The Unhappy Total Knee Replacement A Comprehensive Review and Management Guide [Hardcover]

This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.

Basics of total knee replacement: Anatomy and biomechanics of the knee after total knee arthroplasty.- Biology of the knee after TKA- the neglected potential or source of failure?- There is an optimal axial alignment in TKA- rotation does matter!- There is an optimal alignment of the TKA- tibial rotation does matter!- Gap balancing in total knee arthroplasty- the US perspective.- Design, shape, and materials of total knee arthroplasty - What works well, what does not.- Patellofemoral complications and mal-tracing in TKA are influenced by what?- Image analysis- new ways to improve the diagnosis in patients after TKR.- How can preoperative planing prevent occurrence of a painful TKA? Causes of pain after TKA: Avoiding Wound Complications in Total Knee Arthroplasty- Failure of the TKA implant.- Periprosthetic fractures following total knee replacement- an epidemic problem on the rise!- Malposition and malorientation of TKA.- The problem of under- or oversizl6