McKeon / Bono / Richmond Knee Arthroscopy

1. Auflage 2009
ISBN: 978-0-387-89504-8
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 206 Seiten

This book serves as a technique-oriented 'how-to' guide to knee arthroscopy. Renowned authorities present advances in meniscal transplantation, articular cartilage repair, anterior cruciate ligament treatment and other procedures. Chapters are comprehensive, and readers are led step-by-step through techniques. Anatomy, indications, and complications for each approach are highlighted, and clinical pearls are featured throughout. Case studies facilitate the integration of concepts into practice. Orthopedic surgeons, orthopedic residents, and sports medicine physicians will find this thorough text invaluable.

Autoren/Hrsg.

McKeon, Brian P.

Bono, James V.

Richmond, John C.

Inhaltsverzeichnis

1;Foreword;6
2;Preface;7
3;Contents;8
4;Contributors;9
5;Knee Arthroscopy: Technique and Normal Anatomy;11
5.1;Introduction;11
5.2;Anatomy;11
5.2.1;External Anatomy;11
5.2.2;Intraarticular Anatomy;11
5.3;Preoperative Preparation;12
5.4;Techniques;12
5.4.1;Operating Room Setup;12
5.4.2;Anesthesia;12
5.4.3;Patient Setup;13
5.4.4;Portals (Fig. 6);14
5.4.4.1;Anterolateral Portal;14
5.4.4.2;Anteromedial Portal;14
5.4.4.3;Superomedial Portal;16
5.4.4.4;Posteromedial Portal;17
5.4.4.5;Posterolateral Portal;17
5.4.4.6;Accessory Anterior Medial and Lateral Portals;17
5.5;Rehabilitation;17
5.6;Complications;18
5.6.1;Deep Venous Thrombosis;18
5.7;Clinical Pearls/Summary;18
5.8;Case Report;19
5.8.1;Case 1;19
6;Partial Meniscectomy;21
6.1;Introduction;21
6.2;Anatomy;21
6.2.1;Gross Anatomy;21
6.2.2;Vascular Anatomy;22
6.2.3;Neuroanatomy;23
6.2.4;Biomechanics;23
6.2.5;Tear Anatomy;23
6.3;Indications;24
6.3.1;History;24
6.3.2;Physical Exam;24
6.3.3;Diagnostic Studies;24
6.3.4;Surgical Decision Making;25
6.4;Surgery;25
6.4.1;Technique;25
6.5;Outcome Studies;27
6.6;Rehabilitation;28
6.7;Complications;28
6.8;Clinical Pearls;29
6.9;Summary;29
6.10;Case Reports;29
6.10.1;Case 1;29
6.10.2;Case 2;30
7;Meniscus Repair and Future Directions;34
7.1;Introduction;34
7.2;Anatomy;35
7.3;Pathology;36
7.4;Indications and Techniques;36
7.4.1;Nonoperative Treatment;36
7.4.2;Surgical Treatment;37
7.4.3;Surgical Technique;37
7.4.3.1;Inside-Out Technique;38
7.4.3.2;Outside-In Technique;40
7.4.3.3;All-Inside Fixator Technique;40
7.4.3.4;All-Inside Suture Fixation Technique;41
7.4.4;Repair Augmentation and Future Directions;42
7.5;Rehabilitation;43
7.6;Complications;43
7.7;Results;44
7.8;Clinical Pearls/Summary;44
7.9;Case Reports;45
7.9.1;Case 1;45
7.9.2;Case 2;46
7.9.3;Case 3;46
7.9.4;Case 4;47
7.9.5;Case 5;48
8;Meniscal Allograft Transplantation;50
8.1;Introduction;50
8.2;History;50
8.3;Anatomy;50
8.4;Function;52
8.5;Surgical Indications;53
8.6;Patient Evaluation;53
8.7;Graft Preservation;53
8.8;Sizing;54
8.9;Surgical Technique;54
8.9.1;Bone Bridge or Slot Technique for Lateral Meniscal Reconstruction;56
8.9.1.1;Allograft Preparation;56
8.9.1.2;Allograft Insertion;56
8.9.2;Bone Plug Technique for Medial Meniscal Reconstruction;57
8.9.2.1;Allograft Preparation;57
8.9.2.2;Tunnel Preparation;58
8.9.2.3;Allograft Insertion;59
8.10;Advanced Techniques;60
8.10.1;Corrective Osteotomy;61
8.10.2;Ligament Reconstruction;61
8.10.3;Cartilage Restoration;62
8.11;Rehabilitation;63
8.12;Complications;64
8.13;Clinical Pearls;64
8.14;Summary;65
8.15;Case Reports;65
8.15.1;Case 1;65
8.15.2;Case 2;68
9;Arthroscopic Treatment of the Osteoarthritic Knee;75
9.1;Introduction;75
9.2;History;75
9.3;Indications;76
9.4;Authors Preferred Surgical Technique;76
9.5;Rehabilitation;80
9.6;Complications;80
9.7;Results;81
9.8;Clinical Pearls/Summary;82
9.9;Case Report;82
9.9.1;Case 1;82
10;Current Concepts in Articular Cartilage;86
10.1;Introduction;86
10.2;Basic Science;86
10.2.1;Matrix Composition;86
10.2.2;AC Structure;87
10.3;Biomechanics;87
10.4;Incidence/Natural History;87
10.5;Classification of AC Lesions;88
10.6;Imaging;88
10.7;Patient Evaluation with Symptomatic AC Defect;89
10.8;Cartilage Restoration Treatment Options;92
10.8.1;Arthroscopic Lavage and Debridement;92
10.8.1.1;Surgical Technique;92
10.8.1.2;Postoperative Care/Rehabilitation;92
10.8.1.3;Case Report;93
10.8.2;Marrow Stimulation;94
10.8.2.1;Surgical Technique;94
10.8.2.2;Postoperative Care/Rehabilitation;94
10.8.2.3;Case Report;96
10.8.3;Osteoarticular Grafting;98
10.8.3.1;Autograft;99
10.8.3.2;Allograft;101
10.8.3.3;Case Report;103
10.8.4;Autologous Chondrocyte Transplantation;105
10.8.4.1;Surgical Technique;105
10.8.4.2;Postoperative Care/Rehabilitation;106
10.8.4.3;Case Report;107
10.8.5;Associated Bone Deficit/Uncontained Lesions;109
10.9;Osteochondritis Dissecans;110
10.9.1;Juvenile Osteochondritis Dissecans;110
10.9.2;Adult Osteochondritis Dissecans;111
10.9.2.1;Case Report;112
10.10;Future of Cartilage Repair;114
10.11;Summary;114
11;Patellofemoral Disorders;119
11.1;Introduction;119
11.2;Anatomy;119
11.3;Patient History;120
11.4;Physical Examination;121
11.5;Imaging;122
11.6;Operative Techniques;122
11.6.1;Lateral Release;122
11.6.1.1;Indications;122
11.6.1.2;Contraindications;123
11.6.1.3;Technique;123
11.6.1.4;Rehabilitation;125
11.6.1.5;Complications;125
11.6.2;Cartilage Procedures;125
11.6.2.1;Indications for Chondroplasty;125
11.6.2.2;Technique for Chondroplasty;126
11.6.2.3;Rehabilitation for Chondroplasty;127
11.6.2.4;Indications for Microfracture;127
11.6.2.5;Technique for Microfracture;127
11.6.2.6;Rehabilitation for Microfracture;127
11.6.2.7;Complications for Chondroplasty and Microfracture;128
11.6.3;Medial Retinacular Imbrication;128
11.6.3.1;Indications;128
11.6.3.2;Technique;128
11.6.3.3;Rehabilitation;129
11.6.3.4;Complications;129
11.7;Clinical Pearls;129
11.7.1;Evaluating Patients with Prior Surgical History;129
11.7.2;Limiting Bleeding After Lateral Release;130
11.7.3;Evaluating the Medial Knee Capsule when Considering Medial Imbrication;130
11.8;Summary;130
11.9;Case Report;130
11.9.1;Case 1: Chondroplasty;130
12;Surgical Management of Anterior Cruciate Ligament Injuries;134
12.1;Introduction;134
12.2;Anatomy;134
12.3;Biomechanics;136
12.4;Diagnosis and Imaging;137
12.5;Meniscal and Chondral Injuries;138
12.6;Indications for Reconstruction;138
12.7;Timing of Surgery;139
12.8;Graft Options;140
12.9;Reconstruction Technique;141
12.10;Rehabilitation;145
12.11;Complications;145
12.12;Clinical Pearls;147
12.13;Summary;147
12.14;Case Reports;147
12.14.1;Case 1;147
12.14.2;Case 2;148
12.14.3;Case 3;150
12.14.4;Case 4;150
12.14.5;Case 5;151
13;Posterior Cruciate Ligament and Posterolateral Corner Reconstruction;157
13.1;Introduction;157
13.2;PCL Anatomy and Biomechanics;157
13.3;Posterolateral Corner Anatomy and Biomechanics;158
13.4;Incidence of PCL and Posterolateral Corner Injuries;158
13.5;Clinical Presentation;158
13.6;Treatment;159
13.7;Surgical Indications;159
13.8;Surgical Timing;159
13.9;Surgical Technique;159
13.10;Graft Selection;160
13.11;PCL Reconstruction Surgical Technique;160
13.12;Posterolateral Reconstruction Surgical Technique;162
13.13;Rehabilitation;164
13.14;Complications;165
13.15;Results: Single-Bundle PCL Reconstruction;165
13.16;Double-Bundle Compared with Single-Bundle PCL Reconstruction Results and Single-Bundle Versus Double-Bundle Arthroscopic Transtibial PCL Reconstruction Results;166
13.17;Clinical Pearls/Summary;167
14;Arthrofibrosis and Synovial Lesions of the Knee;169
14.1;Arthrofibrosis;169
14.1.1;Introduction;169
14.1.2;Anatomy;169
14.1.3;Pathophysiology;170
14.1.4;Indications and Techniques;170
14.1.5;Complications;174
14.1.6;Clinical Pearls and Summary;174
14.1.7;Case Report;174
14.1.7.1;Case 1;174
14.2;Synovial Lesions;175
14.2.1;Introduction;175
14.2.2;Anatomy;175
14.2.3;Indications and Techniques;176
14.2.3.1;Rheumatoid Arthritis;176
14.2.3.2;Seronegative Arthritis;176
14.2.3.3;Pigmented Villonodular Synovitis;176
14.2.3.4;Synovial Chondromatosis;176
14.2.3.5;Nonspecific Synovitis;177
14.2.3.6;Hemophilic Arthropathy;177
14.2.3.7;Lyme Arthritis;177
14.2.4;Surgical Technique and Planning;178
14.2.5;Postoperative Management;179
14.2.6;Localized Pathology of the Synovium;179
14.2.6.1;Symptomatic Plica;180
14.2.6.2;Hoffa's Disease: Fibrosis of the Infrapatella Fad Pad;180
14.2.6.3;Ganglions;180
14.2.6.4;Localized PVNS;180
14.2.6.5;Synovitis and Osteoarthritis of the Knee;180
14.2.7;Complications;181
14.2.8;Clinical Pearls and Summary;182
14.2.9;Case Report;182
14.2.9.1;Case 2;182
15;Arthroscopic Treatment of Knee Fractures;184
15.1;Introduction;184
15.2;Anatomy;184
15.3;Mechanism of Injury;184
15.3.1;Tibial Plateau Fractures;184
15.3.2;Tibial Eminence Fractures;184
15.4;Indications;185
15.4.1;Tibial Plateau Fractures;185
15.4.2;Tibial Eminence Fractures;187
15.5;Treatment;187
15.5.1;Tibial Plateau Fractures;187
15.5.2;Tibial Eminence Fractures;188
15.6;Technique;189
15.6.1;Tibial Plateau Fractures;189
15.6.2;Tibial Eminence Fractures;192
15.7;Rehabilitation;193
15.7.1;Tibial Plateau Fractures;194
15.7.2;Tibial Eminence Fractures;194
15.8;Complications;194
15.8.1;Tibial Plateau Fractures;194
15.8.2;Tibial Eminence Fractures;195
15.9;Clinical Pearls and Summary;195
15.9.1;Tibial Plateau Fractures;195
15.9.2;Tibial Eminence Fractures;195
15.10;Case Reports;195
15.10.1;Case 1;195
15.10.2;Case 2;196
16;Index;199