Main description:

This book focuses on the current clinical practice, outcome and the future development of Total Knee Arthroplasty (TKA) in surgical settings. A major objective of this work is to address "What is the optimal design and fixation of the implants we use for knee arthroplasty reconstruction? What are the gold standards? and, Can we do better?". In an attempt to throw light on these questions, the authors evaluate data from clinical studies and assess various factors which may influence the long term outcome of TKA. Many variables such as age, severity, implant design and surgical techniques for appropriate component placement and soft tissue balancing are explored in great detail by expert surgeons in the field.

Total Knee Arthroplasty: Long Term Outcomes will be a useful resource for recently qualified surgeons in search of an introduction to this topic and for more experienced surgeons seeking an in-depth critical review of current practices in TKA.

Contents:

A brief history of total knee arthroplasty.- Kinematics of the natural and replaced knee.- Long term survival of total knee arthroplasty. Lessons learned from the clinical outcome of old designs.- Long term survival of total knee arthroplasty. Lessons learn from the clinical outcome of old designs. Second generation of implants and the total condylar TKA.- Total knee arthroplasty. Evaluating outcomes.- The long term outcome of total knee arthroplasty. The effect of age and diagnosis.- Long Term Outcome of Primary Total Knee Arthroplasty. The Effect of Body Weight and Level of Activity.- Long term clinical outcome of total knee arthroplasty. The effect of the severity of deformity.- Long term clinical outcome of Total Knee Arthroplasty. The effect of surgeon training and experience.- Long term clinical outcome of total knee arthroplasty. The effect of limp alignment, implant placement and stability as contolled by surgical technique.- Long Term Results of Total Knee Arthroplasty. The Effect of Surgical approach.- Long term outcome of total knee arthroplasty. The effect of posterior stabilized designs.- Long term clinical outcome of total knee arthroplasty. The effect posterior cruciate retaining design.- Rationale and Long Term Outcome of Rotating Platform Total Knee Replacement.- Mid to long term clinical outcome of Medial Pivot designs.- Long term outcome of total knee arthroplasty. The effect of implant fixation (cementless).- Long term outcome of total knee arthroplasty. The effect of polyethylene.- Long term outcome of total knee arthroplasty. Condylar Constrained Prostheses.- Long term outcome of total knee arthroplasty. Rotating Hinge Designs.- Clinical outcome of Total Knee Megaprosthesis Replacement for Bone Tumors.- Long term outcome of total knee arthroplasty. The effect of patella resurfacing.- Infected Total Knee Arthroplasty. Basic science, management and outcome.- Short and mid term outcome of total knee arthroplasty.- The effect of rehabilitation.- Long term outcome of total knee arthroplasty. The effect of Navigation.- Quality of life and patient satisfaction after total knee arthroplasty using contemporary designs.