Curbside Consultation in Knee Arthroplasty
49 Clinical Questions
Herausgeber: Della Valle, Craig
Curbside Consultation in Knee Arthroplasty
49 Clinical Questions
Herausgeber: Della Valle, Craig
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Curbside Consultation in Knee Arthroplasty: 49 Clinical Questions provides quick answers to the thorny questions most commonly posed during a "curbside consultation" between orthopedic surgical colleagues.
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Curbside Consultation in Knee Arthroplasty: 49 Clinical Questions provides quick answers to the thorny questions most commonly posed during a "curbside consultation" between orthopedic surgical colleagues.
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Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Produktdetails
- Produktdetails
- Verlag: CRC Press
- Seitenzahl: 238
- Erscheinungstermin: 15. Februar 2008
- Englisch
- Abmessung: 254mm x 178mm x 13mm
- Gewicht: 456g
- ISBN-13: 9781556428241
- ISBN-10: 1556428243
- Artikelnr.: 23336560
- Verlag: CRC Press
- Seitenzahl: 238
- Erscheinungstermin: 15. Februar 2008
- Englisch
- Abmessung: 254mm x 178mm x 13mm
- Gewicht: 456g
- ISBN-13: 9781556428241
- ISBN-10: 1556428243
- Artikelnr.: 23336560
Craig J. Della Valle, MD is an Adult Reconstructive Surgeon who focuses on Total Hip and Knee Arthroplasty at Rush University Medical Center in Chicago, IL. He specializes in complex primary and revision surgery as well as unicompartmental arthroplasty of the knee and hip resurfacing. Dr. Della Valle completed his residency at the Hospital for Joint Diseases in New York City and his fellowship in adult reconstructive surgery at Rush. In addition to his clinical duties, he is involved in numerous clinical research projects. Dr. Della Valle serves as an Associate Professor of Orthopaedic Surgery at Rush University Medical Center.
Contents Dedication Acknowledgments About the Editor Contributing Authors Foreword by Jorge Galante
MD SECTION I: PREOPERATIVE QUESTIONS Question 1 How Do You Decide When a Patient Is \u201cReady\u201d for a Total Knee Replacement? Is There a Downside to Waiting Until They Have More Severe Disease? Carlos Lavernia
MD and Diego Cardona
MD Question 2 Management of Unicompartmental Osteoarthritis of the Knee Michael Archibeck
MD Question 3 I Have a Patient With a Deformity of the Distal Femur and Arthritis of the Knee. Should I Do an Osteotomy to Correct the Deformity at the Time of Total Knee Arthroplasty? Jess H. Lonner
MD Question 4 If a Patient Has a Clearly Visible Calcified Vessel in the Posterior Aspect of Their Knee on the Preoperative Radiograph
Should I Use a Tourniquet? What About the Patient with a History of Prior Bypass Grafts? Raphael C. Y. Hau
MBBS
FRACS and Bassam A. Masri
MD
FRCSC Question 5 Should My Patients Donate Blood Prior to Surgery? Fred Cushner
MD Question 6 When Do You Do a One-Stage Bilateral Total Knee Arthroplasty as Opposed to Staging Them? Steve Lyons
MD Question 7 Should the Patella Be Routinely Resurfaced at the Time of Total Knee Arthoplasty? Javad Parvizi
MD
FRCS and Feridon Jaberi
MD Question 8 I Have a Patient Who Is Very Concerned About Their Range of Motion. Should I Use a High Flex Type Component? Giles R. Scuderi
MD Question 9 I Have a 43-year Old Male Who Needs a Total Knee: Should I Use Highly Cross-linked Polyethylene as a Bearing Surface? Markus A. Wimmer
PhD and Joshua J. Jacobs
MD Question 10 I Think My Patient May Have a Charcot (Neuropathic) Knee. Is This a Contraindication to Total Knee Arthroplasty? R. Michael Meneghini
MD and Jeffery L. Pierson
MD Question 11 I Am Considering Implementing a Teaching Class Prior to Surgery for My Patients. Is This Beneficial? What Topics Should be Covered? Regina Barden
RN
BSN and Kim Chandler
RN SECTION II: INTRAOPERATIVE QUESTIONS Question 12 If a Patient Has Had Prior Surgery
How Do I Decide Where to Make the Skin Incision? Brett Levine
MD
MS Question 13 If I Am Doing a Total Knee Arthroplasty and the Patella Does Not Seem to Track Well
What Should I Do? Richard A. Berger
MD Question 14 How Do You Determine Appropriate Femoral Component Rotation at the Time of Surgery Richard Illgen II
MD and Matthew Squire
MD
MS Question 15 How Do I Determine Tibial Component Rotation in Total Knee Arthroplasty? David Manning
MD and Seann Carr
MD Question 16 How Do I Perform a Lateral Release? Mark D. Campbell
MD Question 17 The Femoral Component Sizing Guide Is Measuring Between Two Sizes. Should I Choose the Smaller or Larger Size? Frank R. DiMaio
MD Question 18 What Is Flexion Instability and How Do I Prevent It During Total Knee Arthroplasty? David J. Jacofsky
MD Question 19 I Am Doing a Total Knee in a Patient With a Varus Deformity. I Have Done My Standard Release and the Knee Is Still Tight Medially. What Should I Do? Gregg R. Klein
MD and Mark A. Hartzband
MD Question 20 When Performing a Total Knee Arthroplasty in a Patient With a Valgus Deformity
What Structures Do You Release First? Keith R. Berend
MD Question 21 If I Am Doing a Total Knee and It Is Too Tight in Extension
But Otherwise Feels Well Balanced
What Should I Do? Steven Stuchin
MD Question 22 The Patella Measures 22 Millimeters Prior to Making My Osteotomy. How Much Bone Should I Remove? Hari P. Bezwada
MD and Robert E. Booth
Jr.
MD Question 23 What Should I Do If I Cut the MCL Intraoperatively? Scott D. Ruhlman
MD; Shanon M. Sara; and Seth S. Leopold
MD Question 24 When Do You Use Antibiotic-Loaded Cement? Mohammad Namazian
DO and Paul E. Di Cesare
MD Question 25 Do You Inject the Capsule With Anything at the End of the Case in an Effort to Decrease Perioperative Pain? Amanda Marshall
MD SECTION III: POSTOPERATIVE QUESTIONS Question 26 I Have a Patient Who Is 2 Weeks Postoperative From a Primary Total Knee Arthroplasty and the Wound Is Draining. What Should I Do? Carl Deirmengian
MD Question 27 What Is the Best Method for Preventing Thromboembolic Events After Total Knee Arthroplasty? Jay R. Lieberman
MD Question 28 In the Recovery Room My Patient Does Not Have a Distal Pulse in the Operative Leg. What Should I Do? Kevin B. Fricka
MD Question 29 My Patient Has a Foot-Drop After Surgery. What Should I Do? Mark F. Schinsky
MD and William Macaulay
MD Question 30 What Criteria Do You Use for a Manipulation Under Anesthesia? Harpal Singh Khanuja
MD Question 31 I Have a Patient Who Fell 3 Months Postoperatively and Fractured Their Patella. Should I Try and Fix It? Craig J. Della Valle
MD and Daniel J. Berry
MD Question 32 I Have a Patient Who Tripped and Fell 3 Months After a Total Knee Arthroplasty and Has a Supracondylar Femur Fracture. What Is the Optimal Method of Treatment? Mark Dumonski
MD and Walter Virkus
MD Question 33 How Do You Manage Acute Extensor Mechanism Disruptions? Cory L. Calendine
MD and Kevin B. Fricka
MD SECTION IV: REVISION QUESTIONS Question 34 How Do You Evaluate the Patient With a Painful Total Knee Arthroplasty? Michael J. Archibeck
MD Question 35 What Is the Best Test for Diagnosing Periprosthetic Infection? Craig J. Della Valle
MD Question 36 If I Am Doing a Revision Total Knee and Can\u2019t Seem to Get Adequate Exposure
What Should I Do? Craig J. Della Valle
MD Question 37 When Doing a Revision Total Knee
Do You Start Reconstructing the Femur or Tibia First? David G. Nazarian
MD Question 38 Should I Use Stems on All of My Revision Total Knee Components? Steven H. Weeden
MD and Wayne Paprosky
MD Question 39 If I Use a Stem at the Time of a Revision Total Knee Arthroplasty
Should I Press-Fit the Stem or Cement It? Craig J. Della Valle
MD and Aaron G. Rosenberg
MD Question 40 When Do You Use an Offset Stem During Revision Total Knee Replacement? Scott M. Sporer
MD
MS Question 41 How Do You Handle Massive Bone Loss at the Time of Revision Total Knee Arthroplasty? Allan E. Gross
MD
FRCSC
O.Ont Question 42 How Do I Decide If I Should Retain the Patellar Component at the Time Of Revision Total Knee Arthroplasty? Thomas E. Brown
MD; Khaled Saleh
MD
MSc
FRCSC; Quan Jun Cui
MD
MS; and William Mihalko
MD
PhD Question 43 How Do You Manage the Patient With Severe Patellar Bone Loss at the Time of Revision Total Knee Arthroplasty? Kevin J. Bozic
MD
MBA and Michael D. Ries
MD Question 44 How Do You Assess Joint Line Position at the Time of Revision Total Knee Arthroplasty? What Are the Clinical Consequences If It Is Elevated? Richard S. Laskin MD Question 45 When Should I Use a Constrained Condylar Insert as Opposed to a Posterior Stabilized Insert? Kelly G. Vince
MD
FRCS Question 46 How Should I Manage the Patient With Chronic Extensor Mechanism Deficiency Associated with a Total Knee Arthroplasty? R. Stephen J. Burnett
BSc
MD
FRCS(C)
Dipl. ABOS and Robert L. Barrack
MD Question 47 Do You Use Static or an Articulating Spacer for Resection Arthroplasty Prior to Reimplantation? Alexander Siegmeth
FRCS (Tr & Orth) and Donald Garbuz
MD
FRCSC Question 48 What Are Your Indications for a Knee Fusion? Andrew A. Freiberg
MD Question 49 How Do You Manage the Patient with an Unexpectedly Positive Culture at the Time of a Revision Total Knee Arthroplasty? Patrick M. Morgan
MD and John C. Clohisy
MD Index ?
MD SECTION I: PREOPERATIVE QUESTIONS Question 1 How Do You Decide When a Patient Is \u201cReady\u201d for a Total Knee Replacement? Is There a Downside to Waiting Until They Have More Severe Disease? Carlos Lavernia
MD and Diego Cardona
MD Question 2 Management of Unicompartmental Osteoarthritis of the Knee Michael Archibeck
MD Question 3 I Have a Patient With a Deformity of the Distal Femur and Arthritis of the Knee. Should I Do an Osteotomy to Correct the Deformity at the Time of Total Knee Arthroplasty? Jess H. Lonner
MD Question 4 If a Patient Has a Clearly Visible Calcified Vessel in the Posterior Aspect of Their Knee on the Preoperative Radiograph
Should I Use a Tourniquet? What About the Patient with a History of Prior Bypass Grafts? Raphael C. Y. Hau
MBBS
FRACS and Bassam A. Masri
MD
FRCSC Question 5 Should My Patients Donate Blood Prior to Surgery? Fred Cushner
MD Question 6 When Do You Do a One-Stage Bilateral Total Knee Arthroplasty as Opposed to Staging Them? Steve Lyons
MD Question 7 Should the Patella Be Routinely Resurfaced at the Time of Total Knee Arthoplasty? Javad Parvizi
MD
FRCS and Feridon Jaberi
MD Question 8 I Have a Patient Who Is Very Concerned About Their Range of Motion. Should I Use a High Flex Type Component? Giles R. Scuderi
MD Question 9 I Have a 43-year Old Male Who Needs a Total Knee: Should I Use Highly Cross-linked Polyethylene as a Bearing Surface? Markus A. Wimmer
PhD and Joshua J. Jacobs
MD Question 10 I Think My Patient May Have a Charcot (Neuropathic) Knee. Is This a Contraindication to Total Knee Arthroplasty? R. Michael Meneghini
MD and Jeffery L. Pierson
MD Question 11 I Am Considering Implementing a Teaching Class Prior to Surgery for My Patients. Is This Beneficial? What Topics Should be Covered? Regina Barden
RN
BSN and Kim Chandler
RN SECTION II: INTRAOPERATIVE QUESTIONS Question 12 If a Patient Has Had Prior Surgery
How Do I Decide Where to Make the Skin Incision? Brett Levine
MD
MS Question 13 If I Am Doing a Total Knee Arthroplasty and the Patella Does Not Seem to Track Well
What Should I Do? Richard A. Berger
MD Question 14 How Do You Determine Appropriate Femoral Component Rotation at the Time of Surgery Richard Illgen II
MD and Matthew Squire
MD
MS Question 15 How Do I Determine Tibial Component Rotation in Total Knee Arthroplasty? David Manning
MD and Seann Carr
MD Question 16 How Do I Perform a Lateral Release? Mark D. Campbell
MD Question 17 The Femoral Component Sizing Guide Is Measuring Between Two Sizes. Should I Choose the Smaller or Larger Size? Frank R. DiMaio
MD Question 18 What Is Flexion Instability and How Do I Prevent It During Total Knee Arthroplasty? David J. Jacofsky
MD Question 19 I Am Doing a Total Knee in a Patient With a Varus Deformity. I Have Done My Standard Release and the Knee Is Still Tight Medially. What Should I Do? Gregg R. Klein
MD and Mark A. Hartzband
MD Question 20 When Performing a Total Knee Arthroplasty in a Patient With a Valgus Deformity
What Structures Do You Release First? Keith R. Berend
MD Question 21 If I Am Doing a Total Knee and It Is Too Tight in Extension
But Otherwise Feels Well Balanced
What Should I Do? Steven Stuchin
MD Question 22 The Patella Measures 22 Millimeters Prior to Making My Osteotomy. How Much Bone Should I Remove? Hari P. Bezwada
MD and Robert E. Booth
Jr.
MD Question 23 What Should I Do If I Cut the MCL Intraoperatively? Scott D. Ruhlman
MD; Shanon M. Sara; and Seth S. Leopold
MD Question 24 When Do You Use Antibiotic-Loaded Cement? Mohammad Namazian
DO and Paul E. Di Cesare
MD Question 25 Do You Inject the Capsule With Anything at the End of the Case in an Effort to Decrease Perioperative Pain? Amanda Marshall
MD SECTION III: POSTOPERATIVE QUESTIONS Question 26 I Have a Patient Who Is 2 Weeks Postoperative From a Primary Total Knee Arthroplasty and the Wound Is Draining. What Should I Do? Carl Deirmengian
MD Question 27 What Is the Best Method for Preventing Thromboembolic Events After Total Knee Arthroplasty? Jay R. Lieberman
MD Question 28 In the Recovery Room My Patient Does Not Have a Distal Pulse in the Operative Leg. What Should I Do? Kevin B. Fricka
MD Question 29 My Patient Has a Foot-Drop After Surgery. What Should I Do? Mark F. Schinsky
MD and William Macaulay
MD Question 30 What Criteria Do You Use for a Manipulation Under Anesthesia? Harpal Singh Khanuja
MD Question 31 I Have a Patient Who Fell 3 Months Postoperatively and Fractured Their Patella. Should I Try and Fix It? Craig J. Della Valle
MD and Daniel J. Berry
MD Question 32 I Have a Patient Who Tripped and Fell 3 Months After a Total Knee Arthroplasty and Has a Supracondylar Femur Fracture. What Is the Optimal Method of Treatment? Mark Dumonski
MD and Walter Virkus
MD Question 33 How Do You Manage Acute Extensor Mechanism Disruptions? Cory L. Calendine
MD and Kevin B. Fricka
MD SECTION IV: REVISION QUESTIONS Question 34 How Do You Evaluate the Patient With a Painful Total Knee Arthroplasty? Michael J. Archibeck
MD Question 35 What Is the Best Test for Diagnosing Periprosthetic Infection? Craig J. Della Valle
MD Question 36 If I Am Doing a Revision Total Knee and Can\u2019t Seem to Get Adequate Exposure
What Should I Do? Craig J. Della Valle
MD Question 37 When Doing a Revision Total Knee
Do You Start Reconstructing the Femur or Tibia First? David G. Nazarian
MD Question 38 Should I Use Stems on All of My Revision Total Knee Components? Steven H. Weeden
MD and Wayne Paprosky
MD Question 39 If I Use a Stem at the Time of a Revision Total Knee Arthroplasty
Should I Press-Fit the Stem or Cement It? Craig J. Della Valle
MD and Aaron G. Rosenberg
MD Question 40 When Do You Use an Offset Stem During Revision Total Knee Replacement? Scott M. Sporer
MD
MS Question 41 How Do You Handle Massive Bone Loss at the Time of Revision Total Knee Arthroplasty? Allan E. Gross
MD
FRCSC
O.Ont Question 42 How Do I Decide If I Should Retain the Patellar Component at the Time Of Revision Total Knee Arthroplasty? Thomas E. Brown
MD; Khaled Saleh
MD
MSc
FRCSC; Quan Jun Cui
MD
MS; and William Mihalko
MD
PhD Question 43 How Do You Manage the Patient With Severe Patellar Bone Loss at the Time of Revision Total Knee Arthroplasty? Kevin J. Bozic
MD
MBA and Michael D. Ries
MD Question 44 How Do You Assess Joint Line Position at the Time of Revision Total Knee Arthroplasty? What Are the Clinical Consequences If It Is Elevated? Richard S. Laskin MD Question 45 When Should I Use a Constrained Condylar Insert as Opposed to a Posterior Stabilized Insert? Kelly G. Vince
MD
FRCS Question 46 How Should I Manage the Patient With Chronic Extensor Mechanism Deficiency Associated with a Total Knee Arthroplasty? R. Stephen J. Burnett
BSc
MD
FRCS(C)
Dipl. ABOS and Robert L. Barrack
MD Question 47 Do You Use Static or an Articulating Spacer for Resection Arthroplasty Prior to Reimplantation? Alexander Siegmeth
FRCS (Tr & Orth) and Donald Garbuz
MD
FRCSC Question 48 What Are Your Indications for a Knee Fusion? Andrew A. Freiberg
MD Question 49 How Do You Manage the Patient with an Unexpectedly Positive Culture at the Time of a Revision Total Knee Arthroplasty? Patrick M. Morgan
MD and John C. Clohisy
MD Index ?
Contents Dedication Acknowledgments About the Editor Contributing Authors Foreword by Jorge Galante
MD SECTION I: PREOPERATIVE QUESTIONS Question 1 How Do You Decide When a Patient Is \u201cReady\u201d for a Total Knee Replacement? Is There a Downside to Waiting Until They Have More Severe Disease? Carlos Lavernia
MD and Diego Cardona
MD Question 2 Management of Unicompartmental Osteoarthritis of the Knee Michael Archibeck
MD Question 3 I Have a Patient With a Deformity of the Distal Femur and Arthritis of the Knee. Should I Do an Osteotomy to Correct the Deformity at the Time of Total Knee Arthroplasty? Jess H. Lonner
MD Question 4 If a Patient Has a Clearly Visible Calcified Vessel in the Posterior Aspect of Their Knee on the Preoperative Radiograph
Should I Use a Tourniquet? What About the Patient with a History of Prior Bypass Grafts? Raphael C. Y. Hau
MBBS
FRACS and Bassam A. Masri
MD
FRCSC Question 5 Should My Patients Donate Blood Prior to Surgery? Fred Cushner
MD Question 6 When Do You Do a One-Stage Bilateral Total Knee Arthroplasty as Opposed to Staging Them? Steve Lyons
MD Question 7 Should the Patella Be Routinely Resurfaced at the Time of Total Knee Arthoplasty? Javad Parvizi
MD
FRCS and Feridon Jaberi
MD Question 8 I Have a Patient Who Is Very Concerned About Their Range of Motion. Should I Use a High Flex Type Component? Giles R. Scuderi
MD Question 9 I Have a 43-year Old Male Who Needs a Total Knee: Should I Use Highly Cross-linked Polyethylene as a Bearing Surface? Markus A. Wimmer
PhD and Joshua J. Jacobs
MD Question 10 I Think My Patient May Have a Charcot (Neuropathic) Knee. Is This a Contraindication to Total Knee Arthroplasty? R. Michael Meneghini
MD and Jeffery L. Pierson
MD Question 11 I Am Considering Implementing a Teaching Class Prior to Surgery for My Patients. Is This Beneficial? What Topics Should be Covered? Regina Barden
RN
BSN and Kim Chandler
RN SECTION II: INTRAOPERATIVE QUESTIONS Question 12 If a Patient Has Had Prior Surgery
How Do I Decide Where to Make the Skin Incision? Brett Levine
MD
MS Question 13 If I Am Doing a Total Knee Arthroplasty and the Patella Does Not Seem to Track Well
What Should I Do? Richard A. Berger
MD Question 14 How Do You Determine Appropriate Femoral Component Rotation at the Time of Surgery Richard Illgen II
MD and Matthew Squire
MD
MS Question 15 How Do I Determine Tibial Component Rotation in Total Knee Arthroplasty? David Manning
MD and Seann Carr
MD Question 16 How Do I Perform a Lateral Release? Mark D. Campbell
MD Question 17 The Femoral Component Sizing Guide Is Measuring Between Two Sizes. Should I Choose the Smaller or Larger Size? Frank R. DiMaio
MD Question 18 What Is Flexion Instability and How Do I Prevent It During Total Knee Arthroplasty? David J. Jacofsky
MD Question 19 I Am Doing a Total Knee in a Patient With a Varus Deformity. I Have Done My Standard Release and the Knee Is Still Tight Medially. What Should I Do? Gregg R. Klein
MD and Mark A. Hartzband
MD Question 20 When Performing a Total Knee Arthroplasty in a Patient With a Valgus Deformity
What Structures Do You Release First? Keith R. Berend
MD Question 21 If I Am Doing a Total Knee and It Is Too Tight in Extension
But Otherwise Feels Well Balanced
What Should I Do? Steven Stuchin
MD Question 22 The Patella Measures 22 Millimeters Prior to Making My Osteotomy. How Much Bone Should I Remove? Hari P. Bezwada
MD and Robert E. Booth
Jr.
MD Question 23 What Should I Do If I Cut the MCL Intraoperatively? Scott D. Ruhlman
MD; Shanon M. Sara; and Seth S. Leopold
MD Question 24 When Do You Use Antibiotic-Loaded Cement? Mohammad Namazian
DO and Paul E. Di Cesare
MD Question 25 Do You Inject the Capsule With Anything at the End of the Case in an Effort to Decrease Perioperative Pain? Amanda Marshall
MD SECTION III: POSTOPERATIVE QUESTIONS Question 26 I Have a Patient Who Is 2 Weeks Postoperative From a Primary Total Knee Arthroplasty and the Wound Is Draining. What Should I Do? Carl Deirmengian
MD Question 27 What Is the Best Method for Preventing Thromboembolic Events After Total Knee Arthroplasty? Jay R. Lieberman
MD Question 28 In the Recovery Room My Patient Does Not Have a Distal Pulse in the Operative Leg. What Should I Do? Kevin B. Fricka
MD Question 29 My Patient Has a Foot-Drop After Surgery. What Should I Do? Mark F. Schinsky
MD and William Macaulay
MD Question 30 What Criteria Do You Use for a Manipulation Under Anesthesia? Harpal Singh Khanuja
MD Question 31 I Have a Patient Who Fell 3 Months Postoperatively and Fractured Their Patella. Should I Try and Fix It? Craig J. Della Valle
MD and Daniel J. Berry
MD Question 32 I Have a Patient Who Tripped and Fell 3 Months After a Total Knee Arthroplasty and Has a Supracondylar Femur Fracture. What Is the Optimal Method of Treatment? Mark Dumonski
MD and Walter Virkus
MD Question 33 How Do You Manage Acute Extensor Mechanism Disruptions? Cory L. Calendine
MD and Kevin B. Fricka
MD SECTION IV: REVISION QUESTIONS Question 34 How Do You Evaluate the Patient With a Painful Total Knee Arthroplasty? Michael J. Archibeck
MD Question 35 What Is the Best Test for Diagnosing Periprosthetic Infection? Craig J. Della Valle
MD Question 36 If I Am Doing a Revision Total Knee and Can\u2019t Seem to Get Adequate Exposure
What Should I Do? Craig J. Della Valle
MD Question 37 When Doing a Revision Total Knee
Do You Start Reconstructing the Femur or Tibia First? David G. Nazarian
MD Question 38 Should I Use Stems on All of My Revision Total Knee Components? Steven H. Weeden
MD and Wayne Paprosky
MD Question 39 If I Use a Stem at the Time of a Revision Total Knee Arthroplasty
Should I Press-Fit the Stem or Cement It? Craig J. Della Valle
MD and Aaron G. Rosenberg
MD Question 40 When Do You Use an Offset Stem During Revision Total Knee Replacement? Scott M. Sporer
MD
MS Question 41 How Do You Handle Massive Bone Loss at the Time of Revision Total Knee Arthroplasty? Allan E. Gross
MD
FRCSC
O.Ont Question 42 How Do I Decide If I Should Retain the Patellar Component at the Time Of Revision Total Knee Arthroplasty? Thomas E. Brown
MD; Khaled Saleh
MD
MSc
FRCSC; Quan Jun Cui
MD
MS; and William Mihalko
MD
PhD Question 43 How Do You Manage the Patient With Severe Patellar Bone Loss at the Time of Revision Total Knee Arthroplasty? Kevin J. Bozic
MD
MBA and Michael D. Ries
MD Question 44 How Do You Assess Joint Line Position at the Time of Revision Total Knee Arthroplasty? What Are the Clinical Consequences If It Is Elevated? Richard S. Laskin MD Question 45 When Should I Use a Constrained Condylar Insert as Opposed to a Posterior Stabilized Insert? Kelly G. Vince
MD
FRCS Question 46 How Should I Manage the Patient With Chronic Extensor Mechanism Deficiency Associated with a Total Knee Arthroplasty? R. Stephen J. Burnett
BSc
MD
FRCS(C)
Dipl. ABOS and Robert L. Barrack
MD Question 47 Do You Use Static or an Articulating Spacer for Resection Arthroplasty Prior to Reimplantation? Alexander Siegmeth
FRCS (Tr & Orth) and Donald Garbuz
MD
FRCSC Question 48 What Are Your Indications for a Knee Fusion? Andrew A. Freiberg
MD Question 49 How Do You Manage the Patient with an Unexpectedly Positive Culture at the Time of a Revision Total Knee Arthroplasty? Patrick M. Morgan
MD and John C. Clohisy
MD Index ?
MD SECTION I: PREOPERATIVE QUESTIONS Question 1 How Do You Decide When a Patient Is \u201cReady\u201d for a Total Knee Replacement? Is There a Downside to Waiting Until They Have More Severe Disease? Carlos Lavernia
MD and Diego Cardona
MD Question 2 Management of Unicompartmental Osteoarthritis of the Knee Michael Archibeck
MD Question 3 I Have a Patient With a Deformity of the Distal Femur and Arthritis of the Knee. Should I Do an Osteotomy to Correct the Deformity at the Time of Total Knee Arthroplasty? Jess H. Lonner
MD Question 4 If a Patient Has a Clearly Visible Calcified Vessel in the Posterior Aspect of Their Knee on the Preoperative Radiograph
Should I Use a Tourniquet? What About the Patient with a History of Prior Bypass Grafts? Raphael C. Y. Hau
MBBS
FRACS and Bassam A. Masri
MD
FRCSC Question 5 Should My Patients Donate Blood Prior to Surgery? Fred Cushner
MD Question 6 When Do You Do a One-Stage Bilateral Total Knee Arthroplasty as Opposed to Staging Them? Steve Lyons
MD Question 7 Should the Patella Be Routinely Resurfaced at the Time of Total Knee Arthoplasty? Javad Parvizi
MD
FRCS and Feridon Jaberi
MD Question 8 I Have a Patient Who Is Very Concerned About Their Range of Motion. Should I Use a High Flex Type Component? Giles R. Scuderi
MD Question 9 I Have a 43-year Old Male Who Needs a Total Knee: Should I Use Highly Cross-linked Polyethylene as a Bearing Surface? Markus A. Wimmer
PhD and Joshua J. Jacobs
MD Question 10 I Think My Patient May Have a Charcot (Neuropathic) Knee. Is This a Contraindication to Total Knee Arthroplasty? R. Michael Meneghini
MD and Jeffery L. Pierson
MD Question 11 I Am Considering Implementing a Teaching Class Prior to Surgery for My Patients. Is This Beneficial? What Topics Should be Covered? Regina Barden
RN
BSN and Kim Chandler
RN SECTION II: INTRAOPERATIVE QUESTIONS Question 12 If a Patient Has Had Prior Surgery
How Do I Decide Where to Make the Skin Incision? Brett Levine
MD
MS Question 13 If I Am Doing a Total Knee Arthroplasty and the Patella Does Not Seem to Track Well
What Should I Do? Richard A. Berger
MD Question 14 How Do You Determine Appropriate Femoral Component Rotation at the Time of Surgery Richard Illgen II
MD and Matthew Squire
MD
MS Question 15 How Do I Determine Tibial Component Rotation in Total Knee Arthroplasty? David Manning
MD and Seann Carr
MD Question 16 How Do I Perform a Lateral Release? Mark D. Campbell
MD Question 17 The Femoral Component Sizing Guide Is Measuring Between Two Sizes. Should I Choose the Smaller or Larger Size? Frank R. DiMaio
MD Question 18 What Is Flexion Instability and How Do I Prevent It During Total Knee Arthroplasty? David J. Jacofsky
MD Question 19 I Am Doing a Total Knee in a Patient With a Varus Deformity. I Have Done My Standard Release and the Knee Is Still Tight Medially. What Should I Do? Gregg R. Klein
MD and Mark A. Hartzband
MD Question 20 When Performing a Total Knee Arthroplasty in a Patient With a Valgus Deformity
What Structures Do You Release First? Keith R. Berend
MD Question 21 If I Am Doing a Total Knee and It Is Too Tight in Extension
But Otherwise Feels Well Balanced
What Should I Do? Steven Stuchin
MD Question 22 The Patella Measures 22 Millimeters Prior to Making My Osteotomy. How Much Bone Should I Remove? Hari P. Bezwada
MD and Robert E. Booth
Jr.
MD Question 23 What Should I Do If I Cut the MCL Intraoperatively? Scott D. Ruhlman
MD; Shanon M. Sara; and Seth S. Leopold
MD Question 24 When Do You Use Antibiotic-Loaded Cement? Mohammad Namazian
DO and Paul E. Di Cesare
MD Question 25 Do You Inject the Capsule With Anything at the End of the Case in an Effort to Decrease Perioperative Pain? Amanda Marshall
MD SECTION III: POSTOPERATIVE QUESTIONS Question 26 I Have a Patient Who Is 2 Weeks Postoperative From a Primary Total Knee Arthroplasty and the Wound Is Draining. What Should I Do? Carl Deirmengian
MD Question 27 What Is the Best Method for Preventing Thromboembolic Events After Total Knee Arthroplasty? Jay R. Lieberman
MD Question 28 In the Recovery Room My Patient Does Not Have a Distal Pulse in the Operative Leg. What Should I Do? Kevin B. Fricka
MD Question 29 My Patient Has a Foot-Drop After Surgery. What Should I Do? Mark F. Schinsky
MD and William Macaulay
MD Question 30 What Criteria Do You Use for a Manipulation Under Anesthesia? Harpal Singh Khanuja
MD Question 31 I Have a Patient Who Fell 3 Months Postoperatively and Fractured Their Patella. Should I Try and Fix It? Craig J. Della Valle
MD and Daniel J. Berry
MD Question 32 I Have a Patient Who Tripped and Fell 3 Months After a Total Knee Arthroplasty and Has a Supracondylar Femur Fracture. What Is the Optimal Method of Treatment? Mark Dumonski
MD and Walter Virkus
MD Question 33 How Do You Manage Acute Extensor Mechanism Disruptions? Cory L. Calendine
MD and Kevin B. Fricka
MD SECTION IV: REVISION QUESTIONS Question 34 How Do You Evaluate the Patient With a Painful Total Knee Arthroplasty? Michael J. Archibeck
MD Question 35 What Is the Best Test for Diagnosing Periprosthetic Infection? Craig J. Della Valle
MD Question 36 If I Am Doing a Revision Total Knee and Can\u2019t Seem to Get Adequate Exposure
What Should I Do? Craig J. Della Valle
MD Question 37 When Doing a Revision Total Knee
Do You Start Reconstructing the Femur or Tibia First? David G. Nazarian
MD Question 38 Should I Use Stems on All of My Revision Total Knee Components? Steven H. Weeden
MD and Wayne Paprosky
MD Question 39 If I Use a Stem at the Time of a Revision Total Knee Arthroplasty
Should I Press-Fit the Stem or Cement It? Craig J. Della Valle
MD and Aaron G. Rosenberg
MD Question 40 When Do You Use an Offset Stem During Revision Total Knee Replacement? Scott M. Sporer
MD
MS Question 41 How Do You Handle Massive Bone Loss at the Time of Revision Total Knee Arthroplasty? Allan E. Gross
MD
FRCSC
O.Ont Question 42 How Do I Decide If I Should Retain the Patellar Component at the Time Of Revision Total Knee Arthroplasty? Thomas E. Brown
MD; Khaled Saleh
MD
MSc
FRCSC; Quan Jun Cui
MD
MS; and William Mihalko
MD
PhD Question 43 How Do You Manage the Patient With Severe Patellar Bone Loss at the Time of Revision Total Knee Arthroplasty? Kevin J. Bozic
MD
MBA and Michael D. Ries
MD Question 44 How Do You Assess Joint Line Position at the Time of Revision Total Knee Arthroplasty? What Are the Clinical Consequences If It Is Elevated? Richard S. Laskin MD Question 45 When Should I Use a Constrained Condylar Insert as Opposed to a Posterior Stabilized Insert? Kelly G. Vince
MD
FRCS Question 46 How Should I Manage the Patient With Chronic Extensor Mechanism Deficiency Associated with a Total Knee Arthroplasty? R. Stephen J. Burnett
BSc
MD
FRCS(C)
Dipl. ABOS and Robert L. Barrack
MD Question 47 Do You Use Static or an Articulating Spacer for Resection Arthroplasty Prior to Reimplantation? Alexander Siegmeth
FRCS (Tr & Orth) and Donald Garbuz
MD
FRCSC Question 48 What Are Your Indications for a Knee Fusion? Andrew A. Freiberg
MD Question 49 How Do You Manage the Patient with an Unexpectedly Positive Culture at the Time of a Revision Total Knee Arthroplasty? Patrick M. Morgan
MD and John C. Clohisy
MD Index ?