Calipered Kinematically aligned Total Knee Arthroplasty Theory, Surgical Techniques and Perspectives
Auteurs : Howell Stephen M., Bini Stefano A., Steele G. Daxton
Calipered kinematic alignment was proposed by Dr. Stephen M. Howell to enable the accurate and individualized placement of total knee components coincident within ± 0.5 mm of the patient's pre-arthritic alignment. The aim was to restore the patient's native joint kinematics and thereby address the well documented 20% dissatisfaction when total knee replacement is performed using traditional, or mechanical alignment techniques.
With Dr. Stefano A. Bini and Dr. G. Daxton Steele as co-editors, Dr. Howell has curated an international team of expert surgeons and engineers to discuss various aspects of the calipered knee alignment technique in short, concise, and well-illustrated chapters. Each author provides clear, practical guidance for adopting and implementing calipered kinematic alignment covering manual, patient-specific, navigated, and robotic techniques. Chapters on component design tailored explicitly for kinematic alignment and showing the close relationship between knee biomechanics and the kinematically aligned TKA help the surgeon manage complex challenges associated with deformity and post-operative complications.
Following the introduction of the calipered kinematic alignment technique for total knee arthroplasty, many international studies have shown consistently better patient satisfaction than the traditional mechanical alignment technique. Better function and high long-term implant survival have catalyzed a paradigm shift in total knee replacement philosophy that is being embraced by orthopedic surgeons and innovative implant companies around the world with excellent results.
Calipered Kinematically Aligned Knee Arthroplasty is the definitive textbook on the subject and features:
- Thorough explanations of how the calipered kinematic alignment technique for total knee arthroplasty accurately sets total knee components coincident with the patient's pre-arthritic alignment and coaligned with the three rotational axes of the native knee.
- A personalized approach to total knee surgery designed to reconstitute the patient's native biomechanics in contrast with mechanical alignment that place all patients in the same standard alignment regardless of their constitutional anatomy.
- Detailed and well-illustrated descriptions of manual, navigated, robotic and patient-specific guide techniques that confirm kinematic alignment with a caliper.
- Clinical photos, radiographs, and line art throughout the book as well as helpful online technique videos.
- Key focus topics such as managing complex deformities, the expected post-operative recovery, and future trends in kinematic alignment.
- The shared experience and knowledge of international pioneers in the field.
- An emphasis on a personalized surgical philosophy which enables same-day discharge, reduces pain and opioid use, and promotes quicker recovery, better function, and a more natural feeling knee.
Chapter 1: A Word of Caution
Chapter 2: The Principles behind Mechanical Alignment
Chapter 3: Have We Been Shooting at the Wrong Target? Chapter 4: Philosophy and Principles of Kinetic Alignment
Chapter 5: Philosophy and Principles of KA - Q&A
Chapter 6: Surgical Technique: Standard Instrumentation
Chapter 7: Surgical Technique: Custom Jigs
Chapter 8: Handling Instability
Chapter 9: Surgical Technique: Using Navigation Assisted Techniques
Chapter 10: Surgical Technique: Using Robot Assisted Surgery
Chapter 11: Surgical Technique: Tibia First
Chapter 12: Surgical Technique: Kinematic Light
Chapter 13: Post-Operative Rehabilitation and Clinical Evaluation of the KA TKA
Chapter 14: Kinematic Alignment in the Complex Knee
Chapter 15: Revising a KA Knee: Surgical Considerations
Chapter 16: Revising a MA Aligned Knee into KA: Early Experience and Indications
Chapter 17: Kinematic Alignment: Q&A on Surgical Techniques
Chapter 18: Future Trends in KA
Chapter 19: Literature Review and Highlights of Key Findings
Stefano Bini, MD received his BA from Stanford University, his MD from Columbia University and completed Residency training at UCSF. He completed a Fellowship at the Rizzoli Orthopaedic Institute in Italy and obtained a second MD from the University of Florence. Prior to joining the faculty at UCSF, Dr. Bini worked at Kaiser Permanente as a joint replacement surgeon. Active in professional associations and academia, Stefano currently serves as the Chair of the International Committee for the AAHKS and sits on the Biomedical Engineering Committee for the AAOS. He is the Associate Editor of Arthroplasty Today and is a reviewer for 4 major orthopaedic journals. Over the past decade, Dr. Bini has organized over a dozen conferences and learning labs nationally and internationally, presented over 110 scientific papers and has authored 23 research papers, which focus on leveraging large databases to define best practice in adult reconstruction surgery.
G. Daxton Steele, MD is a high
Date de parution : 10-2021
Ouvrage de 160 p.
21.5x27.6 cm
