around the knee 6
• Blood supply to the knee 6
• Preparation of the patient for surgery and arranging blood 7
Chapter 2—Total Knee Replacement (Cruciate-Substituting Fixed Bearing TKR) 8
• Tourniquet application 8
• Positioning 8
• Scrubbing 8
• Draping 9
• Incision 10
• Tibial cut 11
• Femoral cuts 12
• Resurfacing of patella 21
• Tibial preparation 23
• Cementing 24
• Application of tibial insert 27
• Wound closure 28
• Postoperative advice 28
• Follow-up schedule 34
• Assessment during follow-up 34
Chapter 3—Difficult Situations and Important Points 36
• Total knee replacement (TKR) in difficult situations 36
• Post HTO TKR 45
• Important points 49
• Take care of (precautions to prevent peroperative complications) 52
• Avoid silly mistake 53
• Contraindications of TKR 53
• Ideal indicated patients for successful TKR 53
• Complications 53
• Implants and cement required for primary TKR 54
• Summary of TKR (steps in sequence) 55
• Instruments required for TKR 56
Chapter 4—Rotating Platform High Flexed TKR (RPF) 59
• Fixed bearing versus mobile bearing TKR (RPF) 59
• Instruments required for RPF TKR 63
Chapter 5—Management of Complications after TKR 64
• Periprosthetic fracture 64
• Infection 66
• Knee arthrodesis with LRS in cases of infected TKR 71
• Aseptic loosening 75
• Revision TKR 76
• Implants required for revision TKR 86
• Instruments required for revision TKR 87
Chapter 6—OT Setup for Joint Replacement Surgery 89
• Introduction 89
• Vertical laminar flow ventilation 90
• Prevention of infection 91
Chapter 7—Total Hip Replacement 92
• Preoperative planning 92
• Positioning — Lateral position 101
• Draping 102
• Posterior approach 103
• Cemented THR (C-stem) 104
• Instruments required for cemented THR (C-stem) 110
• Features of triple taper C-stem 111
• Bone cements 112
• Uncemented THR (Summit stem) 115
• Combinations in hip replacement 123
• Assessment during follow-up 128
• Instruments required for uncemented THR (Summit stem) 130
• Implants and cement required for cemented THR (C-stem) 131
• Implants required for uncemented THR (Summit stem) 131
• Implants required for metal on metal, Articulating surface replacement (ASR) 132
• Instruments required for metal on metal, ASR and Pinnacle 133
• Implants for metal on metal or ceramic on ceramic, Pinnacle cup and head 134
• Different measurements of femoral stem 134
• Features of summit tapered hip system 135
• Important points 136
• Summary of THR (Steps in sequence for cemented and uncemented) 143
• Proxima hip 144
• Proxima instruments 147
• Proxima implants 147
Chapter 8—Patient’s Guide to Arthritis and Joint Replacement 148
Chapter 9—High Tibial Osteotomy by Hemicallotasis Using a Dynamic Axial Fixator 151
Bibliography 171
Index 175