Soft Tissue Balancing in Total Knee Arthroplasty pdf
In this booklet, experts from across the world, including members of the ISAKOS Knee Arthroplasty Committee, offer clear, up-to-date guidance on all aspects of soft tissue or ligament balancing in primary total knee arthroplasty with the aim of enabling the reader to achieve optimal patient outcomes.
After an introduction explaining the normal soft tissue condition in the native knee, surgical procedures are described, including techniques for the management of severe deformity.
The most striking feature of the booklet, however, is the many pages devoted to the accurate evaluation and clinical relevance of ligament balancing. Different techniques and devices for intraoperative soft tissue assessment are discussed, highlighting, for example, the use of gap-measuring devices or trial liners with load-bearing sensors to achieve more objective evaluation. Soft Tissue Balancing in Total Knee Arthroplasty ebook gives, special attention is devoted to the crucial issue of the impact of intraoperative soft tissue balance on postoperative results. In the closing chapter, very experienced surgeons introduce intraoperative troubleshooting in order to assist successful completion of arthroplasty.
Part I Native Knee
1 Anatomy and Biomechanics of the Native Knee and Its Relevance
for Total Knee Replacement
Kyle Muckenhirn, Jorge Chahla, and Robert F. LaPrade
2 Soft Tissue Balance of the Native Knee Provides Guidance
for Balancing a Total Knee Arthroplasty 17
Joshua D. Roth and Stephen M. Howell
3 Kinematics of the Normal Native Knee 29
Jan Victor
Part II Operative Procedure 1: Primary TKA
4 Primary Principles in Soft Tissue Balancing 41
Jacobus H. Müller and Willem van der Merwe
5 Measured (Anatomical Reference) Resection Technique
for Cruciate-Retaining
Total Knee Arthroplasty 49
Shaw Akizuki and Hiroshi Horiuchi
6 PS: Gap Technique 59
Myung Chul Lee
7 Bicruciate-Retaining TKA: How to Achieve
Near-Normal Kinematics 65
Rob Middleton and Andrew Price
8 Five Quality Assurance Steps for Balancing a Kinematically
Aligned Total Knee Arthroplasty 79
Stephen M. Howell and Alexander J. Nedopil