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Klappentext In the 35 years since the first knee replacement surgery was attempted, there have been numerous changes in the way the prostheses are designed and the manner in which they are implanted. We are now in the fortunate position of being able to report that 95% of patients undergoing kneereplacement report extraordinary relief of pain and the ability to return to an active and productive life. However, the field is not static and there remain areas of controversy. This book examines many of the controversial aspects of total knee replacement surgery. Each controversial issue isaddressed in the format of a debate, with authors from either side of the controversy putting their points of view and then responding to a series of questions, posed by the editor, who acts as the moderator of the discussion. In addition, there are two non-debate chapters, one covering the valuesof knee replacement to society and the patient, and the other on the precise methodology of collecting and expressing outcome data. All of the contributors are international experts in their fields and jave lectured and written extensively. This book will help ensure that the knowledge of today canhelp to further improve the surgical results of tomorrow. Zusammenfassung This work examines many areas of unresolved issues to do with total knee replacement. Authors from ether side of the controversy put their points of view and then respond to a series of questions. . Inhaltsverzeichnis Preface 1: Kaper and Bourne: Total Knee Replacement (TKR) is one of the most beneficial procedures for both patients and society 2: PRO: Victor CON: Crites and Ritter: The tibial component should be routinely modular and metal-backed rather than all polyethylene 3: PRO and CON: Sculco, Miric, Klein and MacAuley: The use of prosthetic augments is the optimal way for correcting bone defects during TKR 4: PRO: Munjal and Krackow CON: Haas and Saleh: The posterior cruciate should routinely be salvaged during TKR 5: PRO: Andriacchi, Dyrby and Alexander CON: Iwaki, Pinskerova and Freeman: Femoral rollback is obtainable and beneficial in the total knee patient 6: PRO: Windsor CON: Steinbrink: The optimal treatment for an infected TKR is a two-stage exchange revision 7: PRO: Insall and Scuderi CON: Bellemans: Acrylic cement is the method of choice for fixation of total knee implants 8: PRO: Hagena CON: Noble: The patella need not be resurfaced during TKR 9: PRO: Scuderi CON: Riese: The optimal way to balance the flexion space is to externally rotate the femoral component 10: PRO: Kofler and Lotke CON: Westrich: Aspirin is sufficient prophylaxis for DVT for most total knee patients 11: PRO: Hart CON: Brumby and Thornhill: Unicompartmental osteoarthritis of the knee is best treated by an osteotomy rather than unicompartmental arthroplasty 12: PRO: Rorabeck and Howell CON: Ward, Longjohn and Dorr: Range of motion after TKR can best be obtained using a CPM machine 13: Proximal release procedures are the optimal way of increasing exposure during TKRPRO: Lonner and Scott CON: Whiteside 14: A fixed bearing implant is optimal for most TKRsPRO: Wright CON: Beuchel 15: Outcome measurement in TKRDavis Epilogue ...
