Total Knee Replacement: Medial Release via Osteotomy Gerard A. Engh The traditional method of managing severe varus deformity involves extensive stripping of soft tissue from the tibia. Medial ligament release…
12 Articular Cartilage Paste Grafting Kevin R. Stone, Ann W. Walgenbach Articular cartilage lesions left alone fail to heal. Although many may be asymptomatic, those lesions that cause pain are…
23 Meniscal Injuries/Repair: Staples F. Alan Barber The surgical effort to repair a meniscus rather than remove it recognizes the importance of this structure. The importance of the meniscus in…
18 Surgical Atlas of the Knee Ligament Injuries: Revision of the Failed Anterior Cruciate Ligament Reconstruction Michael J. Patterson, Lawrence J. Patterson Patient Presentation and Symptoms With approximately 50,000 anterior…
19 Meniscus Repair: Outside-In Technique John J. McCrosson Patient Presentation and Symptoms Patients with meniscus tears frequently present with pain and mechanical symptoms such as “clicking” or “popping.” There may…
Total Knee Replacement: Patella Tendon Rupture—Acute Gerard A. Engh The patellar tendon insertion to the tibial tubercle may be compromised by difficult surgical exposures needed in total knee arthroplasty. Releasing…
15 Ligament Injuries: Anterior Cruciate Ligament with Quadriceps Tendon Reconstruction Walter R. Shelton Patient Presentation and Symptoms A 17-year-old male basketball player presents with a swollen, painful knee after sustaining…
Total Knee Replacement: Pearls of Posterior Cruciate Ligament Preservation Richard D. Scott Indications The posterior cruciate is present (although not necessarily normal) in 99% of arthritic knees undergoing total knee…
2 The Subvastus Approach H. Del Schutte Jr., Matthew David McEvoy, and Fred D. Cushner Patient Presentation and Symptoms The subvastus approach is an alternative approach for total knee arthroplasty….
5 The Trivector Knee Arthrotomy Approach Kenneth W. Bramlett Total knee arthroplasty (TKA) requires an extensive extensile exposure to perform an appropriate implantation of components. This task is more difficult…
