Surgical Techniques to Avoid Patellar Maltracking in Total Knee Arthroplasty
Fig. 18.1 (a) In some ways the extensor mechanism under load is like a drawn bow: When the energy in the bow is released, the ends spring apart and the…
Trouble Shooting: Intraoperative MCL Injury
Lesion type Frequency* Cause Reference Femoral avulsion 1/48 – [8] 1/16 Osteopenic patient [3] Mid-substance 24/48 – [8] 1/8 Transection with saw during tibial cut [9] 7/7 Unknown, possibly due…
Postoperative Changes in Soft Tissue Balance
Author Year of publication Type of implant Preoperative knee alignment Method of stress Degree of knee flexion Stress direction Angles between the femoral and tibial components (degrees) Intraoperative 3 weeks…
Extensor Mechanism Rupture
Fig. 20.1 Blood supply to the extensor mechanism (From Pawar et al. [6]. With kind permission from Springer Science and Business Media.) Superior lateral genicular artery, inferior lateral genicular artery,…
Complicated Cases: Recurvatum and Severe Contracture
Fig. 11.1 Osteophytes removal with a curved osteotome Fig. 11.2 Release of the posterior capsule We can either use a custom femorotibial spreader or a femoral suspension device introduced in…
Valgus Knee: Severe Cases Included
Fig. 10.1 Anteroposterior and lateral X-rays of valgus knee demonstrating the biplanar (frontal and sagittal) bone wear of the lateral tibial plateau (red dotted lines) with distraction of the medial…
Measured (Anatomical Reference) Resection Technique for Cruciate-Retaining Total Knee Arthroplasty
Fig. 5.1 Resection of medial femoral osteophytes that placed the MCL under tension. Medial dissection of the tibia is minimized because only osteophytes need to be resected 5.3 Preparation of…
Five Quality Assurance Steps for Balancing a Kinematically Aligned Total Knee Arthroplasty
Fig. 8.1 A right femur (left) and kinematically aligned TKA (right) shows the relationships between the three kinematic axes of the knee and the joint lines of the distal and…
Operative Procedure for Primary TKR: How to Increase ROM
Fig. 12.1 Deep knee flexion activities including kneeling, squatting, and sitting cross-legged are considered crucial to people in this region (a) His Highness Sheikh Mohamed bin Zayed Al Nahyan and…