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Complications in Orthopaedics: Adult Reconstruction
- 1st Edition - March 10, 2022
- Editors: Stephen A. Thompson, Paul Maxwell Courtney, Yale A. Fillingham
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 2 4 3 7 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 2 4 3 8 - 5
One of the hallmarks of a master surgeon is the ability to navigate a wide variety of inevitable difficult situations in surgery, whether errors in judgment, technical mistakes, or… Read more
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Request a sales quoteOne of the hallmarks of a master surgeon is the ability to navigate a wide variety of inevitable difficult situations in surgery, whether errors in judgment, technical mistakes, or unavoidable outcomes. Under the leadership of series editor Dr. Stephen R. Thompson, the Complications in Orthopaedics series provides real-world guidance on recognizing and avoiding errors, as well as how to “course-correct” during surgery. In this volume, Drs. P. Maxwell Courtney, Yale A. Fillingham, and a team of expert surgeons describe the most common errors and complications of adult reconstruction surgery, focusing on the knee and hip and demonstrating practical solutions that are integral to improving patient outcomes.
Covers key topics such as Pain Management Following Total Hip Arthroplasty and Total Knee Arthroplasty, Achieving Balance and Stability During a Total Knee Arthroplasty, Unicompartmental Knee Arthoplasty, Neurovascular Injury in Total Hip Arthroplasty, Post-operative Periprosthetic Fractures in Total Hip Arthroplasty, Hip Preservation: Complications of PAO?, and many more.
Describes and offers solutions to the most common or most devastating errors and complications in the practice of adult reconstruction surgery, combining the breadth of knowledge of academic surgeons with the in-the-trenches skills of community surgeons.
Uses an easy-to-follow, standardized chapter format that covers preoperative errors, intraoperative issues, and postoperative complications.
Includes procedural video clips to reinforce discussions in the text.
Features a full-color design with numerous photographs, radiographs, and illustrations.
Includes introductory material on relevant anatomy and necessary background information.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Orthopaedic surgeons/ residents
- Cover image
- Title page
- Table of Contents
- Copyright
- Preface
- Acknowledgments
- Dedication
- List of Contributors
- Part 1. Introduction
- 1. Optimization for Total Hip Arthroplasty and Total Knee Arthroplasty
- Introduction
- Risk Factors and Optimization
- Who Should Be Offered Elective Total Knee Arthroplasty and Total Hip Arthroplasty?
- Selection for Outpatient Arthroplasty
- 2. Managing Medical Complications Following Total Joint Arthroplasty
- Introduction
- Venous Thromboembolism
- Lower Respiratory Tract Infections/Pneumonia
- Acute Kidney Injury
- Cerebrovascular Accident
- Myocardial Infarction
- 3. Pain Management Following Total Hip Arthroplasty and Total Knee Arthroplasty
- Introduction
- Pain Pathway
- Multimodal Analgesia
- Preoperative Phase
- Multimodal Analgesic Agents
- Intraoperative and Postoperative Phases
- Postdischarge Analgesia
- Analgesia for Revision Hip and Knee Surgery
- Conclusion
- 4. Avoiding Complications with Outpatient Total Hip and Knee Arthroplasty
- Introduction
- Preoperative Considerations—Patient Selection and Education
- Intraoperative Complications—Perioperative Protocols
- Postoperative Complications
- Early Postoperative Complications: Prevalence and Management
- Conclusion
- Part 2. Knee
- 5. Complications and Outcomes of Nonoperative Treatment Modalities in Knee Osteoarthritis
- Introduction
- Nonoperative Treatment Modalities: Strong Recommendation
- Nonoperative Treatment Modalities: Moderate Recommendation
- Nonoperative Treatment Modalities: Inconclusive Recommendation
- Nonoperative Treatment Modalities (Strong Recommendation Against)
- Postoperative Complications Associated With Nonoperative Treatment
- Ipsilateral Hip and Knee Osteoarthritis
- Creating Realistic Expectations
- Conclusion
- 6. Preoperative Planning for Total Knee Arthroplasty
- History
- Physical Exam
- Radiographs
- Surgical Principles
- Complex Primary Total Knee Arthroplasty
- Conclusion
- 7. Gaining Surgical Exposure in Total Knee Arthroplasty
- Introduction
- Preoperative Assessment
- Management of Previous Incisions
- Intraoperative Principles of Exposure
- Conclusion
- 8. Achieving Balance and Stability During a Total Knee Arthroplasty
- Introduction
- Preoperative Considerations—What Is Instability?
- Intraoperative Total Knee Arthroplasty Balancing
- Gap Balancing Versus Measured Resection
- Patellar Tracking
- Sagittal Plane Balance
- Strategies for Obtaining Coronal Plane Balance
- Considerations for Valgus Knees
- Considerations for Varus Knees
- The Role of Technology
- Conclusion
- 9. Ligamentous Injury in Total Knee Arthroplasty
- Introduction
- Preoperative Considerations
- Intraoperative Medial Collateral Ligament Injury
- Recognition and Assessment of the Ligament Injury
- Treatment Options
- Lateral Ligamentous Injuries
- Conclusions
- 10. Neurovascular Injury in Total Knee Arthroplasty
- Introduction
- Vascular Injuries in Total Knee Arthroplasty
- Nerve Injuries in Total Knee Arthroplasty
- Conclusion
- 11. Periprosthetic Knee Fractures
- Introduction
- Types of Periprosthetic Knee Fractures
- Incidence
- Treatment
- Outcomes
- Conclusion
- 12. Unicompartmental Knee Arthroplasty
- Introduction
- Preoperative Factors
- Intraoperative Complications
- Postoperative Complications
- Conclusion
- 13. Patellofemoral Arthroplasty
- Introduction
- Patient Selection
- Patellar Maltracking and Instability
- Tibiofemoral Disease Progression
- Other Complications
- Conclusion
- 14. Marlex Mesh Reconstruction of Extensor Mechanism Disruption in Total Knee Arthroplasty
- Introduction
- Intraoperative Extensor Mechanism Disruption
- Postoperative Extensor Mechanism Disruption
- Surgical Technique and Rehabilitation—A Case Example
- Tips for Marlex Mesh Reconstruction Technique
- Outcomes and Complications after Marlex Mesh Reconstruction
- Conclusion
- 15. Painful Total Knee Arthroplasty Workup
- Introduction
- History, Physical Examination, and Imaging
- Intrinsic Etiologies for Knee Pain Following Total Knee Arthroplasty
- Prosthetic Joint Infection
- Instability
- Aseptic Loosening
- Polyethylene Wear and Osteolysis
- Malalignment
- Arthrofibrosis
- Extrinsic Etiologies for Knee Pain Following Total Knee Arthroplasty
- Conclusion
- Part 3. Hip
- 16. Preoperative Planning for Total Hip Arthroplasty
- Introduction
- Preoperative Templating
- Conclusion
- 17. Complications of Exposures for Total Hip Arthroplasty
- Introduction
- Posterior Approach
- Transgluteal Approaches: Anterolateral and Direct Lateral
- Direct Anterior Approach
- Conclusion
- 18. Component Positioning and Stable Fixation in Total Hip Arthroplasty
- Introduction
- Preoperative Considerations
- Intraoperative Considerations and Complications
- Postoperative Considerations and Complications
- Summary
- 19. Total Hip Arthroplasty Instability
- Epidemiology
- Risk Factors and Prevention
- Diagnosis
- Treatment
- Summary
- 20. Neurovascular Injury in Total Hip Arthroplasty
- Introduction
- Nerve Injuries
- Vascular Injuries
- Considerations for Specific Approaches
- Conclusion
- 21. Intraoperative Periprosthetic Fracture During Total Hip Arthroplasty
- Background
- Preoperative Evaluation and Prevention
- Intraoperative Periprosthetic Fractures: Femur
- Management of Intraoperative Periprosthetic Fractures: Femur
- Intraoperative Periprosthetic Fractures: Acetabulum
- Management of Intraoperative Periprosthetic Fractures: Acetabulum
- Postoperative Management
- Conclusion
- 22. Troubleshooting the Direct Anterior Approach
- Introduction
- Preoperative Factors
- Operative Table Selection
- Intraoperative Complications and Their Management
- Conclusion
- 23. Postoperative Periprosthetic Fractures in Total Hip Arthroplasty
- Introduction
- Periprosthetic Femur Fractures
- Postoperative Risk Factors for Late Periprosthetic Fractures
- Periprosthetic Acetabular Fractures
- Conclusion
- 24. Workup of the Painful Total Hip Arthroplasty
- Preoperative Considerations
- Postoperative Considerations
- Osteolysis and Wear
- Recognizing Implants and Bearing Surfaces as Pain Generators
- Taper Corrosion
- Iliopsoas Tendonitis Diagnosis and Management
- Implant Loosening
- 25. Hip Preservation—Complications of Periacetabular Osteotomy
- Introduction
- Preoperative Factors
- Intraoperative Complications
- Postoperative Complications
- Conclusion
- Part 4. Hip and Knee Periprosthetic Joint Infections
- 26. Diagnosis and Definitions of Periprosthetic Joint Infections
- Introduction
- Diagnostic Tests
- Formal Definitions Related to Periprosthetic Joint Infection
- Conclusion
- 27. Management of Acute Periprosthetic Joint Infections
- Introduction
- Diagnosis of Acute Postoperative Periprosthetic Joint Infection
- Treatment of Acute Postoperative Periprosthetic Joint Infection
- One-Stage Exchange of Cementless Components
- Two-Stage Exchange
- Wound Management
- Conclusion
- 28. Management of Chronic Periprosthetic Joint Infection
- Introduction
- Treatment Options
- Conclusion
- 29. Antibiotics and Cement
- Introduction
- Polymethylmethacrylate (PMMA)
- Duration of Local Antibiotic Treatment
- Antibiotic-Loaded Bone Cement
- Choosing Antibiotics
- Heat-Stable Antibiotics in PMMA
- PMMA Spacers Versus Beads
- Antibiotic Dosing
- Duration of Elution/Two-Stage Revision
- Specific Antibiotics
- Conclusion
- 30. Antibiotic Spacer Techniques in Hip and Knee
- Introduction
- Medical Complications of Hip and Knee Spacers
- Surgical Complications of Hip and Knee Spacers
- Conclusion
- Index
- No. of pages: 336
- Language: English
- Edition: 1
- Published: March 10, 2022
- Imprint: Elsevier
- Hardback ISBN: 9780323824378
- eBook ISBN: 9780323824385
ST
Stephen A. Thompson
Affiliations and expertise
Medical Director, EMMC Sports Health
Eastern Maine Medical CenterPC
Paul Maxwell Courtney
Affiliations and expertise
Assistant Professor of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PennsylvaniaYF
Yale A. Fillingham
Affiliations and expertise
Assistant Professor, Department of Orthopaedic Surgery, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire