Controversies in Total Knee Replacement by Richard S. LaskinControversies in Total Knee Replacement by Richard S. Laskin

Controversies in Total Knee Replacement

EditorRichard S. Laskin

Hardcover | January 1, 2001

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In the 35 years since the first knee replacement surgery was attempted, there have been numerous changes in the way the prostheses are designed and the manner in which they are implanted. We are now in the fortunate position of being able to report that 95% of patients undergoing a kneereplacement report extraordinary relief of pain and the ability to return to an active and productive life. However, the field is not static and there remain areas of controversy. This book examines many of the unresolved issues in total knee replacement surgery. Each controversial issue is addressed in the format of a debate, with authors from either side of the controversy putting their points of view and then responding to a series of questions, posed by the editor, whoacts as the moderator of the discussion. In addition, there are two non-debate chapters, one covering the value of knee replacement to society and the patient, and the other on the precise methodology of collecting and expressing outcome data. All of the contributors are international experts in their fields and have lectured and written extensively. This book will ensure that the knowledge of today can help to further improve the surgical results of tommorrow.
Professor Richard Laskin Orthopaedic Surgeon The Hospital for Special Surgery 535 E 70th Street New York NY 10021 USA Tel: 001 212 606 1041 Fex: 001 212 249 4653 E-mail:
Title:Controversies in Total Knee ReplacementFormat:HardcoverPublished:January 1, 2001Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0192630725

ISBN - 13:9780192630728


Table of Contents

Preface1. Kaper and Bourne: Total Knee Replacement (TKR) is one of the most beneficial procedures for both patients and society2. PRO: Victor CON: Crites and Ritter: The tibial component should be routinely modular and metal-backed rather than all polyethylene3. PRO and CON: Sculco, Miric, Klein and MacAuley: The use of prosthetic augments is the optimal way for correcting bone defects during TKR4. PRO: Munjal and Krackow CON: Haas and Saleh: The posterior cruciate should routinely be salvaged during TKR5. PRO: Andriacchi, Dyrby and Alexander CON: Iwaki, Pinskerova and Freeman: Femoral rollback is obtainable and beneficial in the total knee patient6. PRO: Windsor CON: Steinbrink: The optimal treatment for an infected TKR is a two-stage exchange revision7. PRO: Insall and Scuderi CON: Bellemans: Acrylic cement is the method of choice for fixation of total knee implants8. PRO: Hagena CON: Noble: The patella need not be resurfaced during TKR9. PRO: Scuderi CON: Riese: The optimal way to balance the flexion space is to externally rotate the femoral component10. PRO: Kofler and Lotke CON: Westrich: Aspirin is sufficient prophylaxis for DVT for most total knee patients11. PRO: Hart CON: Brumby and Thornhill: Unicompartmental osteoarthritis of the knee is best treated by an osteotomy rather than unicompartmental arthroplasty12. PRO: Rorabeck and Howell CON: Ward, Longjohn and Dorr: Range of motion after TKR can best be obtained using a CPM machine13. Proximal release procedures are the optimal way of increasing exposure during TKR: 14. A fixed bearing implant is optimal for most TKRs: 15. Outcome measurement in TKR: Epilogue