V-Y Quadriceps Turndown
Introduction Revision knee replacement is a challenging operation that sometimes requires special attention to old surgical scar formation and fibrous adhesions. Complications such as avulsion of the patellar tendon off…
Tibial Tubercle Osteotomy
Algorithm The algorithm presents an approach to tibial tubercle osteotomy in revision total knee arthroplasty (TKA). Chapter Preview Chapter Synopsis This chapter reviews the indications, surgical technique, complications, and outcomes…
Quadriceps Snip
CASE STUDY The patient is a 68-year-old female who was referred 18 months after a total knee arthroplasty (TKA) because of complaints of pain and instability of her knee while…
An Algorithmic Approach to the Painful Total Knee Arthroplasty
Algorithm An algorithm for approaching the painful total knee arthroplasty is presented ( CBC , Complete blood count; CRP , C-reactive protein; CT , computed tomography; ESR , erythrocyte sedimentation…
History and Physical Examination for the Painful Total Knee Arthroplasty
Algorithm The algorithm presents a flow chart of temporal events and suggested etiology. Introduction Total knee arthroplasty (TKA) is a successful and durable procedure for management of the painful arthritic…
Aspiration and Serology Testing
Introduction The etiology of new or persistent pain or poor function after total knee arthroplasty (TKA) often presents a diagnostic dilemma. Determining the cause of pain starts with the patient’s…
The Economics of Total Hip and Knee Arthroplasty
Introduction Rising health care costs are threatening the long-term sustainability of the U.S. health care system. Costs continue to rise at a rate that significantly outpaces inflation. As a result,…
Poliomyelitis
Chapter Outline Pathology Course and Prognosis Treatment Overview Management of the Hip Management of the Knee Management of Specific Deformities of the Foot and Ankle Management of the Trunk Management…
Legg-Calvé-Perthes Disease
Chapter Outline Definition 580 Incidence 580 History 580 Etiology 580 Pathology 588 Clinical Features 593 Radiographic Findings 596 Classification Systems Based on Radiographic Findings 605 Differential Diagnosis 611 Treatment 613…
Disorders of the Spinal Cord
Chapter Outline Myelomeningocele Other Forms of Spinal Dysraphism Spinal Muscular Atrophy Myelomeningocele Management of a child with myelomeningocele is one of the most challenging tasks faced by pediatric orthopaedic surgeons….
