Curbside Consultation in Knee Arthroplasty : 49 Clinical Questions.

Cover -- Half Title -- Title Page -- Copyright Page -- Dedication -- Table of Contents -- Acknowledgments -- About the Editor -- Contributing Authors -- Foreword -- Section I: Preoperative Questions -- Question 1 How Do You Decide When a Patient Is "Ready" for a Total Knee Replacement? Is There a Downside to Waiting Until They Have More Severe Disease? -- Question 2 Management of Unicompartmental Osteoarthritis of the Knee -- Question 3 I Have a Patient With a Deformity of the Distal Femur and Arthritis of the Knee. Should I Do an Osteotomy to Correct the Deformity at the Time of Total Knee Arthroplasty? -- Question 4 If a Patient Has a Clearly Visible Calcified Vessel in the Posterior Aspect of Their Knee on the Preoperative Radiograph, Should I Use a Tourniquet? What About the Patient with a History of Prior Bypass Grafts? -- Question 5 Should My Patients Donate Blood Prior to Surgery? -- Question 6 When Do You Do a One-Stage Bilateral Total Knee Arthroplasty as Opposed to Staging Them? -- Question 7 Should the Patella Be Routinely Resurfaced at the Time of Total Knee Arthoplasty? -- Question 8 I Have a Patient Who Is Very Concerned About Their Range of Motion. Should I Use a High Flex Type Component? -- Question 9 I Have a 43-year Old Male Who Needs a Total Knee: Should I Use Highly Cross-linked Polyethylene as a Bearing Surface? -- Question 10 I Think My Patient May Have a Charcot (Neuropathic) Knee. Is This a Contraindication to Total Knee Arthroplasty? -- Question 11 I Am Considering Implementing a Teaching Class Prior to Surgery for My Patients. Is This Beneficial? What Topics Should be Covered? -- Section II: Intraoperative Questions -- Question 12 If a Patient Has Had Prior Surgery, How Do I Decide Where -- Question 13 If I Am Doing a Total Knee Arthroplasty and the Patella Does Not Seem to Track Well, What Should I Do?.

Question 14 How Do You Determine Appropriate Femoral Component Rotation at the Time of Surgery -- Question 15 How Do I Determine Tibial Component Rotation in Total Knee Arthroplasty? -- Question 16 How Do I Perform a Lateral Release? -- Question 17 The Femoral Component Sizing Guide Is Measuring Between Two Sizes. Should I Choose the Smaller or Larger Size? -- Question 18 What Is Flexion Instability and How Do I Prevent It During Total Knee Arthroplasty? -- Question 19 I Am Doing a Total Knee in a Patient With a Varus Deformity. I Have Done My Standard Release and the Knee Is Still Tight Medially. What Should I Do? -- Question 20 When Performing a Total Knee Arthroplasty in a Patient With a Valgus Deformity, What Structures Do You Release First? -- Question 21 If I Am Doing a Total Knee and It Is Too Tight in Extension, But Otherwise Feels Well Balanced, What Should I Do? -- Question 22 The Patella Measures 22 Millimeters Prior to Making My Osteotomy. How Much Bone Should I Remove? -- Question 23 What Should I Do If I Cut the MCL Intraoperatively? -- Question 24 When Do You Use Antibiotic-Loaded Cement? -- Question 25 Do You Inject the Capsule With Anything at the End of the Case in an Effort to Decrease Perioperative Pain? -- Section III: Postoperative Questions -- Question 26 I Have a Patient Who Is 2 Weeks Postoperative From a Primary Total Knee Arthroplasty and the Wound Is Draining. What Should I Do? -- Question 27 What Is the Best Method for Preventing Thromboembolic Events After Total Knee Arthroplasty? -- Question 28 In the Recovery Room My Patient Does Not Have a Distal Pulse in the Operative Leg. What Should I Do? -- Question 29 My Patient Has a Foot-Drop After Surgery. What Should I Do? -- Question 30 What Criteria Do You Use for a Manipulation Under Anesthesia?.

Question 31 I Have a Patient Who Fell 3 Months Postoperatively and Fractured Their Patella. Should I Try and Fix It? -- Question 32 I Have a Patient Who Tripped and Fell 3 Months After a Total Knee Arthroplasty and Has a Supracondylar Femur Fracture. What Is the Optimal Method of Treatment? -- Question 33 How Do You Manage Acute Extensor Mechanism Disruptions? -- Section IV: Revision Questions -- Question 34 How Do You Evaluate the Patient With a Painful Total Knee Arthroplasty? -- Question 35 What Is the Best Test for Diagnosing Periprosthetic Infection? -- Question 36 If I Am Doing a Revision Total Knee and Can't Seem to Get Adequate Exposure, What Should I Do? -- Question 37 When Doing a Revision Total Knee, Do You Start Reconstructing the Femur or Tibia First? -- Question 38 Should I Use Stems on All of My Revision Total Knee Components? -- Question 39 If I Use a Stem at the Time of a Revision Total Knee Arthroplasty, Should I Press-Fit the Stem or Cement It? -- Question 40 When Do You Use an Offset Stem During Revision Total Knee Replacement? -- Question 41 How Do You Handle Massive Bone Loss at the Time of Revision Total Knee Arthroplasty? -- Question 42 How Do I Decide If I Should Retain the Patellar Component at the Time Of Revision Total Knee Arthroplasty? -- Question 43 How Do You Manage the Patient With Severe Patellar Bone Loss at the Time of Revision Total Knee Arthroplasty? -- Question 44 How Do You Assess Joint Line Position at the Time of Revision Total Knee Arthroplasty? What Are the Clinical Consequences If It Is Elevated? -- Question 45 When Should I Use a Constrained Condylar Insert as Opposed to a Posterior Stabilized Insert? -- Question 46 How Should I Manage the Patient With Chronic Extensor Mechanism Deficiency Associated with a Total Knee Arthroplasty?.

Question 47 Do You Use Static or an Articulating Spacer for Resection Arthroplasty Prior to Reimplantation? -- Question 48 What Are Your Indications for a Knee Fusion? -- Question 49 How Do You Manage the Patient with an Unexpectedly Positive Culture at the Time of a Revision Total Knee Arthroplasty? -- Index.

Curbside Consultation in Knee Arthroplasty: 49 Clinical Questions provides quick answers to the thorny questions most commonly posed during a "curbside consultation" between orthopedic surgical colleagues.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.