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This book provides a practical guide to the pathogenesis of common cardiac complications among senior total joint arthroplasty (TJA) patients. It features extensive guidance on how to use anatomical markers from advanced cardiovascular imaging modalities to determine potential high- and low-risk patients. There is extensive guidance to surgical orthopaedic professionals on the cardiovascular considerations within this patient group, while cardiologists are presented with the unique features of this surgery to cardiac management, Managing Cardiovascular Risk In Elective Total Joint Arthroplasty comprehensively details the available techniques for dealing with cardiac challenges encountered during TJA. It provides a valuable resource for all medical professionals involved in treating these patients and for medical trainees seeking to develop their understanding of this newly created field of medicine.

High patient satisfaction, rapid recovery times, and suitability for outpatient surgery make unicompartmental knee arthroplasty (UKA) an increasingly popular surgical option for treatment of isolated, medial and lateral compartment arthritis of the knee. Drs. Richard D. Scott and Vivek Shah impart their considerable expertise in Unicompartmental Knee Arthroplasty, providing orthopaedic surgeons and related clinical staff with the comprehensive, easy-to-read information needed to make the most of this innovative procedure in daily practice. - Offers in-depth operative and nonoperative coverage of partial knee replacement. - Presents focused information in a quick and easy-to-read format of bulleted summaries and practical advice based on the authors'experience. - Covers key topics such as evolving technology, lateral compartment arthroplasty, UKA in the middle-aged patient, UKA in the octogenarian, and prosthetic design considerations. - Features high-quality figures, radiographs, and photographs, as well as practical examples, tips, challenges, and recommendations throughout.

This book supplies all the information that the young orthopaedic surgeon needs to know when preparing to perform total or partial knee replacement for the first time and also provides more experienced surgeons with a comprehensive general update on the basics. After an opening section on anatomy and kinematics of the knee, patient management during the pre-, peri-, and postoperative phases is covered in detail with the aid of numerous illustrations. The final section considers postoperative patient evaluation, outcome measurements, and the value of registries. Readers will gain a sound understanding of the scientific basis underlying management decisions, of component design philosophies, and of the rationale for preferences such as mechanical alignment and ligament balancing. The pros and cons of a variety of management choices are explained, and guidance provided on patient selection. Surgical techniques are presented on high-quality videos and many tips and tricks are highlighted to help the inexperienced to cope with challenging situations.

Derived from Sam W. Wiesel and Todd J. Albert's four-volume Operative Techniques in Orthopaedic Surgery, this single-volume resource contains a comprehensive, authoritative review of a full range of joint reconstruction surgical procedures. In one convenient place, you'll find the entire Adult Reconstruction section, as well as relevant chapters from the Trauma section of Operative Techniques in Orthopaedic Surgery. Superb full-color illustrations and step-by-step explanations help you master surgical techniques, select the best procedure, avoid complications, and anticipate outcomes. Written by global experts from leading institutions, Operative Techniques in Joint Reconstruction Surgery, Third Edition, clearly demonstrates how to perform the techniques, making this an essential daily resource for residents, fellows, and practitioners.

A state-of-the-art, reader-friendly reference on hand arthroplasty from renowned global expertsRecent research suggests the lifetime risk of hand arthritis may be greater than 40%. Concurrently, advances in small joint arthroplasty have greatly improved the treatment and outcomes in patients following trauma or suffering from arthritis, joint stiffness, and instability of joints in the hand and wrist. Arthroplasty in Hand Surgery: FESSH Instructional Course Book 2020 provides in-depth coverage of the surgical reconstruction or replacement of these joints. Edited by renowned hand surgeons Stephan Schindele, Grey Giddins, and Philippe Bellemère, this unique resource features contributions from an international who's who of experts.Organized in five sections and 35 chapters, the generously illustrated book encompasses the full spectrum of modern arthroplasty techniques. Section one starts with discussions of the anatomy, biomechanics, and mode of action of the finger and thumb joints and concludes with an intriguing history of hand arthroplasty. Sections two to four cover the latest arthroplasty procedures to treat impaired joints of the fingers (including proximal interphalangeal and distal interphalangeal), thumb, and wrist, respectively. The last section discusses arthroplasty of the distal radioulnar joint.This highly practical resource is ideal for the review and reference of state-of-the-art arthroplasty techniques in hand surgery and essential reading for trainees and practicing orthopaedic surgeons and hand specialists.

As knee replacement surgeries continue to grow in number worldwide, the need for an authoritative and comprehensive reference in this key area is a must for today's orthopaedic surgeon. The Adult Knee: Knee Arthroplasty, Second Edition, brings together the knowledge and expertise of internationally recognized experts in the field in one convenient volume.

A reader-friendly overview of fundamentals in shoulder pathology and treatment from renowned experts!Shoulder problems comprise a significant percentage of orthopaedic practice, including trauma and sports related injuries. Synopsis of Shoulder Surgery by Uma Srikumaran and esteemed contributors provides a concise, well-rounded perspective on the surgical and nonsurgical management of a wide array of shoulder disorders.The opening chapters lay a solid foundation of knowledge, covering anatomy, physical examination of the shoulder, surgical approaches to the shoulder, imaging, and the use of diagnostic and therapeutic injections. Subsequent chapters succinctly discuss management of a comprehensive range of shoulder conditions, organized by the underlying type of pathology. The final chapters provide insightful pearls on shoulder rehabilitation and perioperative pain management.Key FeaturesConcise summaries of common shoulder pathologies and treatment optionsDiscussion of core procedures for rotator cuff disease, frozen shoulder, instability, osteoarthritis, clavicle and proximal humerus fractures, and thoracic outlet syndromeThe easy-to-digest bulleted format and wealth of illustrations enhance understanding of diverse shoulder problems and techniquesSuccinct presentation allows for quick review and use for board examination preparationThis is a must-have resource for orthopedic surgeons in training and advanced allied health personnel. Shoulder surgeons, physician assistants, and front line providers such as primary care and emergency room physicians will also find this book to be a useful resource.

The approach to total hip and total knee arthroplasty is changing around the world. There is now a strong emphasis on a more rapid recovery and on more outpatient surgery. Each step of the process is now being modified with more thorough pre-operative evaluations, streamlined surgical approaches, rapid mobilization and faster return to normal activities. These changes place new pressures on all of the health care providers in the system. This unique text - the first of its kind - is a practical guide for each member of the clinical team with updates by the leading authorities from around the country. Each chapter addresses a specific issue and will outline the important new items that need to be addressed, very similar to a handbook. Topics covered include the implementation of new payment models and outcome measurements, recommendations to streamline the pre-, peri- and post-operative protocols, the utility and application of outpatient joint replacement programs, multimodal pain management and post-acute rehabilitation strategies. There is no publication at present that addresses all of these items together in one convenient place. Rapid Recovery in Total Joint Arthroplasty is written and edited by experienced clinicians and surgeons, sharing their years of experience to create a practical, up-to-date text useful for everyday work.

Unicompartmental knee arthroplasty (UKA) - also known as unicondylar knee arthroplasty or partial knee replacement - is an excellent surgical option for the treatment of isolated medial, lateral and patellofemoral compartment arthritis of the knee, as long term results suggest high patient satisfaction and survivability that rivals total knee arthroplasty (TKA). These procedures are well-suited for rapid recovery protocols and outpatient surgery through well-structured surgical pathways. With demand increasing for knee arthroplasty, patients presenting sooner and at a younger age, and an ever-increasing interest from patients, surgeons and payors in outpatient surgery, the demand for unicompartmental arthroplasty is expected to increase significantly. This text will assist orthopedic surgeons, sports medicine specialists, residents and attendings in developing successful pathways for unicompartmental knee arthroplasty, divided into three thematic sections. Part one discusses the history, indications and patient selection for UKA, including how to manage patient expectations, as well as implant choices. Surgical techniques for UKA are presented in part two, both the medial and lateral sides, with discussion of mobile bearings, pain management, blood preservation strategies, and therapy options both before and after surgery. Complications and their prevention are presented in part three, including periprosthetic fractures and infection.Timely and practical, Unicompartmental Knee Arthroplasty will provide orthopedic surgeons and related clinical staff with all they need to know to bring this increasingly common technique into practice.

This book offers a concise review and international perspective on state-of-the art unicompartmental knee reconstruction procedures. To apply less invasive procedures resulting in fewer complications and shorter recoveries, it provides insights on patient selection, equipment design, and surgical techniques. Newer concepts such as the use of robotics and haptic surgery as well as outpatient surgeries are natural extensions of these surgeries. Long term outcomes along with complications and future directions are discussed as well. Partial Knee Arthroplasty presents an ideal resource for the occasional partial knee arthroplastic surgeon to the expert interested in international and contemporary advances in partial knee replacement.

Focusing exclusively on the older patient with poor bone quality, this unique book presents the indications, contraindications and common techniques – as well as the risks, benefits and outcomes – for utilizing arthroplasty for the treatment of fractures in this population, sensibly divided into four thematic sections. The incidence and burden of fragility fractures is presented in part one, with considerations of the influences of osteoporosis on both treatment and healing. The subsequent three sections cover upper extremity fractures, lower extremity fractures, and peri-articular nonunions, respectively. However, far from providing a simple “how-to” for the techniques discussed, the relevant current literature is presented as well as the common techniques employed in fracture management, allowing the reader to select the best approach for the specific patient presentation. In addition, chapters are included here that cover degenerative joint conditions not typically treated with total joint replacement.The treatment of fragility fractures is constantly evolving, and the aging population is consistently expanding, creating a strong need for clinicians who have experience with and exposure to the use of arthroplasty techniques as an option in their successful treatment. Written and edited by leaders in the field, Arthroplasty for the Treatment of Fractures in the Older Patient is an invaluable resource for orthopedic surgeons, residents and support staff who see and treat these increasingly common injuries.

The definitive book on reverse shoulder arthroplasty from leading orthopaedic shoulder surgeonsThis masterful book from top experts provides clinical insights on reverse shoulder arthroplasty gleaned from hands-on refinement of shoulder replacement techniques. Years of significant biomechanical and clinical research yielded invaluable knowledge that led to important improvements in functional outcome and implant durability. Among these refinements were stronger polyethylene derivatives, better ingrowth technology, and improved connection devices. As the durability and longevity of implant technology increased, younger active patients became suitable candidates for this procedure. In fact, RSA has played a pivotal role in making shoulder arthroplasty the fastest growing implant technology.In the first two sections, the authors take the reader through the history and evolution of RSA, followed by step-by-step surgical techniques for specific injuries and conditions. The next three sections discuss past and recent outcomes, complications, and rehabilitation. The last section covers special considerations including patient specific instrumentation, convertible humeral and glenoid components, and the future potential of stemless humeral technology.Key FeaturesThe latest trends in patient-specific components, guide systems, and instrument designThe use of RSA for rotator cuff repair, shoulder arthritis, and acute and complex fracturesIn-depth discussion of techniques to improve deltoid function, avoid impingement, and increase implant longevityClinical pearls on how to recognize and handle complications that occur: instability, infection, scapular notching, component loosening, glenoid and humeral bone loss, and RSA failureHigh quality videos and 300 superb illustrations further delineate techniquesThis book is a practical resource that enables learning complex procedures, putting them into practice, and handling complications should they arise. It is an essential tool for all orthopaedic surgeons who treat shoulder conditions.

Covering both acute post-operative and chronic complications following total hip arthroplasty (THA), this comprehensive clinical guide provides diagnostic and management strategies and techniques for orthopedic surgeons at every level. Utilizing a case-based approach, each condition is discussed in terms of its epidemiology, risk factors, and preventative measures, with a brief literature review providing evidence for the diagnosis and treatment each author selects. The first section covers acute post-operative complications, discussing peripheral nerve and vascular injuries, periprosthetic fractures and infections as well as thromboembolic events. The second section covers chronic complications including the more common complications such as recurrent dislocation and infection as well as rarer complications such as pelvic discontinuity. Aimed at the most efficient management of these often complicated conditions, Complications after Primary Total Hip Arthroplasty is a practical resource for orthopedic surgeons, residents and fellows working with patients having undergone hip replacement surgery.

Each issue of Orthopedic Clinics offers clinical review articles on the most cutting edge technologies, techniques, and more in the field. Major topic areas include: adult reconstruction, upper extremity, pediatrics, trauma, oncology, hand, foot & ankle, and sports medicine.

Focusing exclusively on reverse shoulder arthroplasty (RSA) techniques and devices, this plentifully illustrated text covers all aspects of this important and innovative treatment for shoulder pain and dysfunction. The book begins with a history of RSA followed by a thorough overview of the basic science and biomechanics of the shoulder. Indications for and clinical applications of RSA in a number of surgical interventions are then described, including the revision of failed shoulder arthroplasty, setting in cases of glenoid and humeral bone loss and rotator cuff tears. A whole section is then dedicated to various commercial devices with descriptive expert analysis of the design and implementation of each. An examination of the current economic value of RSA, including cost effectiveness and expected cost outcomes, comprises the final section. Reverse Shoulder Arthroplasty can therefore be read either from start to finish, allowing orthopedic surgeons to appreciate the various perspectives offered, or by selecting specific topics of interest much like a “how-to manual” of either a particular device design or the treatment of a specific pathology.

This issue of Orthopedic Clinics will focus on the most common complications that arise in orthopedic surgery. Articles to be included will cover pediatrics, trauma, upper extremity, adult reconstruction, and foot and ankle.

The replacement of a degenerated joint such as the hip and knee is one of the most outstanding interventions that allows the medical community to restore the patient's quality of life. However, today's patient is increasingly younger and more active and this presents a challenge for the orthopaedic community as a greater demand has been created for a longer lasting artificial joint that can allow the patient to maintain their lifestyle and thus new approaches in biotribology have been focused on this area of research.This invaluable book provides a broad introduction to the boundary conditions, developments and latest research activities already available to the surgeon and offers an insight into solutions being developed for new high performance bearings in joint replacements. The contributors are leading experts in their field and this is the first complete volume to bring together such unique insights. Orthopaedic engineers, surgeons and researchers concerned with new biomaterials would find this a vital reference volume to evaluate the latest state of research in the area.

Chegou Insall & Scott - Cirurgia do Joelho 5ª Edição. Além da obra impressa, aproveite a maior biblioteca em vídeo sobre joelho na versão online do livro (mais de 160 vídeos), fotografias detalhadas intraoperatórias, atualizações trimestrais e um glossário de modelos de RTJ fazem desta referência multimídia a fonte para alcançar os resultados ideais.Obtenha tudo que você precisa saber sobre os aspectos científicos básicos e clínicos das cirurgias do joelho, bem como as informações relevantes mais recentes, incluindo biomecânica, imagem, tratamento do joelho na criança, tratamento não operatório da artrite do joelho, opções de tratamento para cartilagem articular, ressecção ou reparo do menisco, reconstruções ligamentares, osteotomias, substituição total ou parcial do joelho e tratamentocirúrgico de fraturas ou tumores do joelho.Domine as nuances de cada nova técnica através de instruções passo a passo, com desenhos detalhados, fotografias intraoperatórias e vídeos cirúrgicos.

This volume describes the most recent medical guidelines for perioperative management in arthroplasty with the aim of facilitating excellent control of bleeding/thrombosis, pain and infection. For each area – hemostasis control, pain control and infection control – hot topics of key practical importance are discussed and contrasting perspectives are presented on controversial issues, covering the views of different practitioners and specialties. Using the information contained in this book, the practitioner will be in an excellent position to meet the principal goals of perioperative medical management. The information provided will assist in the choice of a multimodal guideline that minimizes the complication rate regarding bleeding and thromboembolism while not interfering with the patient's recovery. Similarly, effective means of pain control and an optimized pain control protocol are discussed with a view to shortening hospital stay and achieving functional milestones that meet the patient's expectations. Finally, host, wound and environmental factors relevant to infection and its prevention are explained, with discussion of the best means of prophylaxis, treatment and imaging. Surgeons, anesthesiologists and all medical practitioners and staff involved in the field of total hip and knee arthroplasty will find this book to be of value in their daily clinical practice. It will assist in the provision of enhanced medical management that ensures quicker recovery of the patient with fewer complications.

Each issue of Orthopedic Clinics offers clinical review articles on the most cutting edge technologies, techniques, and more in the field. Major topic areas include: adult reconstruction, upper extremity, pediatrics, trauma, oncology, hand, foot & ankle, and sports medicine.

This book is written for the users and designers of joint replacements. In its second extended edition it conveys to the reader the knowledge accumulated by the authors during their forty year effort on the development of replacement devices for the lower limb for the purpose of aiding the reader in their design and evaluation of joint replacement devices. The early chapters describe the engineering, scientific and medical principles needed for replacement joint evaluation. One must understand the nature and performance of the materials involved and their characteristics in vivo, i.e. the response of the body to implant materials. It is also essential to understand the response of the implants to applied loading and motion, particularly in the hostile physiological environment. A chapter describes the design methodology now required for joint replacement in the USA and EU countries. The remaining chapters provide a history of joint replacement, an evaluation of earlier and current devices and sample case histories of some of the authors'devices. The present second edition includes various additional case reports as well as a new chapter devoted to the shoulder.Drs. Buechel, an orthopaedic surgeon, and Pappas, a professor of Mechanical Engineering, are the designers of several successful joint replacement systems. The most well-known of these is the pioneering LCS knee replacement.

An increasing percentage of the population has at least one prosthetic joint. Imaging is required for both initial assessment and routine follow-up of the implant, and this book is intended as an informative and up-to-date guide to the subject. After an introductory section covering a range of background topics, the level of information offered by different imaging techniques in presurgical planning and postimplantation assessment is analyzed. The application of imaging to different joints is then carefully explored in chapters devoted to the foot and ankle, hip, knee, shoulder, and elbow, wrist and hand. In addition, two innovative chapters focus on periprosthetic DXA as the gold standard in monitoring implant survival and on the role of drug therapy in helping to ensure the durability of the prosthesis. A central feature of the book is its combination of the clinical and radiological perspectives; it will be of value to radiologists and orthopedic specialists, as well as residents inthese disciplines.

There are a variety of protocols that are used in infected total joint arthroplasty. This book outlines and details the best possible course of treatment and formulate custom algorithms for every possible case, based on current evidence. It reviews current concepts and “recipes” for the diagnostic and therapeutic procedures (surgical and antibiotic) based on the type of implant, infection and the patient. This book is an essential resource on infected total joint arthroplasty, containing a series of logical and highly detailed instructions that will serve to educate orthopedic surgeons operating in this field on the best approaches, according to detailed and careful research conducted over the last decade.

The intervertebral disc is a complex structure that separates opposing vertebrae, permits a wide range of motion, and accommodates high biomechanical forces. Disc degeneration leads to a loss of function and is often associated with excruciating pain.Written by leading scientists and clinicians, the first part of the book provides a review of the basic biology of the disc in health and disease. The second part considers strategies to mitigate the effects of disc degeneration and discusses the possibility of engineering replacement tissues. The final section is devoted to approaches to model normal development and elucidate the pathogenesis of degenerative disc disease using animal, organ and cell culture techniques. The book bridges the gap between the basic and clinical sciences; the target audience includes basic scientists, orthopaedists and neurologists, while at the same time appealing to the needs of graduate students, medical students, interns and fellows.

Künstliche Gelenke für Schulter, Hüfte, Knie, Sprunggelenk – in Deutschland werden jährlich ca. 200.000 Menschen mit Endoprothesen versorgt.Die 3., vollständig überarbeitete und aktualisierte Auflage des Fachbuchs stellt die Endoprothetik und ihr Zukunftspotenzial umfassend dar. Es informiert Kliniker und niedergelassene Mediziner umfassend und praxisbezogen über Indikationen und Kontraindikationen, Pro und Kontra verschiedener OP-Verfahren, Art und Material von Endoprothesen, Schmerztherapie, Kosten, postoperative Probleme, Infektionen, Risiken, notwendige Medikamente, die Dauer der Medikation sowie die postoperative Betreuung der Patienten. Das bewährte Layout mit zahlreichen farbigen Abbildungen und einer farblich unterlegten Marginalspalte hilft dem Leser, den Text im Schnellverfahren zu erfassen.

“Arthroplasty Around the Wrist,” by Marwan Wehbe, MD, will cover many of the procedures involved with wrist replacement and some techniques that don't require implants. One article, “Thumb CMC Arthroplasty without Implants, from Anchovy to LRTI” reviews all methods to correct thumb arthritis, (anchovy is actually a rolled tendon that looks like an anchovy). Another article details a new way to fix thumb arthritis without any implants. I'll encourage Dr. Wehbe and contributors to submit videos of procedures.

Based on an interdisciplinary approach that directly bridges orthopedic concepts to surface science, this book details cutting-edge research in bioceramics science, physical chemistry, biomedical optics, and nanomechanics. The book cites some of the more conventional spectroscopic characterization techniques-including Raman and cathodoluminescence

Tissue engineering as a technology and as a therapeutic has captured worldwide attention and commitmentbecause it has such potential in the care of humanity. Because we are not as yet able to craft robust three­ dimensional vascular and ductal structures to support the development of complex parenchymal organs, the initial focus of the field has been on thin tissues that can be nourished by diffusion alone.The best example of this class is cartilage. Thought by some to be a relatively simple tissue in the early days of tissue engineering, deep study of this tissue has shown it to manifest great complexity.Yearsof experimental and clinical effort have begun to untangle the clues that will allow us to reproducibly characterize, gener­ ate and clinically apply engineered cartilage with positive effects.World­ wide researchers and clinicians are intently focused on this goal and it has come time to step back and make a good assessment of our progress.

Online and in print, Insall & Scott Surgery of the Knee, edited by W. Norman Scott, MD, and 11 section editors who are experts in their fields, is your complete, multimedia guide to the most effective approaches for diagnosis and management of the full range of knee disorders affecting patients of all ages. From anatomical and biomechanical foundations, to revision total knee replacement, this authoritative reference provides the most up-to-date and complete guidance on cutting-edge surgical procedures, the largest collection of knee videos in one knee textbook. Expanded coverage and rigorous updates-including 40 online-only chapters-keep you current with the latest advances in cartilage repair and regeneration, allograft and autografts, computer robotics in total knee arthroplasty, and other timely topics. This edition is the first book ever endorsed by The Knee Society. Access the full text - including a wealth of detailed intraoperative photographs, a robust video library, additional online-only chapters, a glossary of TKR designs, quarterly updates, and more - at www.expertconsult.com. Get all you need to know about the clinical and basic science aspects of the full range of knee surgeries as well as the latest relevant information, including imaging and biomechanics; soft tissue cartilage; ligament/meniscal repair and reconstructions; partial and total joint replacement; fractures; tumors; and the arthritic knee. Master the nuances of each new technique through step-by-step instructions and beautiful, detailed line drawings, intraoperative photographs, and surgical videos. See exactly how it's done. Watch master surgeons perform Partial and Primary TKR, Revision TKR, Tumor Replacement, Fracture Treatment, and over 160 videos on the expertconsult.com. Find information quickly and easily thanks to a consistent, highly templated, and abundantly illustrated chapter format and streamlined text with many references and chapters appearing online only. Access the fully searchable contents of the book online at www.expertconsult.com, including 40 online-only chapters, a downloadable image library, expanded video collection, quarterly updates, and a glossary of TKR designs with images and text from various device manufacturers. Grasp and apply the latest knowledge with expanded coverage of cartilage repair and regeneration techniques, expanded ligament techniques in allograft and autografts, computer robotics in surgical prognostics, fitting and techniques in partial and total knee arthroplasty, and more. Consult with the best. Renowned knee surgeon and orthopaedic sports medicine authority Dr. W. Norman Scott leads an internationally diverse team of accomplished specialists-many new to this edition-who provide dependable guidance and share innovative approaches to reconstructive surgical techniques and complications management.

Künstliche Gelenke für Schulter, Hüfte, Knie, Sprunggelenk – das neue Fachbuch behandelt die Endoprothetik und ihr Potential für die Zukunft umfassend. Sie können sich für Ihr Operationsgebiet genau über Indikationen und Kontraindikationen, Pro und Kontra verschiedener OP-Verfahren, Art und Material von Endoprothesen, Schmerztherapie, Kosten, postoperative Probleme, Infektionen, Risiken, notwendige Medikamente, Dauer der Medikation und die postoperative Betreuung der Patienten informieren. Das durchgehend vierfarbige Buch steht für eine praxisrelevante und konkrete Informationsvermittlung. Es enthält eine farblich unterlegte Randspalte, die es ermöglicht, das Wesentliche im Schnellverfahren zu erfassen.

Endoprosthetic replacement of the elbow is an operation which is still rarely undertaken. It is indicated in chronic polyarthritic conditions and joint damage due to trauma. A considerable number of different prostheses are commercially available. In this unique collection of papers, the authors discuss methods, implantation techniques, and surgical results and complications. Particular emphasis has been placed on the complications related to the prostheses and surgical revision. In addition, alternative techniques are presented.

Partial Knee Arthroplasty helps you optimize outcomes using the latest best-practice techniques for this increasingly popular procedure. Drs. Keith R. Berend and Fred D. Cushner discuss recent advances and hot topics—such as custom guided implants, biologics, failed PKA, TKA conversion, and more—along with the challenges of choosing the right technique for each patient. The clear focus on surgical techniques, bulleted key points, and procedural videos online at www.expertconsult.com make this comprehensive, practical reference ideal for learning how to achieve the best results.Access the fully searchable text online at www.expertconsult.com, along with a gallery of procedural videos. Apply recent advances and best-practice techniques effectively thanks to global perspectives and analyses of surgical approaches. Improve patient outcomes with clear, direct, and focused coverage of surgical techniques. Find information quickly and easily with a bulleted format for convenient'at-a-glance'reference to key details and ease of use in a mobile environment.

Drs. Buechel, an orthopaedic surgeon, and Pappas, a professor of Mechanical Engineering, are the designers of several successful joint replacement systems. The most well-known of these is the pioneering LCS knee replacement. They have written this book for the users and designers of joint replacements. It is an attempt to convey to the reader the knowledge accumulated by the authors during their thirty five year effort on the development of replacement devices for the lower limb for the purpose of aiding the reader in their design and evaluation of joint replacement devices.The early chapters describe the engineering, scientific and medical principles needed for replacement joint evaluation. One must understand the nature and performance of the materials involved and their characteristics in vivo, i.e. the response of the body to implant materials. It is also essential to understand the response of the implants to applied loading and motion, particularly in the hostile physiological environment. A chapter describes the design methodology now required for joint replacement in the USA and EU countries. The remaining chapters provide a history of joint replacement, an evaluation of earlier and current devices and description of the design rationale for some of the authors devices with which the authors are, of course, quite familiar.

Künstliche Gelenke für Schulter, Hüfte, Knie, Sprunggelenk – das neue Fachbuch behandelt die Endoprothetik und ihr Potential für die Zukunft umfassend. Sie können sich für Ihr Operationsgebiet genau über Indikationen und Kontraindikationen, Pro und Kontra verschiedener OP-Verfahren, Art und Material von Endoprothesen, Schmerztherapie, Kosten, postoperative Probleme, Infektionen, Risiken, notwendige Medikamente, Dauer der Medikation und die postoperative Betreuung der Patienten informieren. Das durchgehend vierfarbige Buch erscheint in der Reihe „Leitfäden für Praktiker“, die für eine praxisrelevante und konkrete Informationsvermittlung steht. Bücher dieser Reihe enthalten eine farblich unterlegte Randspalte, die es Ihnen ermöglicht, das Wesentliche im Schnellverfahren zu erfassen.

The 10th Congress of the European Federation of National Associations of Ort- paedics and Traumatology (EFORT) is the most important combined congress of the national societies in Europe. At present a total of 36 societies are members of this organisation. The major goal of EFORT is to bring current knowledge of diseases and trauma of the musculoskeletal system to all European surgeons and additionally to welcome colleagues from all over the world to join us in sharing our daily work experience. In the scienti? c programme the instructional lectures form a very basic and imp- tant part of the Congress. In Vienna a total of 25 sessions are included in the p- gramme. The authors come from all over Europe and they discuss topics from many different? elds of trauma and orthopaedics. These lectures not only give the oppor- nity for us to be informed about various diseases, but they are also in? uenced by the authors'experience based on the treatment philosophy in their own country – again an opportunity to widen the European horizon. They are aimed at both the general orthopaedic surgeons and the young residents and trainees who want to widen their knowledge in different topics of orthopaedic and trauma surgery. As the chairman of the Local Organising Committee I thank all the authors for providing their presentation for publication in this volume. I also address my special thanks to Professor George Bentley for organising this edition.

Der künstliche Hüftgelenkersatz zählt zu den erfolgreichsten Behandlungen im orthopädisch-unfallchirurgischen Fachgebiet. Nach 10-15 Jahren Prothesenstandzeit kommt es jedoch in 3-8% zu Versagensfällen, die eine Wechseloperation notwendig machen. Da weltweit hunderttausende Hüftprothesen in den letzten 30 Jahren implantiert wurden und die Lebenserwartung der Bevölkerung stetig wächst, ist ein erhöhter Bedarf an Wechselendoprothetik, insbesondere der Pfanne, zu verzeichnen. Die Revisionsoperationen benötigen viel handwerkliche und wissenschaftliche Erfahrung, eine gute Logistik, ein hohes Maß an Prozesskoordination und nicht zuletzt einen hohen finanziellen Aufwand, um ein optimales Ergebnis für den Patienten zu erreichen. Dieses Buch gibt eine Antwort auf die Herausforderung „Pfannenrevision'. Dabei wurde darauf geachtet, nicht erneut einen Kongressband mit punktuellen Ergebnissen darzustellen. Stattdessen ist es den Herausgebern gelungen, einen umfassenden Überblick aus der Praxis der Pfannenrevisionen vorzulegen: Wissen zu bündeln, echte Behandlungsalternativen zu präsentieren und dem Operateur das Rüstzeug für den zielsicheren und bestmöglichen Operationsablauf mitzugeben.

New motion-preserving devices are revolutionizing spine surgery…but the learning curve for these operations is steep, and great attention must be given to patient and device selection and the perfect execution of each procedure. Only one reference spells out exactly how to perform these new techniques…and its peerless author team, comprised of key investigators involved in the devices'actual clinical trials, is uniquely qualified to help you get the best results! These global leaders in this area discuss the advantages and disadvantages of the full range of non-fusion technologies…and present the step-by-step, richly illustrated operative guidance you need to achieve optimal outcomes!Select the best device and approach for each patient!• cervical total disc arthroplasty• lumbar total disc arthroplasty• lumbar partial disc replacement: nucleus replacement• lumbar posterior dynamic stabilization: pedicle screw based• lumbar posterior dynamic stabilization: interspinous based• lumbar facet replacementProduce optimal outcomes with detailed advice on… • advantages and disadvantages of each option• indications and contraindications• patient selection• interpretation of imaging studies• surgical anatomy and biomechanics• surgical techniques• tips and pearlsSee how to perform each technique, thanks to step-by-step, full-color illustrations

State-of-the art techniques for shoulder replacement surgeryShoulder Arthroplasty: Complex Issues in the Primary and Revision Setting assembles the clinical knowledge of leading orthopedic surgeons treating patients with arthritic shoulders. The book presents practical approaches to surgically managing each type of arthritis, the challenges of revision surgery, and related complications during and following surgery. Chapters provide thorough descriptions of the physical examination, imaging, diagnosis, indications, surgical treatment, nonoperative treatments, therapeutic options, and outcomes.Features:Comprehensive discussion addressing everything from the latest techniques for arthroplasty to alternatives to total shoulder replacement Recommendations about how to avoid and manage common complications including infection, nonunion, malunion, instability, aseptic loosening, and soft tissue complications such as rotator cuff tears, impingement syndromes, and lesions Important coverage on the treatment of young arthritic patientsThis book is an essential reference for orthopedic surgeons, general surgeons, and residents in these specialties.

th ® Dear Colleague and Participant of the 12 International BIOLOX Symposium ® It is an honor for CeramTec to have the BIOLOX Symposium in Asia. The selection of Seoul, Korea as the site was a difficult one due to the fact that there are many wonderful location options in this dynamic and fast growing region of the world. The selection was made easier by the outstanding support of our Symposium Chairman, Prof. Chang, as well as the excellent airline service and meeting facilities present in Seoul. We hope that conducting the Symposium in this region will serve as a foundation for the increased recognition of the potential patient benefits to be derived from the use of ceramics and other alternative bearing technologies in Korea, China, India, Japan and the rest of the countries of the region. We are convinced that the high quality of the program organized by the scientific committee, the prestigious faculty assembled and your contributions as participants will serve as a catalyst in order to make this Symposium a very enlightening and worthwhile personal experience for all. In order to enhance the value of the experience we are pleased to include this proceedings book as an integral part of your registration materials. We hope that this written more complete version of the scientific program will allow you to carry home a more concise view of the Symposium presentations.

An instructional guide to 55 knee proceduresThis book is a concise instructional guide to surgical treatment of common knee injuries. It gives you the essential details of preoperative planning, technique, and postoperative management for more than 55 procedures for sports medicine injuries, adult knee reconstruction, and trauma. Expert contributors describe each technique in a straightforward and succinct fashion using a stepwise approach and easy-to-follow outline format. You will also find hundreds of exquisite graphics highlighting important concepts. Techniques for knee arthroplasty, quadriceps snip, ligament reconstruction, meniscus repair, total knee replacement, opening wedge osteotomy are provided. More than 350 high-quality illustrations demonstrating all operative steps, and'Pearls'and'Pitfalls'providing guidance for avoiding complications make this text the ultimate professional resource for orthopedic surgeons and other specialists treating knee injuries. It is also an outstanding review text for fellows, residents and students.

Der Erfolg in der Hüft- und Kniegelenkprothetik und die ungünstigen Langzeitergebnisse nach Arthrodese des oberen Sprunggelenkes haben das Interesse für den Kunstgelenkersatz des oberen Sprunggelenkes neu geweckt. Im Gegensatz zu den anfänglichen Lösungen berücksichtigen die neuen Implantate die Besonderheiten der Anatomie und Biomechanik des Sprunggelenkes, womit die Bandstrukturen die Führung und Stabilisierung des Gelenkes übernehmen können. Voraussetzung sind allerdings eine regelrechte mechanische Ausrichtung und Stabilität des Fußes. Erstmalig in der Literatur vermittelt dieses Werk einen umfassenden Einblick in die physiologischen und mechanischen Besonderheiten des arthrotischen Sprunggelenks und die damit verbundenen Möglichkeiten und Gefahren des prothetischen Ersatzes. Wichtige Erkenntnisse aus den Anfängen der Sprunggelenkprothetik wurden aufbereitet und leiten über in einem Überblick zum heutigen Stand. Zahlreiche eindrucksvolle Grafiken, Fotos und Abbildungen illustrieren das gesamte Buch.

Increasing success of arthroplasty of joints like the hip and knee along with concerns about the long-term outcomes of ankle arthrodesis has renewed interest in ankle arthroplasty. The new implants have been designed with attention to reproducing normal ankle anatomy, joint kinematics, ligament stability, and mechanical alignment. This publication will be the first comprehensive atlas on this topic and offers a unique physiological and mechanical characteristics of the ankle joint and of the selected total ankle system. Furthermore it will greatly enhance one's knowledge of this dynamic field and stimulate the scientific approach to management of end-stage arthritis of the ankle. It reflects the author's accumulated experience of the last decade with extended laboratory work on biomechanics of the ankle joint complex and more than 350 total ankle procedures. The atlas is well illustrated with many impressive figures, drawings and coloured pictures.