Evidence-Based Management of Complex Knee Injuries
Restoring the Anatomy to Achieve Best Outcomes
- 1st Edition - October 4, 2020
- Imprint: Elsevier
- Editors: Robert F. LaPrade, Jorge Chahla
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 1 3 1 0 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 1 3 1 2 - 2
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 1 3 1 1 - 5
The ultimate resource for sports medicine conditions involving the knee, Evidence-Based Management of Complex Knee Injuries is an up-to-date reference that provides… Read more
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Request a sales quoteThe ultimate resource for sports medicine conditions involving the knee, Evidence-Based Management of Complex Knee Injuries is an up-to-date reference that provides practical tools to examine, understand, and comprehensively treat sports medicine conditions in this challenging area. Using a sound logic of anatomy, biomechanics, lab testing, human testing, and outcomes analysis, editors Robert F. LaPrade and Jorge Chahla offer a single, comprehensive resource for evidence-based guidance on knee pathology. This unique title compiles the knowledge and expertise of world-renowned surgeons and is ideal for sports medicine surgeons, primary care physicians, and anyone who manages and treats patients with sports-related knee injuries.
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Uses a step-by-step, evidence-based approach to cover biomechanically validated surgical techniques and postoperative rehabilitation, enabling surgeons and physicians to more comprehensively treat sports medicine knee injuries.
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Covers the basic anatomy and biomechanics of the knee alongside more advanced objective diagnostic approaches and easy-to-follow treatment algorithms.
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Provides an easy-to-understand review of pathology with clear, concise text and high-quality illustrations.
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Demonstrates the importance and function of the ligaments and meniscus with exquisite anatomical illustrations and numerous biomechanical videos.
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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.
Sports medicine surgeons, primary care physicians, orthopaedic and family practice residents and fellows
- Cover image
- Title page
- Table of Contents
- Copyright
- List of Contributors
- Preface
- Dedication and Acknowledgments
- 1. Comprehensive Clinical Examination
- Introduction
- Clinical Examination Overview
- Patellofemoral Joint
- Tibiofemoral Joint
- Meniscus and Cartilage Injuries
- Functional Assessment
- Summary
- Section 1. Imaging of the Knee Joint
- 2. Plain Radiography of the Knee
- Introduction
- Radiographic Views of the Knee
- Trauma
- Pathological Conditions
- Surgical Considerations
- Summary
- 3. Magnetic Resonance Imaging of the Knee: Conventional and Novel Techniques
- MRI Basics
- Conventional MRI Techniques
- Quantitative and Advanced MRI Techniques
- Summary
- 4. Computed Tomography of the Knee Joint: Indications and Significance
- Three-Dimensional Modelling and Printing in the Complex Knee
- Computed Tomography in Trauma
- Computed Tomography Assessment of Bone Healing and Union
- Computed Tomography and Soft Tissue Injuries
- Primary Anterior Cruciate Ligament Reconstruction
- Revision Anterior Cruciate Ligament Reconstruction
- Multiligament Knee Injury and Computed Tomography
- Osteotomy and Computed Tomography
- Patellofemoral Joint Disorders
- Summary
- 5. Mechanical Malalignment of the Knee Joint: How and When to Address
- Introduction
- Normal Knee Alignment
- Biomechanics of the Knee
- Coronal Malalignment
- Sagittal Malalignment
- Clinical Assessment
- Radiological Assessment
- Choice of Realignment Procedures
- Results
- Summary
- Section 2. Ligamentous Pathology
- 6. Anterior Cruciate Ligament
- Anatomy
- Biomechanics
- Diagnosis
- Summary
- 7. Posterior Cruciate Ligament
- Introduction
- Demographic Characteristics
- Anatomy
- Diagnosis
- Treatment
- Postoperative Care
- Clinical Outcomes
- Summary
- 8. Repair and Reconstruction of the Superficial Medial Collateral Ligament and the Posteromedial Corner
- Introduction
- Anatomy
- Surgical Techniques
- Future Directions
- 9. Posterolateral Corner of the Knee
- Anatomy and Function
- Biomechanics
- Presentation of Injury
- Physical Examination
- Imaging
- Classification
- Nonoperative (Conservative) Treatment
- Surgical Treatment Options
- Outcomes
- Conclusion
- 10. Anterolateral Ligament and the Anterolateral Corner
- Introduction
- Anatomy
- Histology
- Biomechanics
- Diagnosis
- Treatment Algorithm
- Reconstruction Technique
- Outcomes
- Summary
- 11. Multiligament Knee Injuries
- Introduction
- Epidemiology and Injury Patterns
- Diagnosis
- Treatment
- Summary
- 12. Arthroscopic Primary Repair of the Cruciate Ligaments
- Introduction
- Treatment Algorithm
- Rehabilitation
- Outcomes
- Future Directions
- Conclusions
- Section 3. Meniscal Pathology
- 13. Meniscal Pathology: Meniscus Anatomy
- Introduction
- Gross Anatomy
- Associated Ligaments
- Vascular Anatomy
- Summary
- 14. Meniscus Biomechanics
- Introduction
- Meniscus Kinematics
- The Effects of Aging on the Menisci
- Conclusion
- 15. Meniscal Tears: Meniscectomy Versus Repair
- Introduction
- The ‘Routine’ Meniscectomy
- The Delayed Trend Towards Repair
- Indications for Meniscal Repair
- Common Tear Patterns
- Meniscal Repair With Sutures: Techniques
- Postoperative Rehabilitation Protocols
- Meniscal Repair Enhancement
- Failed Meniscal Repair
- Summary
- 16. Meniscal Root Tears
- Introduction
- Anatomy
- Biomechanics and Pathology
- Diagnosis
- Evaluation
- Clinical Diagnosis
- Treatment Algorithm
- Conclusions
- 17. Meniscal Radial Tears
- Introduction
- Pathoanatomy and Biomechanics
- Diagnosis
- Surgical Treatment
- Postoperative Management
- Results
- Summary
- 18. Meniscal Ramp Lesions
- Introduction
- Anatomy
- Biomechanics
- Diagnosis
- Treatment Strategies
- Summary
- 19. Meniscus Deficiency and Meniscal Transplants
- Introduction
- Patient Selection
- Graft Preservation and Preparation
- Surgical Technique
- Concomitant Pathological Conditions
- Outcomes
- Conclusions
- 20. Synthetic Meniscal Substitutes
- Introduction
- Tissue Engineering and the Meniscus
- 3D-Printed Meniscus
- Conclusions
- Under Investigation
- Summary
- Section 4. Cartilage and Subchondral Bone Pathology
- 21. A Basic Science Understanding of Cartilage Repair and Its Clinical Application
- The Osteochondral Unit and Biology of Cartilage Repair
- Pathology and Repair
- Basic Techniques of Osteochondral Grafting
- 22. Focal Chondral Injuries
- Introduction
- Microscopic Anatomy of Articular Cartilage
- Diagnosis
- Nonsurgical Management
- Surgical Treatment Algorithm
- Surgical Techniques
- Rehabilitation
- Clinical Outcomes
- Summary
- 23. OCD Injuries in the Paediatric and Adult Population
- Introduction
- Epidemiology
- Anatomy and Pathogenesis
- Natural History
- Patient History and Physical Findings
- Imaging and Diagnostic Studies
- Diagnosis and Classification
- Nonoperative Management
- Operative Management
- Summary
- 24. How to Manage the Active Patient with Osteoarthritis:: Biological Approaches
- Introduction
- Indications
- Platelet-Rich Plasma
- Bone Marrow Aspirate Concentrate
- Adipose-Derived Mesenchymal Stem Cells
- Alternative Therapies
- Orthopaedic Societal Statements on Orthobiologic Use for Osteoarthritis
- Conclusion
- 25. Osteonecrosis of the Knee
- Introduction
- Spontaneous Osteonecrosis
- Secondary Osteonecrosis
- Postarthroscopic Osteonecrosis
- Summary
- Section 5. Patellofemoral Disorders
- 26. Patellofemoral Anatomy and Its Surgical Implications
- Medial Patellofemoral Anatomy
- Conclusions
- 27. Treatment Algorithm in Patellofemoral Disorders: ‘Le Menu à la Carte’
- Patellofemoral Instability
- Summary
- 28. Tibial Tuberosity Osteotomies
- Introduction
- Clinical, Imaging and Arthroscopic Evaluation
- Tibial Tuberosity Osteotomy Biomechanical Effects
- Tibial Tuberosity Osteotomy Indications
- Indications of Anteromedialisation Tibial Tuberosity Osteotomy
- Outcomes in Pathological Conditions of the Patellofemoral Cartilage
- Indications of Medialisation Tibial Tubercle Osteotomy
- Outcomes in Patellofemoral Instability
- Anteromedialisation and Medialisation Tibial Tubercle Osteotomy Technique in Isolation
- Indications of Distalisation Tibial Tuberosity Osteotomy
- Outcomes in Patellofemoral Instability
- Distalisation Tibial Tuberosity Osteotomy Technique in Isolation
- Comments and Pearls on Other Tibial Tuberosity Transfer Procedures
- Rehabilitation
- Complications
- Summary
- 29. Pathological Torsion of the Lower Limb
- Intrinsic and Extrinsic Limb Factors
- Abnormal Limb Torsion Is Not a New Concept
- Physical Examination and Radiological Work-up for Torsion
- Surgical Details
- Surgical Steps and Tips for AO Proximal Femoral Rotational Osteotomy
- Postoperative Rehabilitation
- Results
- Conclusions
- 30. Lateral Patellar Instability:: Diagnosis, Treatment Algorithm, Conservative Approaches, Surgical Techniques, Outcomes, Rehabilitation and Future Directions
- Introduction
- Diagnosis
- Treatment
- Rehabilitation
- Outcomes
- Future Directions and Summary
- 31. Medial Patellar Instability: Primary and Iatrogenic
- Introduction
- Evaluation
- Imaging
- Noniatrogenic Medial Patellar Dislocation
- Iatrogenic Medial Patellar Dislocation
- Treatment
- Summary
- 32. Trochleoplasty
- Introduction
- Anatomy and Biomechanics of the Trochlea
- Clinical Evaluation and Diagnosis
- Imaging and Classification of Trochlear Dysplasia
- Role of Trochlear Dysplasia in Recurrent Patellar Instability
- Trochleoplasty Procedure
- Clinical and Radiographic Outcome After Trochleoplasty
- Summary
- Section 6. Extensor Mechanism Disorders
- 33. Injuries of the Patellar Tendon
- Pathological Conditions of the Patellar Tendon
- Conclusions
- 34. Quadriceps Tendon Injuries
- Epidemiology
- Anatomy, Biomechanics and Pathogenesis
- History and Physical Examination Findings
- Imaging and Diagnostic Studies
- Operative and Nonoperative Treatment
- Postoperative Management
- Clinical Outcomes
- Summary
- Acknowledgement
- Section 7. Knee Arthrofibrosis
- 35. Knee Arthrofibrosis: How to Prevent and How to Treat
- Introduction
- Pathophysiology
- Risk Factors
- Prevention of Arthrofibrosis
- Clinical Presentation
- Nonsurgical Management
- Surgical Treatment
- Outcomes
- Conclusion
- Section 8. Paediatrics
- 36. The Paediatric Knee
- Introduction
- Growth-Related Considerations
- Paediatric Knee Assessment
- Anterior Cruciate Ligament Ruptures
- Meniscal Injuries
- Patellar Instability
- Tibial Eminence Fractures
- Section 9. Miscellaneous
- 37. Miscellaneous Complex Pathological Conditions of the Knee
- Introduction
- Lateral Patellar Facetectomy
- Fabella Excision for Fabella Syndrome
- Arthroscopic Notchplasty
- Snapping Hamstring Syndrome
- Proximal Tibiofibular Joint Instability
- Patella Baja
- Summary
- Section 10. Perioperative Management
- 38. Intraoperative Management: Anaesthesia, Tourniquet, Tranexamic Acid, Blood Loss and Fluid Management
- Introduction
- Anaesthesia Considerations for Patients with Knee Injuries
- Intraoperative Fluid Management
- Management of Blood Loss During Complex Knee Surgery
- Summary
- 39. Preparing the Surgical Team for a Quick and Efficient Procedure
- Introduction
- The Importance of Orthopaedic Surgical Team Teamwork and Efficiency
- Defining the Orthopaedic Surgical Team
- Characteristics of a Highly Functional Orthopaedic Surgical Team
- General Orthopaedic Surgical Team Preparation: Day(s) Before Operating
- General Orthopaedic Surgical Team Preparation: Day of Operation
- Orthopaedic Surgical Team Preparation for Complex Knee Procedures
- Multiligament Knee Reconstructions
- Meniscus Repair Procedures
- Orthopaedic Surgical Team Surgical Preparation for Complex Knee Procedures: Summary
- 40. Postoperative Management
- Introduction
- Patient and Family Education and Expectations
- Pain Control
- Thromboprophylaxis
- Wound Care
- Complications
- Summary
- 41. Postoperative Rehabilitation Concepts
- Introduction
- Rehabilitation Phases
- Return-to-Sport Testing and Decision Making
- Summary
- Index
- Edition: 1
- Published: October 4, 2020
- Imprint: Elsevier
- No. of pages: 496
- Language: English
- Hardback ISBN: 9780323713108
- eBook ISBN: 9780323713122
- eBook ISBN: 9780323713115
JC
Jorge Chahla
Dr. Jorge Chahla is an Orthopedic Surgeon who specializes in the treatment of complex knee, hip, and other sports-related injuries. He is an Associate Professor in the Department of Orthopedic Surgery at Rush University Medical Center and serves as the Director of Biomechanical Research and of the International Fellowship Program. He is a Team Physician for the Chicago White Sox (MLB), the Chicago Bulls (NBA), and the Chicago Fire (MLS). Dr. Chahla completed several fellowships at the top programs in the United States. He is internationally recognized for his contributions to the field of sports medicine injuries through minimally invasive techniques as well as for being a pioneer in novel biological treatments. Dr. Chahla has a strong focus on joint preservation procedures and cartilage restoration techniques with more than 500 publications in prestigious scientific journals, over 50 book chapters, 8 edited books, and he presents his research both nationally and internationally at orthopedic conferences and meetings every year.
Affiliations and expertise
Assistant Professor of Orthopedic Surgery and Director of Biomechanical Research and of the International Fellowship Program, Rush University Medical Center, USARead Evidence-Based Management of Complex Knee Injuries on ScienceDirect